NSG 522 PSYCHOPHARMACOLOGY EXAM 2
NSG 522 PSYCHOPHARMACOLOGY EXAM 2 NEWEST QUESTIONS
FORMART NEWEST 2025/2026 WITH 200+ QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Which therapeutic model focuses on how thoughts influence feelings and actions?
A) Psychoanalytic
B) Cognitive
C) Behavioral
D) Developmental - ANSWER-Cognitive
Rationale: Cognitive therapy (CBT) helps individuals identify and change negative
thought patterns to improve emotions and behaviors.
What is the first phase of the nurse-patient relationship?
A) Identification
B) Orientation
C) Working
D) Termination - ANSWER-Orientation
Rationale: The Orientation phase establishes trust, sets expectations, and builds
rapport between the nurse and the patient.
1|Page
, NSG 522 PSYCHOPHARMACOLOGY EXAM 2
In Cognitive Behavioral Therapy (CBT), which technique helps patients identify and
replace negative thoughts?
A) Systematic desensitization
B) Aversion therapy
C) Cognitive reframing
D) Free association - ANSWER-Cognitive reframing
Rationale: Cognitive reframing helps patients challenge negative thought patterns
and develop healthier perspectives.
Transference is when:
A) The nurse redirects their emotions toward a patient
B) The patient associates the nurse with someone from their past
C) The patient refuses medication
D) The nurse avoids difficult patients - ANSWER-The patient associates the nurse
with someone from their past
Rationale: Transference occurs when a patient unconsciously transfers feelings
(positive or negative) onto the nurse based on past relationships.
Which of the following is an example of a mature defense mechanism?
A) Projection
B) Repression
C) Sublimation
2|Page
, NSG 522 PSYCHOPHARMACOLOGY EXAM 2
D) Denial - ANSWER-Sublimation
Sublimation is a mature defense mechanism where unacceptable impulses are
channeled into socially acceptable activities (e.g., exercising instead of acting out
anger).
In a psychiatric setting, milieu therapy focuses on:
A) Providing a structured, supportive environment
B) Diagnosing mental health conditions
C) Administering psychotropic medications
D) Encouraging family interventions - ANSWER-Providing a structured, supportive
environment
Rationale: Milieu therapy uses a therapeutic environment to help patients develop
coping skills and function better in daily life.
What is a key aspect of motivational interviewing?
A) Telling the patient what to do
B) Using open-ended questions to guide behavioral change
C) Punishing negative behaviors
D) Restricting patient choices - ANSWER-Using open-ended questions to guide
behavioral change
Rationale: Motivational interviewing encourages patients to explore their own
motivation for change using open-ended questions and active listening.
3|Page
, NSG 522 PSYCHOPHARMACOLOGY EXAM 2
A nurse is caring for a patient with schizophrenia who is experiencing command
hallucinations. What is the priority nursing action?
A) Encourage the patient to discuss the hallucinations.
B) Assess the content of the hallucinations.
C) Distract the patient with structured activities.
D) Reassure the patient that the hallucinations are not real. - ANSWER-Assess the
content of the hallucinations.
Rationale: Safety is the priority when a patient has command hallucinations
because they may direct the patient to harm themselves or others. Assessing the
content allows the nurse to determine risk.
A psychiatric nurse is evaluating a client who reports increased irritability,
forgetfulness, and difficulty sleeping due to work stress. According to the Mental
Health Continuum, which category best describes this client?
A) Healthy
B) Reacting
C) Injured
D) Ill - ANSWER-Reacting
4|Page
NSG 522 PSYCHOPHARMACOLOGY EXAM 2 NEWEST QUESTIONS
FORMART NEWEST 2025/2026 WITH 200+ QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Which therapeutic model focuses on how thoughts influence feelings and actions?
A) Psychoanalytic
B) Cognitive
C) Behavioral
D) Developmental - ANSWER-Cognitive
Rationale: Cognitive therapy (CBT) helps individuals identify and change negative
thought patterns to improve emotions and behaviors.
What is the first phase of the nurse-patient relationship?
A) Identification
B) Orientation
C) Working
D) Termination - ANSWER-Orientation
Rationale: The Orientation phase establishes trust, sets expectations, and builds
rapport between the nurse and the patient.
1|Page
, NSG 522 PSYCHOPHARMACOLOGY EXAM 2
In Cognitive Behavioral Therapy (CBT), which technique helps patients identify and
replace negative thoughts?
A) Systematic desensitization
B) Aversion therapy
C) Cognitive reframing
D) Free association - ANSWER-Cognitive reframing
Rationale: Cognitive reframing helps patients challenge negative thought patterns
and develop healthier perspectives.
Transference is when:
A) The nurse redirects their emotions toward a patient
B) The patient associates the nurse with someone from their past
C) The patient refuses medication
D) The nurse avoids difficult patients - ANSWER-The patient associates the nurse
with someone from their past
Rationale: Transference occurs when a patient unconsciously transfers feelings
(positive or negative) onto the nurse based on past relationships.
Which of the following is an example of a mature defense mechanism?
A) Projection
B) Repression
C) Sublimation
2|Page
, NSG 522 PSYCHOPHARMACOLOGY EXAM 2
D) Denial - ANSWER-Sublimation
Sublimation is a mature defense mechanism where unacceptable impulses are
channeled into socially acceptable activities (e.g., exercising instead of acting out
anger).
In a psychiatric setting, milieu therapy focuses on:
A) Providing a structured, supportive environment
B) Diagnosing mental health conditions
C) Administering psychotropic medications
D) Encouraging family interventions - ANSWER-Providing a structured, supportive
environment
Rationale: Milieu therapy uses a therapeutic environment to help patients develop
coping skills and function better in daily life.
What is a key aspect of motivational interviewing?
A) Telling the patient what to do
B) Using open-ended questions to guide behavioral change
C) Punishing negative behaviors
D) Restricting patient choices - ANSWER-Using open-ended questions to guide
behavioral change
Rationale: Motivational interviewing encourages patients to explore their own
motivation for change using open-ended questions and active listening.
3|Page
, NSG 522 PSYCHOPHARMACOLOGY EXAM 2
A nurse is caring for a patient with schizophrenia who is experiencing command
hallucinations. What is the priority nursing action?
A) Encourage the patient to discuss the hallucinations.
B) Assess the content of the hallucinations.
C) Distract the patient with structured activities.
D) Reassure the patient that the hallucinations are not real. - ANSWER-Assess the
content of the hallucinations.
Rationale: Safety is the priority when a patient has command hallucinations
because they may direct the patient to harm themselves or others. Assessing the
content allows the nurse to determine risk.
A psychiatric nurse is evaluating a client who reports increased irritability,
forgetfulness, and difficulty sleeping due to work stress. According to the Mental
Health Continuum, which category best describes this client?
A) Healthy
B) Reacting
C) Injured
D) Ill - ANSWER-Reacting
4|Page
