Regis NU 665 Primary Care of the Adult Exam 1
2026/2027 | Actual Exam Questions with Verified
Answers & Detailed Rationales | Grade A Study Guide
1. What does Lazarus and Folkman's transactional model of stress and coping
emphasize?
A. Stress is a result of external environmental factors only
B. Stress is a result of an individual's appraisal of their resources in relation to
environmental demands
C. Stress is a biological response unrelated to perception
D. Stress is determined solely by genetic factors
Correct Answer: B
Rationale: The transactional model emphasizes that stress results from the individual's
cognitive appraisal of environmental demands and their perceived ability to cope with
those demands.
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2. What is the main critique of traditional Motivational Interviewing (MI) according to
Angelini & Efran (2021)?
A. MI is ineffective for substance use disorders
B. MI's effectiveness is not solely dependent on change talk; the therapeutic
relationship and context are also crucial
C. MI should only be used in group settings
D. MI is contraindicated in patients with depression
Correct Answer: B
Rationale: The critique highlights that MI's effectiveness cannot be attributed solely to
change talk; the therapeutic relationship and contextual factors play essential roles.
3. What is Anxious Attachment?
A. A style characterized by complete independence from caregivers
B. A style arising from inconsistent caregiving, leading to anxiety about abandonment;
individuals crave closeness but fear rejection
C. A style marked by consistent, responsive caregiving
D. A style characterized by indifference to relationships
Correct Answer: B
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Rationale: Anxious attachment develops from inconsistent caregiving, resulting in
hypervigilance about relationships and fear of abandonment while craving closeness.
4. What does Secure Attachment look like in adults?
A. Stable, healthy relationships; balance independence with closeness; communicate
effectively; confident in seeking support
B. Chaotic, unstable relationships with fear of intimacy
C. Complete emotional independence with no need for relationships
D. Constant need for reassurance and fear of abandonment
Correct Answer: A
Rationale: Secure attachment in adults is characterized by healthy, stable relationships,
effective communication, balanced independence and closeness, and confidence in
seeking support.
5. What is Secure Attachment?
A. A style formed when caregivers are consistently responsive to a child's needs,
fostering safety and trust
B. A style formed from inconsistent caregiving
C. A style characterized by emotional distance
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D. A style associated with traumatic caregiving
Correct Answer: A
Rationale: Secure attachment develops when caregivers are consistently responsive,
creating a foundation of safety, trust, and comfort with intimacy.
6. A 25-year-old woman with bipolar disorder is newly pregnant. She is currently stable
on valproate. What should be done?
A. Continue valproate at the same dose throughout pregnancy
B. Discontinue valproate immediately due to its high risk of neural tube defects;
consider switching to lamotrigine
C. Increase the valproate dose to prevent relapse
D. Add folic acid without changing valproate
Correct Answer: B
Rationale: Valproate has a high teratogenic risk, particularly neural tube defects. It
should be discontinued in pregnancy, and lamotrigine is a safer alternative for bipolar
disorder during pregnancy.
7. A 70-year-old woman with GAD and a history of falls is asking for medication. Which
medication should be avoided?