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Wilkes NSG 527 Midterm Exam (Latest 2025 / 2026) Qs and Ans with, 100% Guarantee Pass, Exams of Nursing

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NSG 527 MIDTERM EXAM
Psychopathology, Theories, & Advanced
Clinical Modalities - Wilkes
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
100% Guarantee Pass.
Multiple-Choice (A–D), For Each Question.
Each Question Includes The Correct Answer
Expert-Verified explanation
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Download Wilkes NSG 527 Midterm Exam (Latest 2025 / 2026) Qs and Ans with, 100% Guarantee Pass and more Exams Nursing in PDF only on Docsity!

NSG 527 MIDTERM EXAM

Psychopathology, Theories, & Advanced

Clinical Modalities - Wilkes

Actual Questions and Answers

100% Guarantee Pass

This Exam contains:

 100% Guarantee Pass.

 Multiple-Choice (A–D), For Each Question.

 Each Question Includes The Correct Answer

 Expert-Verified explanation

  1. What are Yalom's four givens of existence?
    • A) Love, Freedom, Isolation, and Power
    • B) Death, Meaninglessness, Isolation, Freedom
    • C) Nature, Society, Self, and Others
    • D) Trust, Intimacy, Growth, and Death

Answer: B Explanation: Yalom’s four givens—death, meaninglessness, isolation, and freedom—reflect the central existential concerns that individuals grapple with. Addressing these concepts is crucial in therapy, as they shape personal experience and emotional health.

  1. According to existential therapy, what are the three modes of being in the world?
    • A) Individuality, Community, Nature
    • B) Eigenwelt, Mitwelt, Umwelt
    • C) Self, Environment, Transcendence
    • D) Ego, Alter, Nature

Answer: B Explanation: The three modes are Eigenwelt (the inner self), Mitwelt (the world of relationships with others), and Umwelt (the natural, physical environment). Understanding these modes helps clients explore their existence in various contexts, promoting deeper self-awareness.

  1. In existential therapy, what does "Eigenwelt" refer to?
    • A) The world with others
    • B) The natural world

Explanation: Existential therapy was developed primarily by two influential figures, Rollo May and Irvin D. Yalom. Their work centers on the philosophical concerns of existence, meaning, and the essence of being fully human, highlighting personal freedom and self-awareness in therapeutic relationships.

  1. What therapy is characterized by a focus on what it means to be fully human?
    • A) Cognitive Behavioral Therapy
    • B) Existential Therapy
    • C) Gestalt Therapy
    • D) Psychodynamic Therapy

Answer: B Explanation: Existential therapy emphasizes the individual's quest for meaning and the freedom to define one's existence. It prioritizes the personal relationship between therapist and client, fostering self-awareness and encouraging clients to take responsibility for their fate.

  1. What does "Unwelt" represent in existential therapy?
    • A) The world of social expectations
    • B) The natural world and environment
    • C) The ideal state of being
    • D) One's own psychological experience

Answer: B Explanation: Umwelt pertains to the external environment and the natural world that influences our existence. Acknowledging this aspect can help

clients understand the interplay between their internal feelings and external realities.

  1. In existential therapy, anxiety is viewed as:
    • A) A psychological disorder
    • B) A result of past traumas
    • C) A natural part of the human condition
    • D) A symptom of relational dysfunction

Answer: C Explanation: Anxiety is seen as an intrinsic part of the human experience, reflecting our deep-seated needs for survival, meaning, and individuality. It can manifest in both neurotic and normal forms and becomes a key area to explore in therapy.

  1. Who are the founders of Gestalt therapy?
    • A) Virginia Satir and Carl Whitaker
    • B) Fritz Perls and Laura Perls
    • C) Rollo May and Irvin Yalom
    • D) Carl Rogers and Albert Ellis

Answer: B Explanation: Fritz Perls and Laura Perls are credited with establishing Gestalt therapy, which emphasizes awareness, personal responsibility, and the importance of experiencing the present moment in the therapeutic process.

  1. What is the basic goal of Gestalt therapy?
    • A) Modify behavior through rewards

Answer: B Explanation: Sharing relevant past experiences can help create a sense of connection and safety, thus aiding the therapeutic process. It is important for therapists to maintain attunement with clients while fostering an open dialogue.

  1. What are three techniques used in Gestalt therapy?
    • A) Cognitive reappraisal, mindfulness, narrative techniques
    • B) Topdog vs. Underdog, Empty Chair, Fantasy Games
    • C) Dream analysis, free association, transcendental meditation
    • D) Socratic questioning, behavioral contracts, role-playing

Answer: B Explanation: Key techniques in Gestalt therapy include "Topdog vs. Underdog," which explores inner conflicts, the "Empty Chair" technique that allows dialogue with significant others or parts of oneself, and "Fantasy Games" that encourage imaginative exploration.

  1. What is the "Empty Chair" technique in Gestalt therapy?
    • A) A method for assessing environmental influences
    • B) A technique to discuss historical traumas
    • C) A way to express feelings towards another person symbolically
    • D) A technique for relaxation

Answer: C Explanation: The "Empty Chair" technique requires clients to speak to an imaginary person seated in the empty chair. This method evokes emotions related to unresolved issues, facilitating catharsis and insight.

  1. Who founded Dyadic Developmental Psychotherapy?
    • A) Virginia Satir
    • B) Daniel Hughes
    • C) John Bowlby
    • D) Carl Rogers

Answer: B Explanation: Daniel Hughes is the founder of Dyadic Developmental Psychotherapy (DDP), which focuses on attachment and emotional regulation within relationships, particularly between caregivers and children.

  1. What is the primary focus of Dyadic Developmental Psychotherapy?
    • A) Historical analysis of family dynamics
    • B) Encouraging behavioral changes in children
    • C) Teaching attachment-responsive parenting methods
    • D) Cognitive restructuring

Answer: C Explanation: DDP emphasizes the importance of attunement, sensitivity, and responsiveness in parenting. It teaches parents how to foster a secure attachment environment, ensuring safety and stability for the child.

  1. In Dyadic Developmental Psychotherapy, is it true or false that the therapist should avoid emotional attunement with the child?
    • A) True
    • B) False

Answer: B

  • B) Encouraging competition among peers
  • C) The Central Relational Paradox
  • D) Exploring unconscious conflicts

Answer: C Explanation: The Central Relational Paradox posits that while individuals have an innate drive for relationships, they often believe aspects of themselves are unlovable or unacceptable. This paradox drives relational dynamics and therapeutic healing.

  1. What is the basis of Relational-Cultural Therapy?
    • A) Emphasizing individual achievement over community
    • B) Focusing on developing mutually growth-fostering relationships
    • C) Analyzing cognitive distortions
    • D) Using pharmacotherapy for emotional disturbances

Answer: B Explanation: Relational-Cultural Therapy stresses that relationships are central to psychological health. It aims to create and maintain mutually supportive relationships, which are both indicators of and pathways to wellness in therapy.

  1. Who founded the Transtheoretical Model of Behavior Change (TTM)?
    • A) Albert Bandura and Carl Rogers
    • B) Prochaska and Velicer
    • C) Aaron Beck and Rollo May
    • D) William Miller and Jean Baker Miller

Answer: B

Explanation: The Transtheoretical Model was developed by James Prochaska and Carlo DiClemente (Velicer). This model outlines how individuals progress through stages of change when making personal modifications in behavior.

  1. Who developed Motivational Interviewing?
    • A) Carl Rogers
    • B) William Miller
    • C) Irvin Yalom
    • D) B.F. Skinner

Answer: B Explanation: William Miller is the founder of Motivational Interviewing, a client-centered counseling style aimed at enhancing intrinsic motivation to change by exploring and resolving ambivalence.

  1. What characterizes the Transtheoretical Model of Behavior Change?
    • A) A universal fix for all disorders
    • B) A single-phase approach to therapy
    • C) An integrative model from various psychological theories
    • D) A sole focus on cognitive restructuring

Answer: C Explanation: The Transtheoretical Model integrates various psychological theories to understand behavior change, emphasizing that individuals progress through specific stages and the importance of establishing rapport to support their self-efficacy.

  1. What does the acronym OARS stand for in Motivational Interviewing?
  • D) Actively changing behaviors

Answer: C Explanation: The pre-contemplation stage is characterized by individuals being unaware of their problematic behaviors, indicating a lack of readiness for change. Recognizing this stage allows therapists to guide clients towards awareness.

  1. What occurs in the contemplation stage of behavior change?
    • A) Active change is happening.
    • B) The individual denies any need for change.
    • C) The person gains awareness of problematic behavior and weighs pros and cons.
    • D) The individual maintains a status quo without reflection.

Answer: C Explanation: During the contemplation stage, individuals begin to acknowledge their problematic behaviors and consider the potential benefits and drawbacks of making changes, crucial for initiating the process of change.

  1. What happens during the preparation stage of the behavior change process?
    • A) The intention to change is solidified, and small steps may be taken.
    • B) No intention to modify behavior exists.
    • C) Individuals are actively changing their behaviors.
    • D) Clients revisit old habits without motivation.

Answer: A

Explanation: In the preparation stage, individuals are ready to act, forming intentions to make changes and possibly starting with small steps. This signifies a proactive move towards behavior change after contemplation.

  1. Which of the following accurately describes the action stage in the stages of change behavior?
    • A) Takes exploit actions, results in positive change
    • B) Does not intend to change behavior
    • C) Reflects on past decisions
    • D) Prepares for change

Answer: A Explanation: The action stage is where individuals actively implement strategies to change their behavior, resulting in noticeable improvements. This phase involves hands-on actions and a commitment to transforming behaviors that are perceived as unhealthy.


  1. In the stages of change behavior, what is the primary focus of the maintenance stage?
    • A) Preparing for change
    • B) Seeking therapeutic support
    • C) Preventing relapse into old habits
    • D) Processing emotions related to change

Answer: C

Explanation: Deep Brain Stimulation involves implanting a device that delivers electrical impulses to targeted areas in the brain. This surgical treatment is utilized for various neurological and psychiatric conditions, such as Parkinson’s disease, when medication is insufficient.

  1. What treatments might repetitive Transcranial Magnetic Stimulation (rTMS) be used for?
    • A) Only for anxiety disorders
    • B) As an alternative to ECT or as an adjunctive treatment for depression
    • C) Solely for psychotic disorders
    • D) Only in inpatient settings

Answer: B Explanation: rTMS is an FDA-approved, non-invasive treatment used primarily for major depressive disorder, auditory hallucinations, and as an alternative to Electroconvulsive Therapy (ECT) in treatment-resistant depression, offered in outpatient settings.

  1. Which of the following are rare side effects of rTMS?
    • A) Weight gain
    • B) Sleep disturbances
    • C) Memory loss and seizures
    • D) Increased appetite

Answer: C

Explanation: While generally considered safe, rTMS can have rare side effects, including memory loss and seizures. Monitoring clients during treatment is critical to ensure any adverse effects are promptly addressed.

  1. In Gestalt therapy, the emphasis is placed more on __________ and not the _________.
    • A) results, details
    • B) process, content
    • C) assessment, analysis
    • D) theory, practice

Answer: B Explanation: Gestalt therapy prioritizes the process (what is happening in the client's experience) over content (the specific details of what is being said). It encourages clients to focus on their current feelings and awareness rather than being preoccupied with the past or future.


  1. What does phenomenology examine in the context of existential therapy?
    • A) Traditional behavior patterns
    • B) Neurobiological responses
    • C) An individual’s immediate experience and grasp of reality
    • D) Collective social norms

Answer: C

Explanation: Behavior modification involves changing the client's behavior through manipulation of external environmental factors, using reinforcement, or aversion techniques to encourage functional behavior changes.

  1. What is the MAIN goal of Gestalt therapy?
    • A) Cognitive restructuring
    • B) Elimination of all negative thoughts
    • C) Awareness of present experiences
    • D) Emotional detachment

Answer: C Explanation: The primary goal of Gestalt therapy is to enhance the client’s awareness of their present experience, including thoughts, feelings, and actions. This heightened awareness can lead to profound personal insights and behavioral changes.


  1. Who should not receive Transcranial Magnetic Stimulation (TMS)?
    • A) Individuals with anxiety disorders
    • B) Patients with a history of seizures
    • C) Clients on antidepressants
    • D) Older adults

Answer: B

Explanation: Patients with a history of seizures should generally avoid TMS due to the heightened risk for seizure activity, making it crucial to conduct thorough evaluations before treatment initiation.

  1. Is surgery required for Deep Brain Stimulation (DBS)?
    • A) No, it is a non-invasive procedure
    • B) Yes, surgery is required to properly place the neurostimulator
    • C) Yes, but only outpatient surgery is needed
    • D) No, it relies on electrotherapy

Answer: B Explanation: DBS does involve surgical procedures to implant the neurostimulator system correctly. This includes two surgeries for adults, ensuring accurate placement for optimal therapeutic outcomes.

  1. What is Deep Brain Stimulation (DBS) primarily known to treat?
    • A) Mild anxiety disorders
    • B) Attention deficit disorders
    • C) Severe Parkinson's disease symptoms
    • D) Bipolar disorder

Answer: C Explanation: DBS is particularly recognized for its efficacy in managing severe symptoms of Parkinson's disease that are not adequately controlled