NRNP 6645 FINAL EXAM 2026 UPDATED &
VERIFIED QUESTIONS AND ANSWERS
(GUARANTEED PASS)
QUESTION 1
The advanced practice psychiatric nurse encourages a patient with
gambling addiction to develop a relapse prevention plan. Which of the
following is true about a relapse prevention plan?
A. A relapse prevention plan includes identifying triggers to the
patient's gambling and a variety of coping strategies to avoid or
successfully manage triggers without reverting to gambling.
B. A relapse prevention plan should be completed during the initial
stage of treatment.
C. The main focus of a relapse prevention plan is on changing
behaviors.
D. The main focus of a relapse prevention plan is on cognitive or
thought processes to decrease the desire to gamble.
VERIFIED ANSWER: A
Rationale: A relapse prevention plan is a collaborative effort between
therapist and patient that identifies specific triggers for gambling and
develops concrete coping strategies to manage those triggers without
relapsing. It is typically developed after initial stabilization, not during
the initial stage. It addresses both behaviors and cognitions, not
exclusively one or the other.
,QUESTION 2
Which of the following is consistent with the psychotherapeutic
approach used by existential psychotherapists?
A. The existential approach has a specific set of techniques used.
B. The existential relies on the patient to drive the therapeutic
direction.
C. The existential therapist presents broad existential themes but
avoids in-depth questioning.
D. The existential psychotherapist is free to draw on techniques from
other psychotherapeutic models.
VERIFIED ANSWER: D
Rationale: Existential psychotherapy is not technique-driven but rather
philosophically oriented. Existential therapists are free to incorporate
techniques from other therapeutic models while maintaining focus on
existential themes such as meaning, freedom, responsibility, and death.
QUESTION 3
According to Dearing, Stuewig, and Tangney (2005), understanding the
difference between guilt and shame and its impact on an individual's
motivation is critical to hope and the recovery process. Which of the
following is true regarding guilt and shame?
A. Shame drives a person to engage in treatment while guilt drives a
person to avoid treatment.
,B. Shame causes a person to perceive self as a failure and guilt causes
avoidance of treatment.
C. Guilt causes a person to perceive himself as a loser and shame
drives a person to avoid treatment.
D. Shame drives avoidance from treatment, Guilt often motivates a
person to seek treatment.
VERIFIED ANSWER: D
Rationale: Research by Dearing, Stuewig, and Tangney found that
shame (feeling that "I am a bad person") leads to avoidance behaviors
and withdrawal from treatment, while guilt (feeling that "I did a bad
thing") can motivate individuals to seek treatment and make amends.
QUESTION 4
Which of the following is not consistent with what is known about
relapse?
A. Relapse indicates treatment failure.
B. Relapse is a persistent risk in addiction.
C. Relapse is a characteristic of all chronic medical diseases.
D. Relapse is the return to substance use or addictive behaviors after
periods of abstinence.
VERIFIED ANSWER: A
Rationale: Relapse does not indicate treatment failure. Like other
chronic diseases (hypertension, diabetes), addiction may involve
, relapses as part of the recovery process. Relapse indicates the need
for treatment adjustment, not failure.
QUESTION 5
The advanced practice psychiatric nurse proficient in Interpersonal
Psychotherapy (IPT) is working with an older adult who does not realize
she has depression. Which of the following is true?
A. IPT is not an appropriate model for treating depression in older
adults.
B. This is a common IPT issue with older adults during the initial
sessions.
C. The advanced practice psychiatric nurse should consider using a
standardized scale to quantify the depression and use this to educate
the patient and the family.
D. B and C
VERIFIED ANSWER: D
Rationale: Older adults may not recognize depression symptoms,
attributing them to aging or physical illness. Using standardized scales
helps quantify symptoms and provides objective data for
psychoeducation. This is a common issue in initial IPT sessions with
older adults.
QUESTION 6
VERIFIED QUESTIONS AND ANSWERS
(GUARANTEED PASS)
QUESTION 1
The advanced practice psychiatric nurse encourages a patient with
gambling addiction to develop a relapse prevention plan. Which of the
following is true about a relapse prevention plan?
A. A relapse prevention plan includes identifying triggers to the
patient's gambling and a variety of coping strategies to avoid or
successfully manage triggers without reverting to gambling.
B. A relapse prevention plan should be completed during the initial
stage of treatment.
C. The main focus of a relapse prevention plan is on changing
behaviors.
D. The main focus of a relapse prevention plan is on cognitive or
thought processes to decrease the desire to gamble.
VERIFIED ANSWER: A
Rationale: A relapse prevention plan is a collaborative effort between
therapist and patient that identifies specific triggers for gambling and
develops concrete coping strategies to manage those triggers without
relapsing. It is typically developed after initial stabilization, not during
the initial stage. It addresses both behaviors and cognitions, not
exclusively one or the other.
,QUESTION 2
Which of the following is consistent with the psychotherapeutic
approach used by existential psychotherapists?
A. The existential approach has a specific set of techniques used.
B. The existential relies on the patient to drive the therapeutic
direction.
C. The existential therapist presents broad existential themes but
avoids in-depth questioning.
D. The existential psychotherapist is free to draw on techniques from
other psychotherapeutic models.
VERIFIED ANSWER: D
Rationale: Existential psychotherapy is not technique-driven but rather
philosophically oriented. Existential therapists are free to incorporate
techniques from other therapeutic models while maintaining focus on
existential themes such as meaning, freedom, responsibility, and death.
QUESTION 3
According to Dearing, Stuewig, and Tangney (2005), understanding the
difference between guilt and shame and its impact on an individual's
motivation is critical to hope and the recovery process. Which of the
following is true regarding guilt and shame?
A. Shame drives a person to engage in treatment while guilt drives a
person to avoid treatment.
,B. Shame causes a person to perceive self as a failure and guilt causes
avoidance of treatment.
C. Guilt causes a person to perceive himself as a loser and shame
drives a person to avoid treatment.
D. Shame drives avoidance from treatment, Guilt often motivates a
person to seek treatment.
VERIFIED ANSWER: D
Rationale: Research by Dearing, Stuewig, and Tangney found that
shame (feeling that "I am a bad person") leads to avoidance behaviors
and withdrawal from treatment, while guilt (feeling that "I did a bad
thing") can motivate individuals to seek treatment and make amends.
QUESTION 4
Which of the following is not consistent with what is known about
relapse?
A. Relapse indicates treatment failure.
B. Relapse is a persistent risk in addiction.
C. Relapse is a characteristic of all chronic medical diseases.
D. Relapse is the return to substance use or addictive behaviors after
periods of abstinence.
VERIFIED ANSWER: A
Rationale: Relapse does not indicate treatment failure. Like other
chronic diseases (hypertension, diabetes), addiction may involve
, relapses as part of the recovery process. Relapse indicates the need
for treatment adjustment, not failure.
QUESTION 5
The advanced practice psychiatric nurse proficient in Interpersonal
Psychotherapy (IPT) is working with an older adult who does not realize
she has depression. Which of the following is true?
A. IPT is not an appropriate model for treating depression in older
adults.
B. This is a common IPT issue with older adults during the initial
sessions.
C. The advanced practice psychiatric nurse should consider using a
standardized scale to quantify the depression and use this to educate
the patient and the family.
D. B and C
VERIFIED ANSWER: D
Rationale: Older adults may not recognize depression symptoms,
attributing them to aging or physical illness. Using standardized scales
helps quantify symptoms and provides objective data for
psychoeducation. This is a common issue in initial IPT sessions with
older adults.
QUESTION 6
