RNP 6645 PSYCHOTHERAPY
N
WITH MULTIPLE MODALITIES
MIDTERM EXAM | Questions &
Answers | 2023-2024 | Verified |
Grade A | Pass Guaranteed
OMAINS | GRADED A+]
D
[DOMAIN 1: PSYCHODYNAMIC & PSYCHOANALYTIC THERAPY - 20 Questions]
Question 1
What is the primary goal of psychodynamic psychotherapy?
A. To modify maladaptive behaviors through conditioning
B. To make the unconscious conscious
C. To improve present-moment awareness
D. To restructure cognitive distortions
Answer: B [CORRECT]
Rationale: The fundamental principle of psychodynamic therapy is that what has happened in
the past determines present behavior. The primary goal is to bring unconscious material into
conscious awareness so that clients can understand how early experiences influence current
functioning. This distinguishes psychodynamic therapy from CBT (D), behavioral therapy (A),
and Gestalt therapy (C).
Question 2
A client abruptly changes the topic whenever the therapist asks about their relationship with
their father. This is an example of:
A. Sublimation
B. Projection
C. Resistance
D. Rationalization
Answer: C [CORRECT]
Rationale: Resistance is a defense mechanism characterized by opposition to the therapeutic
process, often manifested as changing topics, arriving late, or forgetting sessions to avoid
anxiety-provoking material. Sublimation (A) involves channeling unacceptable impulses into
socially acceptable activities. Projection (B) involves attributing one's own thoughts to others.
Rationalization (D) involves creating logical explanations for irrational behavior.
Question 3
, successful attorney channels aggressive impulses into competitive sports and legal advocacy.
A
This mature defense mechanism is called:
A. Displacement
B. Sublimation
C. Reaction formation
D. Intellectualization
Answer: B [CORRECT]
Rationale: Sublimation is considered a mature, adaptive defense mechanism where
unacceptable impulses or emotions are transformed into socially acceptable behaviors.
Displacement (A) involves redirecting emotions to a safer target. Reaction formation (C)
involves converting unacceptable impulses into their opposite. Intellectualization (D) involves
excessive use of abstract thinking to avoid emotional distress.
Question 4
A client insists their spouse is angry when the client is actually experiencing rage. This
demonstrates which defense mechanism?
A. Projection
B. Introjection
C. Denial
D. Splitting
Answer: A [CORRECT]
Rationale: Projection involves attributing one's own unacceptable thoughts, feelings, or impulses
to another person. The client cannot acknowledge their own anger, so they perceive it in their
spouse. Introjection (B) involves internalizing others' values. Denial (C) involves refusing to
acknowledge reality. Splitting (D) involves viewing people as all good or all bad.
Question 5
Which theorist developed the psychodynamic interpersonal model for psychiatric nursing based
on Harry Stack Sullivan's framework?
A. Sigmund Freud
B. Hildegard Peplau
C. Erik Erikson
D. Melanie Klein
Answer: B [CORRECT]
Rationale: Hildegard Peplau developed the psychodynamic interpersonal model for psychiatric
nursing, adapting Sullivan's interpersonal theory. This model emphasizes the therapeutic
nurse-patient relationship as the foundation of psychiatric nursing practice. Freud (A) developed
psychoanalysis. Erikson (C) developed psychosocial stages. Klein (D) developed object
relations theory.
Question 6
In psychodynamic therapy, interpretation is:
A. Based on present-moment awareness
B. Based on past experiences and wish/defense conflicts
C. Focused on cognitive restructuring
D. Designed to eliminate symptoms quickly
Answer: B [CORRECT]
, ationale: Interpretation in psychodynamic therapy involves the therapist offering new meaning
R
or understanding of the client's thoughts, feelings, or behaviors based on past experiences and
conflicts between wishes and defenses. It is not focused on the present moment (A, Gestalt),
cognitive restructuring (C, CBT), or rapid symptom elimination (D, behavioral).
Question 7
Which of the following represents "primary thinking" in psychoanalytic theory?
A. Logical, rational thought processes
B. Recognition of the indeterminate, negative, and irrational as part of human action
C. Concrete operational thinking
D. Abstract hypothetical reasoning
Answer: B [CORRECT]
Rationale: Primary thinking recognizes the indeterminate, negative, and irrational as permanent
aspects of human action. Secondary thinking (A) views the social and cultural world in
determinate, positive, rational terms. Concrete operational (C) and formal operational (D)
thinking are Piagetian concepts, not psychoanalytic.
Question 8
According to Freud, which psychosexual stage occurs between ages 3-6 and is characterized
by the Oedipus/Electra complex?
A. Oral stage
B. Anal stage
C. Phallic stage
D. Latency stage
Answer: C [CORRECT]
Rationale: The phallic stage (ages 3-6) is characterized by focus on the genitals and the
Oedipus complex (boys) or Electra complex (girls). The oral stage (A) occurs 0-1 year. The anal
stage (B) occurs 1-3 years. The latency stage (D) occurs 6-12 years with suppressed sexual
interest.
Question 9
The change agent in relational psychodynamic therapy is:
A. Interpretation of dreams
B. The therapeutic relationship itself
C. Cognitive restructuring
D. Behavioral activation
Answer: B [CORRECT]
Rationale: In relational psychodynamic therapy, the therapeutic relationship itself serves as the
primary agent of change. This represents a shift from classical psychoanalysis where
interpretation was primary. The relationship provides a corrective emotional experience and
allows for the analysis of transference patterns in the here-and-now.
Question 10
A client states, "I'm always late because traffic is terrible," when unconsciously avoiding therapy.
This is an example of:
A. Denial
B. Rationalization
C. Intellectualization
, . Regression
D
Answer: B [CORRECT]
Rationale: Rationalization involves creating logical explanations to justify behavior or feelings
that would otherwise cause anxiety. The client provides a logical reason (traffic) rather than
acknowledging the unconscious motivation (avoidance). Denial (A) involves refusing to
acknowledge reality. Intellectualization (C) involves excessive abstract thinking. Regression (D)
involves returning to earlier developmental stages.
Question 11
Carl Jung's concept of the collective unconscious includes:
A. Personal memories from childhood
B. Archetypes and universal symbols
C. Repressed sexual desires
D. Learned behavioral patterns
Answer: B [CORRECT]
Rationale: Jung's analytical psychology proposes the collective unconscious containing
archetypes—universal, inherited patterns and images shared across humanity. This differs from
the personal unconscious containing individual memories (A). Repressed sexual desires (C) are
Freudian concepts. Learned behavioral patterns (D) are behavioral concepts.
Question 12
Alfred Adler's individual psychology emphasizes:
A. The pleasure principle
B. Striving for superiority and overcoming inferiority
C. Unconscious sexual conflicts
D. Behavioral conditioning
Answer: B [CORRECT]
Rationale: Adler's individual psychology focuses on the inferiority complex and the universal
striving for superiority/compensation. This contrasts with Freud's emphasis on the pleasure
principle (A) and sexual conflicts (C), and with behavioral conditioning (D).
Question 13
Free association in psychoanalysis involves:
A. Structured problem-solving techniques
B. Client speaking freely without censorship to reveal unconscious material
C. Guided imagery exercises
D. Systematic desensitization
Answer: B [CORRECT]
Rationale: Free association requires the client to verbalize thoughts without censorship, allowing
unconscious material to emerge. This fundamental psychoanalytic technique reveals repressed
conflicts and desires. Structured problem-solving (A) is CBT. Guided imagery (C) is used in
various modalities. Systematic desensitization (D) is behavioral therapy.
Question 14
Analysis of transference involves:
A. Examining the therapist's feelings toward the client
B. Examining the client's unconscious redirecting of feelings from past relationships onto the
therapist
N
WITH MULTIPLE MODALITIES
MIDTERM EXAM | Questions &
Answers | 2023-2024 | Verified |
Grade A | Pass Guaranteed
OMAINS | GRADED A+]
D
[DOMAIN 1: PSYCHODYNAMIC & PSYCHOANALYTIC THERAPY - 20 Questions]
Question 1
What is the primary goal of psychodynamic psychotherapy?
A. To modify maladaptive behaviors through conditioning
B. To make the unconscious conscious
C. To improve present-moment awareness
D. To restructure cognitive distortions
Answer: B [CORRECT]
Rationale: The fundamental principle of psychodynamic therapy is that what has happened in
the past determines present behavior. The primary goal is to bring unconscious material into
conscious awareness so that clients can understand how early experiences influence current
functioning. This distinguishes psychodynamic therapy from CBT (D), behavioral therapy (A),
and Gestalt therapy (C).
Question 2
A client abruptly changes the topic whenever the therapist asks about their relationship with
their father. This is an example of:
A. Sublimation
B. Projection
C. Resistance
D. Rationalization
Answer: C [CORRECT]
Rationale: Resistance is a defense mechanism characterized by opposition to the therapeutic
process, often manifested as changing topics, arriving late, or forgetting sessions to avoid
anxiety-provoking material. Sublimation (A) involves channeling unacceptable impulses into
socially acceptable activities. Projection (B) involves attributing one's own thoughts to others.
Rationalization (D) involves creating logical explanations for irrational behavior.
Question 3
, successful attorney channels aggressive impulses into competitive sports and legal advocacy.
A
This mature defense mechanism is called:
A. Displacement
B. Sublimation
C. Reaction formation
D. Intellectualization
Answer: B [CORRECT]
Rationale: Sublimation is considered a mature, adaptive defense mechanism where
unacceptable impulses or emotions are transformed into socially acceptable behaviors.
Displacement (A) involves redirecting emotions to a safer target. Reaction formation (C)
involves converting unacceptable impulses into their opposite. Intellectualization (D) involves
excessive use of abstract thinking to avoid emotional distress.
Question 4
A client insists their spouse is angry when the client is actually experiencing rage. This
demonstrates which defense mechanism?
A. Projection
B. Introjection
C. Denial
D. Splitting
Answer: A [CORRECT]
Rationale: Projection involves attributing one's own unacceptable thoughts, feelings, or impulses
to another person. The client cannot acknowledge their own anger, so they perceive it in their
spouse. Introjection (B) involves internalizing others' values. Denial (C) involves refusing to
acknowledge reality. Splitting (D) involves viewing people as all good or all bad.
Question 5
Which theorist developed the psychodynamic interpersonal model for psychiatric nursing based
on Harry Stack Sullivan's framework?
A. Sigmund Freud
B. Hildegard Peplau
C. Erik Erikson
D. Melanie Klein
Answer: B [CORRECT]
Rationale: Hildegard Peplau developed the psychodynamic interpersonal model for psychiatric
nursing, adapting Sullivan's interpersonal theory. This model emphasizes the therapeutic
nurse-patient relationship as the foundation of psychiatric nursing practice. Freud (A) developed
psychoanalysis. Erikson (C) developed psychosocial stages. Klein (D) developed object
relations theory.
Question 6
In psychodynamic therapy, interpretation is:
A. Based on present-moment awareness
B. Based on past experiences and wish/defense conflicts
C. Focused on cognitive restructuring
D. Designed to eliminate symptoms quickly
Answer: B [CORRECT]
, ationale: Interpretation in psychodynamic therapy involves the therapist offering new meaning
R
or understanding of the client's thoughts, feelings, or behaviors based on past experiences and
conflicts between wishes and defenses. It is not focused on the present moment (A, Gestalt),
cognitive restructuring (C, CBT), or rapid symptom elimination (D, behavioral).
Question 7
Which of the following represents "primary thinking" in psychoanalytic theory?
A. Logical, rational thought processes
B. Recognition of the indeterminate, negative, and irrational as part of human action
C. Concrete operational thinking
D. Abstract hypothetical reasoning
Answer: B [CORRECT]
Rationale: Primary thinking recognizes the indeterminate, negative, and irrational as permanent
aspects of human action. Secondary thinking (A) views the social and cultural world in
determinate, positive, rational terms. Concrete operational (C) and formal operational (D)
thinking are Piagetian concepts, not psychoanalytic.
Question 8
According to Freud, which psychosexual stage occurs between ages 3-6 and is characterized
by the Oedipus/Electra complex?
A. Oral stage
B. Anal stage
C. Phallic stage
D. Latency stage
Answer: C [CORRECT]
Rationale: The phallic stage (ages 3-6) is characterized by focus on the genitals and the
Oedipus complex (boys) or Electra complex (girls). The oral stage (A) occurs 0-1 year. The anal
stage (B) occurs 1-3 years. The latency stage (D) occurs 6-12 years with suppressed sexual
interest.
Question 9
The change agent in relational psychodynamic therapy is:
A. Interpretation of dreams
B. The therapeutic relationship itself
C. Cognitive restructuring
D. Behavioral activation
Answer: B [CORRECT]
Rationale: In relational psychodynamic therapy, the therapeutic relationship itself serves as the
primary agent of change. This represents a shift from classical psychoanalysis where
interpretation was primary. The relationship provides a corrective emotional experience and
allows for the analysis of transference patterns in the here-and-now.
Question 10
A client states, "I'm always late because traffic is terrible," when unconsciously avoiding therapy.
This is an example of:
A. Denial
B. Rationalization
C. Intellectualization
, . Regression
D
Answer: B [CORRECT]
Rationale: Rationalization involves creating logical explanations to justify behavior or feelings
that would otherwise cause anxiety. The client provides a logical reason (traffic) rather than
acknowledging the unconscious motivation (avoidance). Denial (A) involves refusing to
acknowledge reality. Intellectualization (C) involves excessive abstract thinking. Regression (D)
involves returning to earlier developmental stages.
Question 11
Carl Jung's concept of the collective unconscious includes:
A. Personal memories from childhood
B. Archetypes and universal symbols
C. Repressed sexual desires
D. Learned behavioral patterns
Answer: B [CORRECT]
Rationale: Jung's analytical psychology proposes the collective unconscious containing
archetypes—universal, inherited patterns and images shared across humanity. This differs from
the personal unconscious containing individual memories (A). Repressed sexual desires (C) are
Freudian concepts. Learned behavioral patterns (D) are behavioral concepts.
Question 12
Alfred Adler's individual psychology emphasizes:
A. The pleasure principle
B. Striving for superiority and overcoming inferiority
C. Unconscious sexual conflicts
D. Behavioral conditioning
Answer: B [CORRECT]
Rationale: Adler's individual psychology focuses on the inferiority complex and the universal
striving for superiority/compensation. This contrasts with Freud's emphasis on the pleasure
principle (A) and sexual conflicts (C), and with behavioral conditioning (D).
Question 13
Free association in psychoanalysis involves:
A. Structured problem-solving techniques
B. Client speaking freely without censorship to reveal unconscious material
C. Guided imagery exercises
D. Systematic desensitization
Answer: B [CORRECT]
Rationale: Free association requires the client to verbalize thoughts without censorship, allowing
unconscious material to emerge. This fundamental psychoanalytic technique reveals repressed
conflicts and desires. Structured problem-solving (A) is CBT. Guided imagery (C) is used in
various modalities. Systematic desensitization (D) is behavioral therapy.
Question 14
Analysis of transference involves:
A. Examining the therapist's feelings toward the client
B. Examining the client's unconscious redirecting of feelings from past relationships onto the
therapist
