Page 1 of 133
NRNP 6645 MIDTERM EXAM /NRNP 6645
PSYCHOTHERAPY WITH MULTIPLE
MODALITIES MIDTERM EXAM 2026/2027
ACTUAL TEST ACCURATE QUESTIONS WITH
WELL ELABORATED ANSWERS (100%
CORRECT VERIFIED SOLUTIONS) NEWEST
UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+
1. A patient with social anxiety avoids parties. He thinks,
“Everyone will laugh at me.” This is an example of:
A) Core belief
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B) Automatic thought
C) Schema
D) Cognitive distortion
Answer: B – Automatic thoughts are spontaneous, situation-
specific cognitions.
2. Which cognitive distortion is present when a patient states,
“I made one mistake on the report, so I’m a complete failure”?
A) Catastrophizing
B) Overgeneralization
C) All-or-nothing thinking
D) Mental filter
Answer: C – All-or-nothing (black-and-white) thinking.
3. In CBT, the primary purpose of the “thought record” is to:
A) Express unconscious conflicts
B) Identify and challenge automatic thoughts
C) Improve the therapeutic alliance
D) Reduce physiological arousal
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Answer: B – Thought records track situations, feelings, and
automatic thoughts for cognitive restructuring.
4. A patient with panic disorder is asked to spin in a chair to
induce dizziness. This is:
A) In vivo exposure
B) Interoceptive exposure
C) Flooding
D) Response prevention
Answer: B – Interoceptive exposure targets internal physical
sensations.
5. A depressed patient says, “I failed my exam, so I’ll fail the
whole course and never get a job.” This is:
A) Personalization
B) Fortune-telling error
C) Labeling
D) Emotional reasoning
Answer: B – Predicting a negative future without evidence.
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6. Behavioral activation (BA) for depression is based on the
principle that:
A) Thoughts must change before behavior
B) Activity increases access to positive reinforcement
C) Unresolved grief causes inactivity
D) Medication is always required
Answer: B – BA increases engagement with reinforcing
activities.
7. A CBT therapist asks, “What is the evidence for and against
your thought?” This is part of:
A) Socratic questioning
B) Free association
C) Dream analysis
D) Paradoxical intention
Answer: A – Socratic questioning guides patient to examine
evidence.
NRNP 6645 MIDTERM EXAM /NRNP 6645
PSYCHOTHERAPY WITH MULTIPLE
MODALITIES MIDTERM EXAM 2026/2027
ACTUAL TEST ACCURATE QUESTIONS WITH
WELL ELABORATED ANSWERS (100%
CORRECT VERIFIED SOLUTIONS) NEWEST
UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+
1. A patient with social anxiety avoids parties. He thinks,
“Everyone will laugh at me.” This is an example of:
A) Core belief
,Page 2 of 133
B) Automatic thought
C) Schema
D) Cognitive distortion
Answer: B – Automatic thoughts are spontaneous, situation-
specific cognitions.
2. Which cognitive distortion is present when a patient states,
“I made one mistake on the report, so I’m a complete failure”?
A) Catastrophizing
B) Overgeneralization
C) All-or-nothing thinking
D) Mental filter
Answer: C – All-or-nothing (black-and-white) thinking.
3. In CBT, the primary purpose of the “thought record” is to:
A) Express unconscious conflicts
B) Identify and challenge automatic thoughts
C) Improve the therapeutic alliance
D) Reduce physiological arousal
,Page 3 of 133
Answer: B – Thought records track situations, feelings, and
automatic thoughts for cognitive restructuring.
4. A patient with panic disorder is asked to spin in a chair to
induce dizziness. This is:
A) In vivo exposure
B) Interoceptive exposure
C) Flooding
D) Response prevention
Answer: B – Interoceptive exposure targets internal physical
sensations.
5. A depressed patient says, “I failed my exam, so I’ll fail the
whole course and never get a job.” This is:
A) Personalization
B) Fortune-telling error
C) Labeling
D) Emotional reasoning
Answer: B – Predicting a negative future without evidence.
, Page 4 of 133
6. Behavioral activation (BA) for depression is based on the
principle that:
A) Thoughts must change before behavior
B) Activity increases access to positive reinforcement
C) Unresolved grief causes inactivity
D) Medication is always required
Answer: B – BA increases engagement with reinforcing
activities.
7. A CBT therapist asks, “What is the evidence for and against
your thought?” This is part of:
A) Socratic questioning
B) Free association
C) Dream analysis
D) Paradoxical intention
Answer: A – Socratic questioning guides patient to examine
evidence.
