Page 1 of 137
NRNP 6645 PSYCHOTHERAPY MULTIPLE
MODALITIES ADVANCED PREP EXAM 2026
ACCURATE TEST APPROVED QUESTIONS
AND CORRECT VERIFIED ANSWERS
(DETAILED ANSWERS) LATEST UPDATED
VERSION |ALREADY GRADED A+ |ALL
YOU NEED FOR A GUARANTEED SUCCESS
1. A 35-year-old patient says, “I feel like my therapist is
always judging me.” According to psychodynamic theory, this
is most likely an example of:
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A) Empathy
B) Interpretation
C) Transference
D) Countertransference
Rationale: Transference occurs when a patient unconsciously
redirects feelings from past relationships onto the therapist.
The patient is likely projecting a critical parent figure onto the
therapist.
2. A therapist notices she feels irritated with a patient who
reminds her of her critical father. This is:
A) Projective identification
B) Countertransference
C) Free association
D) Insight
Rationale: Countertransference is the clinician’s emotional
response to the patient based on the therapist’s own
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unconscious dynamics. It requires self-awareness and
supervision.
3. Which of the following is a key goal of CBT? (Select all that
apply)
A) Identify and restructure cognitive distortions
B) Explore unresolved childhood conflicts
C) Modify maladaptive behaviors
D) Analyze dream symbolism
E) Increase mindfulness without change
Correct Answers: A, C
Rationale: CBT focuses on cognitive restructuring and
behavioral change. Unconscious conflicts (B) and dream
analysis (D) are psychodynamic. Mindfulness without change (E)
is more ACT.
4. In DBT, the primary population initially targeted was:
A) Major depression
B) Borderline personality disorder
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C) Panic disorder
D) Schizophrenia
Rationale: DBT (Dialectical Behavior Therapy) was developed
by Marsha Linehan specifically for chronically suicidal
individuals with BPD, later expanded to other disorders.
5. A 42-year-old with panic disorder reports, “If I feel dizzy,
I’ll faint and die.” This is a:
A) Automatic thought
B) Cognitive distortion (catastrophizing)
C) Core belief
D) Schema
Rationale: Catastrophizing is assuming the worst-case scenario
will occur. While it is an automatic thought, the specific
distortion is catastrophizing.
6. The therapeutic alliance is BEST described as:
A) The therapist’s interpretation of transference
B) The collaborative, trusting relationship between patient
NRNP 6645 PSYCHOTHERAPY MULTIPLE
MODALITIES ADVANCED PREP EXAM 2026
ACCURATE TEST APPROVED QUESTIONS
AND CORRECT VERIFIED ANSWERS
(DETAILED ANSWERS) LATEST UPDATED
VERSION |ALREADY GRADED A+ |ALL
YOU NEED FOR A GUARANTEED SUCCESS
1. A 35-year-old patient says, “I feel like my therapist is
always judging me.” According to psychodynamic theory, this
is most likely an example of:
,Page 2 of 137
A) Empathy
B) Interpretation
C) Transference
D) Countertransference
Rationale: Transference occurs when a patient unconsciously
redirects feelings from past relationships onto the therapist.
The patient is likely projecting a critical parent figure onto the
therapist.
2. A therapist notices she feels irritated with a patient who
reminds her of her critical father. This is:
A) Projective identification
B) Countertransference
C) Free association
D) Insight
Rationale: Countertransference is the clinician’s emotional
response to the patient based on the therapist’s own
,Page 3 of 137
unconscious dynamics. It requires self-awareness and
supervision.
3. Which of the following is a key goal of CBT? (Select all that
apply)
A) Identify and restructure cognitive distortions
B) Explore unresolved childhood conflicts
C) Modify maladaptive behaviors
D) Analyze dream symbolism
E) Increase mindfulness without change
Correct Answers: A, C
Rationale: CBT focuses on cognitive restructuring and
behavioral change. Unconscious conflicts (B) and dream
analysis (D) are psychodynamic. Mindfulness without change (E)
is more ACT.
4. In DBT, the primary population initially targeted was:
A) Major depression
B) Borderline personality disorder
, Page 4 of 137
C) Panic disorder
D) Schizophrenia
Rationale: DBT (Dialectical Behavior Therapy) was developed
by Marsha Linehan specifically for chronically suicidal
individuals with BPD, later expanded to other disorders.
5. A 42-year-old with panic disorder reports, “If I feel dizzy,
I’ll faint and die.” This is a:
A) Automatic thought
B) Cognitive distortion (catastrophizing)
C) Core belief
D) Schema
Rationale: Catastrophizing is assuming the worst-case scenario
will occur. While it is an automatic thought, the specific
distortion is catastrophizing.
6. The therapeutic alliance is BEST described as:
A) The therapist’s interpretation of transference
B) The collaborative, trusting relationship between patient
