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NRNP 6645 Midterm Exam: Psychiatric Mental Health NP Practice Questions

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Master the NRNP 6645 midterm exam with this comprehensive set of psychiatric mental health nurse practitioner practice questions and answers. Covers essential PMHNP topics including psychodynamic vs CBT therapy, Erikson's psychosocial stages (trust vs mistrust, autonomy, intimacy), Freud's psychosexual development, defense mechanisms and transference, Bowenian family therapy and differentiation, structural family therapy subsystems, Yalom's group therapy therapeutic factors (universality, altruism, catharsis, corrective recapitulation), suicide risk assessment and no-suicide contracts, culturally competent care (cultural syndromes, idioms of distress), supportive vs expressive psychotherapy, Peplau's interpersonal relations model and anxiety management, Mahler's separation-individuation stages, cognitive distortions (mind reading, overgeneralization, arbitrary inference), Socratic dialogue techniques (downward arrow, questioning evidence), boundaries and termination in therapy, and legal/ethical standards of care. Perfect for PMHNP students preparing for their psychiatric mental health nurse practitioner certification and midterm exams.

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NRNP 6645 MIDTERM EXAM WEEK 6 EXAM
2026 B+ NEW version 1 &2

The n.advanced n.practice n.psychiatric n.nurse n.realizes n.which n.of n.the n.following n.regarding n.workbook
n.exercises n.in n.therapy?




A Workbook exercises are only an adjunct to treatment.
.
B Workbook exercises simplify the real work in therapy.
.
C Treatment manuals consistently correlate positively with treatment outcome.
.
D Use of workbook exercises and approaches promotes creativity and flexibility in the
therapeutic process.
.




According n.to n.Freud, n.failure n.to n.successfully n.accomplish n.the n.tasks n.of n.learning n.independence n.and
n.control n.is n.associated n.with n.which n.of n.the n.following n.problematic n.traits?




A Excessive
dependency
.
B Orderliness
.
C Sexual
identity issues
.
D Excessive guilt
.

During n.the n.initial n.phase n.of n.family n.therapy n.one n.person n.is n.identified n.as n.“the n.problem”. n.The n.family
n.therapist n.challenges n.linearity n.by n.which n.of n.the n.following?




A Asking the children how they would fix or deal with the problem person.
.

, B Asking the person identified as the problem to meet privately prior to the



next meeting.
.
C Asking the person identified as the problem how they think the problem
could be fixed.
.
D Asking how others in the family are involved in or effected by “the
problem”.
.
Staff n.in n.an n.independent n.living n.facility n.notice n.that n.Mr. n.Smith, n.a n.75-year-old n.male n.resident n.is
n.alone n.most n.of n.the n.time n.and n.seems n.to n.have n.alienated n.most n.of n.the n.other n.residents n.and

n.staff. n.The n.advanced n.practice n.psychiatric n.nurse n.understands n.that n.from n.Erikson’s n.psychosocial

n.stages n.perspective n.he n.is n.dealing n.with n.which n.psychosocial n.stage n.of n.development?




A Intimacy vs.
isolation
.

B Ego integrity
vs. . despair

C Generativity
vs. . stagnation

D Autonomy vs.

. alienation
While n.working n.with n.a n.patient n.who n.exhibits n.parasuicidal n.behaviors n.of n.cutting, n.the n.advanced
n.practice n.psychiatric n.nurse n.has n.the n.patient n.sign n.a n.no-suicide n.contract. n.Which n.of n.the n.following n.is

n.true n.from n.a n.legal n.perspective n.about n.a n.no-suicidal n.contract?




A This is a legally binding document
.

B It proves the therapist has good clinical judgment.
.
C It absolves the therapist of any responsibility should the patient .
commit suicide.

D It is not a substitute for good clinical judgment; accurate assessment . is
imperative.

,Common n.patterns n.of n.behavior n.and n.experience n.derived n.from n.the n.settings n.in n.which n.people n.live
n.is n.known n.as n.which n.of n.the n.following?




A Race
.
B Culture
.
C Ethnicity
.

D Family
. structure
The n.advanced n.practice n.psychiatric n.nurse n.using n.a n.Bowenian n.Therapy n.approach n.in n.working n.with
n.families n.realizes:




A Problem-solving is the primary goal
of . therapy

B Understanding is the primary goal
of . therapy.

C Behavior change is the primary goal
of . therapy


D Family dialogue is encouraged.
.
Recommending n.or n.prescribing n.specific n.readings n.related n.to n.the n.individual’s n.difficulties n.is n.known n.as
n.which n.of n.the n.following?




A Cognitive
Rehearsal
.
B Mind -Reading
.
C Bibliotherapy
.
D Reattribution
.


The n.capacity n.to n.be n.alone n.is n.known n.as n.which n.of n.the n.following?

, A Oneness
.
B Autonomy
.
C Independence
.

D Object
constancy
.
“If n.I n.was n.in n.a n.relationship, n.all n.of n.my n.problems n.would n.be n.solved” n.is n.an n.example n.of n.which n.type n.of
n.cognitive n.distortion?


A
Fallacy of
attachment
.

B Fallacy of
worrying
.

C Fallacy of perfect
effect
.
D Fallacy of the change of
. othe
Hildegard n.Peplau n.developed n.the n.psychodynamic n.interpersonal n.model n.for n.psychiatric n.nursing
n.based n.on n.which n.theorist’s n.framework?




A Eric Erickson
.
B Sigmund Freud
.
C Margaret Mahler
.
D Harry Stack
. Sullivan
Which n . of n . the n . following n . is n . not n . consistent n . with n . the n . underlying
n . assumptions n . of n . psychodynamic n.psychotherapy?

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