NRNP 6645 Final Exam 2025-2026 – Verified Questions & Answers Psychotherapy
with Multiple Modalities
NRNP 6645 Final Exam 2025/2026 – Questions & Answers
Psychotherapy with Multiple Modalities
Question 1
A client states, "I feel like you're the only one who understands me. I wish we
could be friends in real life." This statement is MOST accurately interpreted as:
A) A genuine compliment on the therapeutic alliance
B) A form of resistance against delving deeper into painful material
C) A reflection of erotic transference
D) A manifestation of the client's loneliness and idealization of the therapist
,Correct Answer: D
Rationale: While this statement could potentially evolve into erotic transference,
the initial and most accurate interpretation is the client's loneliness and the
common idealization of the therapist as a "perfect" figure. This reflects the
patient's unmet needs and the transference phenomenon common in
psychodynamic therapy, where feelings about significant others are projected
onto the therapist .
Question 2
During a psychodynamic session, a patient begins to discuss a recent argument
with their spouse but then suddenly shifts to a neutral topic about a movie they
saw. This is a classic example of:
A) Reaction formation
B) Resistance
C) Projection
D) Sublimation
,Correct Answer: B
Rationale: The abrupt change of topic is a defense against the anxiety provoked
by discussing the conflictual material. Resistance, in psychodynamic terms, refers
to any behavior that prevents the exploration of unconscious material or keeps
threatening content out of awareness. The patient is unconsciously avoiding the
distress associated with the marital conflict .
Question 3
A core tenet of Cognitive Behavioral Therapy (CBT) is that change occurs by:
A) Uncovering repressed childhood memories
B) Modifying dysfunctional thoughts and beliefs
C) Achieving insight into unconscious conflicts
D) Experiencing and processing catharsis
, Correct Answer: B
Rationale: The fundamental mechanism of change in CBT is the modification of
dysfunctional thoughts and beliefs. The cognitive model proposes that distorted
thinking leads to negative emotions and maladaptive behaviors; therefore,
changing thoughts is the primary pathway to lasting change .
Question 4
A therapist using Dialectical Behavior Therapy (DBT) with a client diagnosed with
Borderline Personality Disorder focuses heavily on distress tolerance skills. The
primary goal of this module is to:
A) Help the client eliminate all negative emotions
B) Teach the client to survive a crisis without making it worse
C) Improve the client's interpersonal effectiveness
D) Challenge the client's cognitive distortions about relationships
with Multiple Modalities
NRNP 6645 Final Exam 2025/2026 – Questions & Answers
Psychotherapy with Multiple Modalities
Question 1
A client states, "I feel like you're the only one who understands me. I wish we
could be friends in real life." This statement is MOST accurately interpreted as:
A) A genuine compliment on the therapeutic alliance
B) A form of resistance against delving deeper into painful material
C) A reflection of erotic transference
D) A manifestation of the client's loneliness and idealization of the therapist
,Correct Answer: D
Rationale: While this statement could potentially evolve into erotic transference,
the initial and most accurate interpretation is the client's loneliness and the
common idealization of the therapist as a "perfect" figure. This reflects the
patient's unmet needs and the transference phenomenon common in
psychodynamic therapy, where feelings about significant others are projected
onto the therapist .
Question 2
During a psychodynamic session, a patient begins to discuss a recent argument
with their spouse but then suddenly shifts to a neutral topic about a movie they
saw. This is a classic example of:
A) Reaction formation
B) Resistance
C) Projection
D) Sublimation
,Correct Answer: B
Rationale: The abrupt change of topic is a defense against the anxiety provoked
by discussing the conflictual material. Resistance, in psychodynamic terms, refers
to any behavior that prevents the exploration of unconscious material or keeps
threatening content out of awareness. The patient is unconsciously avoiding the
distress associated with the marital conflict .
Question 3
A core tenet of Cognitive Behavioral Therapy (CBT) is that change occurs by:
A) Uncovering repressed childhood memories
B) Modifying dysfunctional thoughts and beliefs
C) Achieving insight into unconscious conflicts
D) Experiencing and processing catharsis
, Correct Answer: B
Rationale: The fundamental mechanism of change in CBT is the modification of
dysfunctional thoughts and beliefs. The cognitive model proposes that distorted
thinking leads to negative emotions and maladaptive behaviors; therefore,
changing thoughts is the primary pathway to lasting change .
Question 4
A therapist using Dialectical Behavior Therapy (DBT) with a client diagnosed with
Borderline Personality Disorder focuses heavily on distress tolerance skills. The
primary goal of this module is to:
A) Help the client eliminate all negative emotions
B) Teach the client to survive a crisis without making it worse
C) Improve the client's interpersonal effectiveness
D) Challenge the client's cognitive distortions about relationships
