NRNP 6645 PSYCHOTHERAPY ACTUAL
EXAMINATION SCRIPT 2026 CORRECT
ANSWERS PASSED
▶ Unconscious incompetency. Answer: A stage where a person is unaware of
their lack of skill or knowledge.
▶ Conscious incompetency. Answer: A stage where a person is aware of their lack
of skill or knowledge.
▶ Conscious competency. Answer: A stage where a person is aware of their skill
and can perform it.
▶ Unconscious competency. Answer: A stage where a person can perform a skill
without thinking about it.
▶ Freud's problematic traits. Answer: Traits associated with failure to learn
independence and control, such as excessive dependency.
▶ Standards of care. Answer: Legally binding guidelines that dictate the minimum
acceptable level of care.
▶ Practice guidelines. Answer: Recommendations that are not legally binding and
provide best practices.
▶ CBT cognitive processes. Answer: Cognitive Behavioral Therapy processes that
involve primary and secondary thinking.
▶ Imitative behavior. Answer: Behavior that allows individuals to experiment with
new behaviors, particularly in group therapy.
▶ Psychoanalytic psychotherapy candidates. Answer: Patients with primarily
primitive defenses are not ideal candidates for this type of therapy.
, ▶ Family therapy initial contact. Answer: Important for the therapist to identify
the presenting problem and arrange a consultation.
▶ Cognitive-Behavioral Therapy (CBT). Answer: A system of psychotherapy based
on the idea that how one structures experiences affects feelings and behaviors.
▶ Therapeutic factors in groups. Answer: Universality is the factor where group
members realize shared feelings of incompetency.
▶ Dynamic supportive therapy. Answer: A strategy that assists patients with
reality testing, problem-solving, and interpersonal awareness.
▶ Advocacy in therapy. Answer: The advanced practice psychiatric nurse
advocates for the patient to promote independence and growth.
▶ Psychoanalytic therapy focus. Answer: The focus on dreams and wishes
distinguishes it from other therapies.
▶ Psychic determinism. Answer: The concept that every thought and behavior
has a cause.
▶ Supportive psychodynamic psychotherapy. Answer: Focuses on feelings,
defenses, life stresses, and problem-solving.
▶ Direct advice in therapy. Answer: Direct advice can elucidate interpersonal
pathology in group therapy.
▶ Solution focused therapy. Answer: Focuses on defining the problem and
potential solutions for the family.
▶ Clinical practice guidelines. Answer: Guidelines that recommend specific
psychodynamic therapies for various psychiatric disorders.
▶ New nurse psychotherapist comfort. Answer: Important for the new nurse to
become comfortable with being directive to help the patient.
▶ Directive Approach. Answer: Guiding patients to improve their well-being.
EXAMINATION SCRIPT 2026 CORRECT
ANSWERS PASSED
▶ Unconscious incompetency. Answer: A stage where a person is unaware of
their lack of skill or knowledge.
▶ Conscious incompetency. Answer: A stage where a person is aware of their lack
of skill or knowledge.
▶ Conscious competency. Answer: A stage where a person is aware of their skill
and can perform it.
▶ Unconscious competency. Answer: A stage where a person can perform a skill
without thinking about it.
▶ Freud's problematic traits. Answer: Traits associated with failure to learn
independence and control, such as excessive dependency.
▶ Standards of care. Answer: Legally binding guidelines that dictate the minimum
acceptable level of care.
▶ Practice guidelines. Answer: Recommendations that are not legally binding and
provide best practices.
▶ CBT cognitive processes. Answer: Cognitive Behavioral Therapy processes that
involve primary and secondary thinking.
▶ Imitative behavior. Answer: Behavior that allows individuals to experiment with
new behaviors, particularly in group therapy.
▶ Psychoanalytic psychotherapy candidates. Answer: Patients with primarily
primitive defenses are not ideal candidates for this type of therapy.
, ▶ Family therapy initial contact. Answer: Important for the therapist to identify
the presenting problem and arrange a consultation.
▶ Cognitive-Behavioral Therapy (CBT). Answer: A system of psychotherapy based
on the idea that how one structures experiences affects feelings and behaviors.
▶ Therapeutic factors in groups. Answer: Universality is the factor where group
members realize shared feelings of incompetency.
▶ Dynamic supportive therapy. Answer: A strategy that assists patients with
reality testing, problem-solving, and interpersonal awareness.
▶ Advocacy in therapy. Answer: The advanced practice psychiatric nurse
advocates for the patient to promote independence and growth.
▶ Psychoanalytic therapy focus. Answer: The focus on dreams and wishes
distinguishes it from other therapies.
▶ Psychic determinism. Answer: The concept that every thought and behavior
has a cause.
▶ Supportive psychodynamic psychotherapy. Answer: Focuses on feelings,
defenses, life stresses, and problem-solving.
▶ Direct advice in therapy. Answer: Direct advice can elucidate interpersonal
pathology in group therapy.
▶ Solution focused therapy. Answer: Focuses on defining the problem and
potential solutions for the family.
▶ Clinical practice guidelines. Answer: Guidelines that recommend specific
psychodynamic therapies for various psychiatric disorders.
▶ New nurse psychotherapist comfort. Answer: Important for the new nurse to
become comfortable with being directive to help the patient.
▶ Directive Approach. Answer: Guiding patients to improve their well-being.
