NURS 753 midterm | Expert Strategies,
Review of (51) Key Practice Questions
and Verified Detailed Answers; for
Guaranteed Success
This NURS 753 Midterm Exam covers psychotherapeutic theories, frameworks, and
modalities for Advanced Practice Psychiatric Nurses (PMHNP). It typically includes
approximately 50-51 multiple-choice and true/false questions, focusing on the application of
evidence-based therapies, case formulation, and ethical management across the lifespan.
Key Exam Topics and Content (2026 Updated)
PMHNP Role & Scope: Origin, standards of practice (ANA, APNA, ISPN), and primary
prevention care.
Therapeutic Modalities: Application of Cognitive Behavioral Therapy (CBT), Dialectical
Behavior Therapy (DBT), Motivational Interviewing (MI), and Family Systems Therapy.
Psychotherapeutic Processes: Resistance to termination, defense mechanisms, and
family projection processes.
Clinical Assessment & Legal Aspects: Mental health assessments, malpractice, duty of
care, and legal rights of clients.
Sample Question Themes
This recent study material, exam features questions such as:
Family Systems: Identifying the multigenerational transmission process.
Defense Mechanisms: Recognizing immature regressive behaviors.
Legal/Ethical: Identifying components of malpractice (duty, breach, injury).
Treatment Phases: Understanding normal resistance during the termination phase of
therapy.
Modalities: The role of the therapist in DBT Stage 4 or using a Trauma Resiliency Model
Quiz_________________?
1
,The concept of multigenerational transmission process in family system therapy
approach means -
Answer
Dysfunction has been present for several generations
The lower the level of family adaptation, the more likely the development of a
triangle refers to Triangles; The level of differentiation of the parents is usually
equal to the level of differentiation for the entire family refers to nuclear family
emotional system; Parents transmits their own level of differentiation on the most
susceptible child refers to family projection process.
Quiz_________________?
Protect the person's______ when he or she is committed to a mental hospital -
Answer
freedoms or rights
Quiz_________________?
Mr Thomas is a 56 years old client you have been seeing for several weeks of
therapy. While discussing his current concerns of marital stress, he lies on the
floor and assumes the fetal position. This is most likely an example of -
Answer
Immature regressive defense mechanism
Quiz_________________?
2
, A client is displaying low self esteem, poor self control, self-doubt, and a high level
of dependency. These behaviors indicate developmental failure of which of the
following stages of development -
Answer
Early childhood
Quiz_________________?
Mrs. White has been in therapy for 3 months. She has shown much improvement
in functioning and insight. She is to discontinue therapy sessions within the next
2weeks. In today's session, after discussing termination, she suddenly began to
regress back to the original symptoms that brought her to treatment. She is now
hesitant to be discharged and wants to continue therapy as she continues to
display increase regressive defense mechanisms. How will the PMHNP best
describe Mrs. White's behavior? -
Answer
A sign of normal resistance to termination seen in the termination phase of
therapy
Quiz_________________?
T or F
Case management is not one of the roles and responsibilities of PMHNP. -
Answer
F
Quiz_________________?
3
Review of (51) Key Practice Questions
and Verified Detailed Answers; for
Guaranteed Success
This NURS 753 Midterm Exam covers psychotherapeutic theories, frameworks, and
modalities for Advanced Practice Psychiatric Nurses (PMHNP). It typically includes
approximately 50-51 multiple-choice and true/false questions, focusing on the application of
evidence-based therapies, case formulation, and ethical management across the lifespan.
Key Exam Topics and Content (2026 Updated)
PMHNP Role & Scope: Origin, standards of practice (ANA, APNA, ISPN), and primary
prevention care.
Therapeutic Modalities: Application of Cognitive Behavioral Therapy (CBT), Dialectical
Behavior Therapy (DBT), Motivational Interviewing (MI), and Family Systems Therapy.
Psychotherapeutic Processes: Resistance to termination, defense mechanisms, and
family projection processes.
Clinical Assessment & Legal Aspects: Mental health assessments, malpractice, duty of
care, and legal rights of clients.
Sample Question Themes
This recent study material, exam features questions such as:
Family Systems: Identifying the multigenerational transmission process.
Defense Mechanisms: Recognizing immature regressive behaviors.
Legal/Ethical: Identifying components of malpractice (duty, breach, injury).
Treatment Phases: Understanding normal resistance during the termination phase of
therapy.
Modalities: The role of the therapist in DBT Stage 4 or using a Trauma Resiliency Model
Quiz_________________?
1
,The concept of multigenerational transmission process in family system therapy
approach means -
Answer
Dysfunction has been present for several generations
The lower the level of family adaptation, the more likely the development of a
triangle refers to Triangles; The level of differentiation of the parents is usually
equal to the level of differentiation for the entire family refers to nuclear family
emotional system; Parents transmits their own level of differentiation on the most
susceptible child refers to family projection process.
Quiz_________________?
Protect the person's______ when he or she is committed to a mental hospital -
Answer
freedoms or rights
Quiz_________________?
Mr Thomas is a 56 years old client you have been seeing for several weeks of
therapy. While discussing his current concerns of marital stress, he lies on the
floor and assumes the fetal position. This is most likely an example of -
Answer
Immature regressive defense mechanism
Quiz_________________?
2
, A client is displaying low self esteem, poor self control, self-doubt, and a high level
of dependency. These behaviors indicate developmental failure of which of the
following stages of development -
Answer
Early childhood
Quiz_________________?
Mrs. White has been in therapy for 3 months. She has shown much improvement
in functioning and insight. She is to discontinue therapy sessions within the next
2weeks. In today's session, after discussing termination, she suddenly began to
regress back to the original symptoms that brought her to treatment. She is now
hesitant to be discharged and wants to continue therapy as she continues to
display increase regressive defense mechanisms. How will the PMHNP best
describe Mrs. White's behavior? -
Answer
A sign of normal resistance to termination seen in the termination phase of
therapy
Quiz_________________?
T or F
Case management is not one of the roles and responsibilities of PMHNP. -
Answer
F
Quiz_________________?
3
