Page 1 of 209
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NRNP 6645 MIDTERM, NRNP 6645
MIDTERM, NRNP 6645 MIDTERM EXAM,
NRNP 6645 FINAL EXAM LATEST VERSIONS
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES/NRNP6645
PSYCHOTHERAPY
1. A psychiatric mental health nurse practitioner (PMHNP) is
seeing a patient for the first time. The patient states, “I don’t
know if talking will help.” Which response best
demonstrates a therapeutic frame?
• A) “Talking always helps, trust me.”
• B) “Medication might be a better option for you.”
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• C) “Some people feel that way. What concerns you
about talking?”
• D) “Let’s just try it for 15 minutes.”
Correct Answer: C
Rationale: Validating the patient’s concern while inviting
exploration respects autonomy and builds alliance. Option A is
dismissive, B changes the subject prematurely, D imposes
without addressing resistance.
2. A PMHNP notices a patient consistently arrives 10
minutes late to sessions. Which psychodynamic concept
best explains this behavior?
• A) Transference
• B) Resistance
• C) Countertransference
• D) Free association
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Correct Answer: B
Rationale: Resistance refers to unconscious avoidance of painful
material. Lateness may protect against anxiety. Transference
involves projecting past feelings onto therapist;
countertransference is therapist’s response.
Domain 2: Psychodynamic Psychotherapy
3. A 32-year-old patient with childhood emotional neglect
becomes tearful when the PMHNP takes a 1-week vacation.
The patient says, “You’re abandoning me like everyone
else.” This is an example of:
• A) Projective identification
• B) Positive transference
• C) Negative transference
• D) Reality testing
Correct Answer: C
Rationale: Negative transference involves hostile or dependent
,Page 2 of 209
NRNP 6645 MIDTERM, NRNP 6645
MIDTERM, NRNP 6645 MIDTERM EXAM,
NRNP 6645 FINAL EXAM LATEST VERSIONS
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES/NRNP6645
PSYCHOTHERAPY
1. A psychiatric mental health nurse practitioner (PMHNP) is
seeing a patient for the first time. The patient states, “I don’t
know if talking will help.” Which response best
demonstrates a therapeutic frame?
• A) “Talking always helps, trust me.”
• B) “Medication might be a better option for you.”
,Page 3 of 209
• C) “Some people feel that way. What concerns you
about talking?”
• D) “Let’s just try it for 15 minutes.”
Correct Answer: C
Rationale: Validating the patient’s concern while inviting
exploration respects autonomy and builds alliance. Option A is
dismissive, B changes the subject prematurely, D imposes
without addressing resistance.
2. A PMHNP notices a patient consistently arrives 10
minutes late to sessions. Which psychodynamic concept
best explains this behavior?
• A) Transference
• B) Resistance
• C) Countertransference
• D) Free association
, Page 4 of 209
Correct Answer: B
Rationale: Resistance refers to unconscious avoidance of painful
material. Lateness may protect against anxiety. Transference
involves projecting past feelings onto therapist;
countertransference is therapist’s response.
Domain 2: Psychodynamic Psychotherapy
3. A 32-year-old patient with childhood emotional neglect
becomes tearful when the PMHNP takes a 1-week vacation.
The patient says, “You’re abandoning me like everyone
else.” This is an example of:
• A) Projective identification
• B) Positive transference
• C) Negative transference
• D) Reality testing
Correct Answer: C
Rationale: Negative transference involves hostile or dependent
