NR605 Final Exam (Week
5–8) – Actual Exam
2026/2027Complete Verified
Questions & Answers |
Chamberlain University | A+
Graded
SECTION 1: THERAPEUTIC ALLIANCE &
COMMUNICATION (Questions 1-10)
Q1. A psychiatric-mental health nurse
practitioner (PMHNP) is establishing a
therapeutic alliance with a new patient. Which
initial action best promotes this alliance?
A) Conducting a full diagnostic interview
B) Prescribing medication to address acute
symptoms
C) Demonstrating empathy and validating the
,patient's experience
D) Setting strict boundaries regarding session length
✅ Correct Answer: C
Rationale: A therapeutic alliance is built on trust,
empathy, and collaboration. Validating the patient's
experience fosters safety and engagement . While
boundaries and assessments are important, empathy
is foundational for the alliance.
Q2. The therapeutic communication technique
most effective for building rapport and
encouraging a patient to elaborate on their
concerns is:
A) "Why do you feel anxious when you go to work?"
B) "Tell me more about what happens when you
go to work."
C) "I think you're anxious because of your workload."
D) "You shouldn't feel anxious about work."
✅ Correct Answer: B
Rationale: Open-ended questions allow the patient
to guide the narrative, build trust, and provide richer
,clinical information . "Why" questions can feel
accusatory, and closed statements or advice-giving
do not encourage elaboration.
Q3. A patient states, "I'm a terrible mother. I
can't do anything right." Which response is most
therapeutic?
A) "I'm sure you're a great mother."
B) "What specific events make you feel that
way?"
C) "You shouldn't be so hard on yourself."
D) "Let's focus on your strengths instead."
✅ Correct Answer: B
Rationale: This response encourages exploration of
specific triggers for the patient's negative self-
assessment, avoiding false reassurance and
promoting insight . False reassurance invalidates the
patient's feelings; advice-giving closes down
exploration.
, Q4. According to Erikson's psychosocial stages,
the primary task of young adulthood is:
A) Trust vs. Mistrust
B) Intimacy vs. Isolation
C) Generativity vs. Stagnation
D) Identity vs. Role Confusion
✅ Correct Answer: B
Rationale: Erikson's stages identify young adulthood
(approximately ages 20-40) with the crisis of
Intimacy vs. Isolation, where individuals seek
meaningful relationships. Identity vs. Role Confusion
occurs in adolescence; Generativity vs. Stagnation in
middle adulthood .
Q5. During a group therapy session, a patient
angrily confronts another member. The PMHNP
recognizes this as:
A) A breach in confidentiality
B) An expected part of the Storming stage of group
development
C) A sign that the group should be terminated
5–8) – Actual Exam
2026/2027Complete Verified
Questions & Answers |
Chamberlain University | A+
Graded
SECTION 1: THERAPEUTIC ALLIANCE &
COMMUNICATION (Questions 1-10)
Q1. A psychiatric-mental health nurse
practitioner (PMHNP) is establishing a
therapeutic alliance with a new patient. Which
initial action best promotes this alliance?
A) Conducting a full diagnostic interview
B) Prescribing medication to address acute
symptoms
C) Demonstrating empathy and validating the
,patient's experience
D) Setting strict boundaries regarding session length
✅ Correct Answer: C
Rationale: A therapeutic alliance is built on trust,
empathy, and collaboration. Validating the patient's
experience fosters safety and engagement . While
boundaries and assessments are important, empathy
is foundational for the alliance.
Q2. The therapeutic communication technique
most effective for building rapport and
encouraging a patient to elaborate on their
concerns is:
A) "Why do you feel anxious when you go to work?"
B) "Tell me more about what happens when you
go to work."
C) "I think you're anxious because of your workload."
D) "You shouldn't feel anxious about work."
✅ Correct Answer: B
Rationale: Open-ended questions allow the patient
to guide the narrative, build trust, and provide richer
,clinical information . "Why" questions can feel
accusatory, and closed statements or advice-giving
do not encourage elaboration.
Q3. A patient states, "I'm a terrible mother. I
can't do anything right." Which response is most
therapeutic?
A) "I'm sure you're a great mother."
B) "What specific events make you feel that
way?"
C) "You shouldn't be so hard on yourself."
D) "Let's focus on your strengths instead."
✅ Correct Answer: B
Rationale: This response encourages exploration of
specific triggers for the patient's negative self-
assessment, avoiding false reassurance and
promoting insight . False reassurance invalidates the
patient's feelings; advice-giving closes down
exploration.
, Q4. According to Erikson's psychosocial stages,
the primary task of young adulthood is:
A) Trust vs. Mistrust
B) Intimacy vs. Isolation
C) Generativity vs. Stagnation
D) Identity vs. Role Confusion
✅ Correct Answer: B
Rationale: Erikson's stages identify young adulthood
(approximately ages 20-40) with the crisis of
Intimacy vs. Isolation, where individuals seek
meaningful relationships. Identity vs. Role Confusion
occurs in adolescence; Generativity vs. Stagnation in
middle adulthood .
Q5. During a group therapy session, a patient
angrily confronts another member. The PMHNP
recognizes this as:
A) A breach in confidentiality
B) An expected part of the Storming stage of group
development
C) A sign that the group should be terminated
