NRNP | 6645
OBJECTIVE ASSESSMENT - EXAM
Psychotherapy with
Multiple Modalities
NRNP 6645 | Walden | 2026/2027
200 100%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Psychotherapy Theories & Modalities Ethical & Legal Considerations
Therapeutic Techniques & Interventions Cultural Competence & Diversity
Treatment Planning & Assessment
COVER PAGE - 1
,SECTION 1 | Psychotherapy Theories & Modalities | Q1-Q40 | NRNP 6645 2026/2027
Q1 Question 1 of 200
Q1. A nurse practitioner is conducting an assessment. A 35-year-old client reports overwhelming
anxiety related to public speaking and repeatedly states, 'I will definitely fail and everyone will laugh
at me.' What is the most appropriate initial intervention?
A. Advise the client to change their career immediately.
B. Encourage the client to immediately confront the fear by speaking in public.
C. Identify the underlying core belief driving the anxiety.
D. Recommend the client suppress all negative emotions.
Correct Answer: C
Rationale:
The correct answer is 'Identify the underlying core belief driving the anxiety.'. The focus of CBT is to
identify and restructure maladaptive thoughts. Catastrophizing is a classic cognitive distortion addressed
in CBT, unlike psychoanalysis which focuses on childhood trauma. The distractors represent either
inappropriate interventions for this specific clinical presentation or approaches that lack an evidence base
for the identified issue.
NRNP 6645 — 2026/2027 | Passing Score: 80% | Page 2
,Q2 Question 2 of 200
Q2. During a therapy session, A 35-year-old client reports overwhelming anxiety related to public
speaking and repeatedly states, 'I will definitely fail and everyone will laugh at me.' Which response
by the provider demonstrates evidence-based practice?
A. Assist the client in identifying and challenging the cognitive distortion of catastrophizing.
B. Focus entirely on exploring early childhood attachments and trauma.
C. Identify the underlying core belief driving the anxiety.
D. Encourage the client to immediately confront the fear by speaking in public.
Correct Answer: C
Rationale:
The correct answer is 'Identify the underlying core belief driving the anxiety.'. The focus of CBT is to
identify and restructure maladaptive thoughts. Catastrophizing is a classic cognitive distortion addressed
in CBT, unlike psychoanalysis which focuses on childhood trauma. The distractors represent either
inappropriate interventions for this specific clinical presentation or approaches that lack an evidence base
for the identified issue.
Q3 Question 3 of 200
Q3. A 35-year-old client reports overwhelming anxiety related to public speaking and repeatedly
states, 'I will definitely fail and everyone will laugh at me.' In developing the treatment plan, what is
the primary focus for this client?
A. Assist the client in identifying and challenging the cognitive distortion of catastrophizing.
B. Recommend a strict regimen of vigorous physical exercise.
C. Identify the underlying core belief driving the anxiety.
D. Encourage the client to immediately confront the fear by speaking in public.
Correct Answer: C
Rationale:
The correct answer is 'Identify the underlying core belief driving the anxiety.'. The focus of CBT is to
identify and restructure maladaptive thoughts. Catastrophizing is a classic cognitive distortion addressed
in CBT, unlike psychoanalysis which focuses on childhood trauma. The distractors represent either
inappropriate interventions for this specific clinical presentation or approaches that lack an evidence base
for the identified issue.
NRNP 6645 — 2026/2027 | Passing Score: 80% | Page 3
, Q4 Question 4 of 200
Q4. A client presents to the clinic. A 35-year-old client reports overwhelming anxiety related to
public speaking and repeatedly states, 'I will definitely fail and everyone will laugh at me.' What is
the rationale for the preferred therapeutic approach?
A. Focus entirely on exploring early childhood attachments and trauma.
B. Identify the underlying core belief driving the anxiety.
C. Encourage the client to immediately confront the fear by speaking in public.
D. Recommend an exclusive diet of organic foods and supplements.
Correct Answer: B
Rationale:
The correct answer is 'Identify the underlying core belief driving the anxiety.'. The focus of CBT is to
identify and restructure maladaptive thoughts. Catastrophizing is a classic cognitive distortion addressed
in CBT, unlike psychoanalysis which focuses on childhood trauma. The distractors represent either
inappropriate interventions for this specific clinical presentation or approaches that lack an evidence base
for the identified issue.
Q5 Question 5 of 200
Q5. In the context of the clinical setting, A 35-year-old client reports overwhelming anxiety related to
public speaking and repeatedly states, 'I will definitely fail and everyone will laugh at me.' Which
action should the advanced practice nurse prioritize?
A. Assist the client in identifying and challenging the cognitive distortion of catastrophizing.
B. Suggest the client confront their abuser immediately.
C. Identify the underlying core belief driving the anxiety.
D. Encourage the client to immediately confront the fear by speaking in public.
Correct Answer: C
Rationale:
The correct answer is 'Identify the underlying core belief driving the anxiety.'. The focus of CBT is to
identify and restructure maladaptive thoughts. Catastrophizing is a classic cognitive distortion addressed
in CBT, unlike psychoanalysis which focuses on childhood trauma. The distractors represent either
inappropriate interventions for this specific clinical presentation or approaches that lack an evidence base
for the identified issue.
NRNP 6645 — 2026/2027 | Passing Score: 80% | Page 4
OBJECTIVE ASSESSMENT - EXAM
Psychotherapy with
Multiple Modalities
NRNP 6645 | Walden | 2026/2027
200 100%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Psychotherapy Theories & Modalities Ethical & Legal Considerations
Therapeutic Techniques & Interventions Cultural Competence & Diversity
Treatment Planning & Assessment
COVER PAGE - 1
,SECTION 1 | Psychotherapy Theories & Modalities | Q1-Q40 | NRNP 6645 2026/2027
Q1 Question 1 of 200
Q1. A nurse practitioner is conducting an assessment. A 35-year-old client reports overwhelming
anxiety related to public speaking and repeatedly states, 'I will definitely fail and everyone will laugh
at me.' What is the most appropriate initial intervention?
A. Advise the client to change their career immediately.
B. Encourage the client to immediately confront the fear by speaking in public.
C. Identify the underlying core belief driving the anxiety.
D. Recommend the client suppress all negative emotions.
Correct Answer: C
Rationale:
The correct answer is 'Identify the underlying core belief driving the anxiety.'. The focus of CBT is to
identify and restructure maladaptive thoughts. Catastrophizing is a classic cognitive distortion addressed
in CBT, unlike psychoanalysis which focuses on childhood trauma. The distractors represent either
inappropriate interventions for this specific clinical presentation or approaches that lack an evidence base
for the identified issue.
NRNP 6645 — 2026/2027 | Passing Score: 80% | Page 2
,Q2 Question 2 of 200
Q2. During a therapy session, A 35-year-old client reports overwhelming anxiety related to public
speaking and repeatedly states, 'I will definitely fail and everyone will laugh at me.' Which response
by the provider demonstrates evidence-based practice?
A. Assist the client in identifying and challenging the cognitive distortion of catastrophizing.
B. Focus entirely on exploring early childhood attachments and trauma.
C. Identify the underlying core belief driving the anxiety.
D. Encourage the client to immediately confront the fear by speaking in public.
Correct Answer: C
Rationale:
The correct answer is 'Identify the underlying core belief driving the anxiety.'. The focus of CBT is to
identify and restructure maladaptive thoughts. Catastrophizing is a classic cognitive distortion addressed
in CBT, unlike psychoanalysis which focuses on childhood trauma. The distractors represent either
inappropriate interventions for this specific clinical presentation or approaches that lack an evidence base
for the identified issue.
Q3 Question 3 of 200
Q3. A 35-year-old client reports overwhelming anxiety related to public speaking and repeatedly
states, 'I will definitely fail and everyone will laugh at me.' In developing the treatment plan, what is
the primary focus for this client?
A. Assist the client in identifying and challenging the cognitive distortion of catastrophizing.
B. Recommend a strict regimen of vigorous physical exercise.
C. Identify the underlying core belief driving the anxiety.
D. Encourage the client to immediately confront the fear by speaking in public.
Correct Answer: C
Rationale:
The correct answer is 'Identify the underlying core belief driving the anxiety.'. The focus of CBT is to
identify and restructure maladaptive thoughts. Catastrophizing is a classic cognitive distortion addressed
in CBT, unlike psychoanalysis which focuses on childhood trauma. The distractors represent either
inappropriate interventions for this specific clinical presentation or approaches that lack an evidence base
for the identified issue.
NRNP 6645 — 2026/2027 | Passing Score: 80% | Page 3
, Q4 Question 4 of 200
Q4. A client presents to the clinic. A 35-year-old client reports overwhelming anxiety related to
public speaking and repeatedly states, 'I will definitely fail and everyone will laugh at me.' What is
the rationale for the preferred therapeutic approach?
A. Focus entirely on exploring early childhood attachments and trauma.
B. Identify the underlying core belief driving the anxiety.
C. Encourage the client to immediately confront the fear by speaking in public.
D. Recommend an exclusive diet of organic foods and supplements.
Correct Answer: B
Rationale:
The correct answer is 'Identify the underlying core belief driving the anxiety.'. The focus of CBT is to
identify and restructure maladaptive thoughts. Catastrophizing is a classic cognitive distortion addressed
in CBT, unlike psychoanalysis which focuses on childhood trauma. The distractors represent either
inappropriate interventions for this specific clinical presentation or approaches that lack an evidence base
for the identified issue.
Q5 Question 5 of 200
Q5. In the context of the clinical setting, A 35-year-old client reports overwhelming anxiety related to
public speaking and repeatedly states, 'I will definitely fail and everyone will laugh at me.' Which
action should the advanced practice nurse prioritize?
A. Assist the client in identifying and challenging the cognitive distortion of catastrophizing.
B. Suggest the client confront their abuser immediately.
C. Identify the underlying core belief driving the anxiety.
D. Encourage the client to immediately confront the fear by speaking in public.
Correct Answer: C
Rationale:
The correct answer is 'Identify the underlying core belief driving the anxiety.'. The focus of CBT is to
identify and restructure maladaptive thoughts. Catastrophizing is a classic cognitive distortion addressed
in CBT, unlike psychoanalysis which focuses on childhood trauma. The distractors represent either
inappropriate interventions for this specific clinical presentation or approaches that lack an evidence base
for the identified issue.
NRNP 6645 — 2026/2027 | Passing Score: 80% | Page 4
