NRNP 6645 – PSYCHOTHERAPY
MIDTERM EXAM REVIEW
QUESTIONS (with all information
you need) 100% CORRECT ANSWERS
LATEST 2025/2026 GUIDE, WALDEN
UNIVERSITY
,1. Which of the following is inconsistent with Socratic Dialogue basic rules for the therapist? P..
363- 364
A. The collaborative dialogue is goal-directed and specific.
B. The therapist may use everyday experiences as therapeutic metaphors.
C. Self-disclosure is frequently used to motivate the patient in problem solving.
D. Socratic Dialogue questions should be framed in a way to elicit an affirmative response.
2. A patient involved in expressive psychotherapy is having intense emotional reactions to
painful experiences that have been expressed. This is known as which of the following?
Catharsis
A patient involved in expressive psychotherapy is having intense emotional reactions to
painful experiences that have been expressed. This is known as which of the following?
A Immediacy
. the quality of bringing one into direct and instant involvement with something, giving rise to a sense of
urgency or excitement.
B. Abreaction
the expression and consequent release of a previously repressed emotion, achieved
through reliving the experience that caused it
C Differentiation
. Differentiation is the active, ongoing process of defining self, revealing self, clarifying
boundaries, and managing the anxiety that comes from risking either greater intimacy or potential
separation
D Rapprochement
. a state of cordial relations between individuals or groups
3. The change agent in relational psychodynamic therapy is which of the following
- Mindfulness
4. schizoid personality is a pathological outcome associated with which of Erikson’s
psychosocial stages?
Intimacy vs isolation (20-30yrs) – p.254
Erickson’s Stages and Considerations
Stage 1: Trust vs. Mistrust, Infancy (birth-1y/o)
• Corresponds with Freud’s oral stage of development.
• Virtue/Strength vs Failure: HOPE vs poor relationships, suspicious withdrawn.
• Possible etiology with schizoid and depressive states
Stage 2: Autonomy vs. Shame/Doubt, Early Childhood (1-3y/o)
• Corresponds with Freud’s anal stage of development.
• Doubt is the fear of being attacked or overpowered
• Shame leads to repressed rage and defiance
• Virtue/Strength vs Failure: WILL POWER, SELF-CTRL vs lack of independence.
Stage 3: Initiative vs. Guilt, Late Childhood (3-6y/o)
, • Corresponds with Freud’s phallic stage of development.
• Guilt is the sense of badness
• Virtue/Strength vs Failure: A SENSE OF PURPOSE vs lack of goals and self-
initiation.
• Possible etiology with conversion and psychosomatic disorders.
Stage 4: Industry vs. inferiority, School-age (6-12y/o)
• Corresponds with Freud’s latency stage of development.
• “Hero Worship” and same-sex admiration is common, needs good role models
outside of the family.
• Virtue/Strength vs Failure: COMPETENCE, ACHIEVEMENTS vs difficulty
learning or mastering skills.
Stage 5: Identity vs. Role Confusion, Adolescence (12-20y/o)
• Corresponds with Freud’s genital stage of development.
• The most important stage according to Erikson r/t the sense of belonging.
• Sexual identity/role is formed, personal philosophy of life, morals, and values is
developed.
• Virtue/Strength vs Failure: SELF-BELIEF & FIDELITY vs. identity confusion.
Stage 6: Intimacy vs. Isolation, Early Adulthood (20-35y/o)
• Virtue/Strength vs Failure: LOVE, COMMITMENTS vs emotional isolation, self-
absorb, distancing oneself.
Stage 7: Generativity vs. Self-Absorption/Stagnation, Middle Adulthood (35-65y/o)
• Coping with life changes or endures a midlife crisis; creating the need for new
meaning and purpose.
• Virtue/Strength vs Failure: CARE FOR OTHERS vs self-absorption (stagnation),
inability to change/care for others.
Stage 8: Integrity vs. Despair, Late Adulthood (>65y/o)
• Consists of a life review that’s either meaningful versus disappointing with
perceived failures (despair).
• Virtue/Strength vs Failure: WISDOM, FULFILLMENT vs. bitter, dissatisfied w
life.
5. patients who would not be considered ideal candidates for psychoanalytic psychotherapy are
which of
the following?
- Pts who do not know who they are
- Those who are not in touch with reality
- Those who cannot perfectly describe others.
- Those that are confused
6. The therapist using a CBT approach says to the patient: “You say you become depressed.
Explain to me what depressed feels like to you.” This is an example of what question type in
Socratic Dialogue?
Translational Questions
7. Which of the following is true regarding the difference between brief and long-term
psychodynamic
psychotherapy?
, Brief psychodynamic Psychotherapy takes place in fewer days per week and lasts for a shorter
duration.
- Although psychodynamic psychotherapy is frequently thought of as long- term therapy, brief
psychodynamic psychotherapy is probably most often practiced given the current climate of
managed care.
- Long term goes for more than 1yr-2yrs and over 40 sessions.
- Brief will be goal-oriented with about 25 sessions. Psychodynamic therapy focuses on
unconscious processes manifested in a person’s behavior.
8. Which of the following is true about Automatic Thought Records? ATS (page 368)
- key component in CBT
- first introduced in 1979 by Beck to capture and analyze automatic thoughts both during
and
between sessions.
- Used as homework after introducing the process within the therapy session
9. Patients who would not be considered ideal candidates for psychoanalytic psychotherapy are
which of the following.
The confused, severely psychotic, those who are not aware of their suffering, the
uneducated
See #5 see pg 271
10. A patient involved in expressive psychotherapy is having intense emotional reactions to
painful experiences that have been expressed. This is known as which of the following?
Catharsis pg 477
11. The focus of therapy in brief psychodynamic psychotherapy is on which of the following.
Setting the termination date pg 281
12. The process of a group member benefiting by observing the therapy of another member with
similar problems is a phenomenon referred to as which of the following:
Pg 475 Instillation of hope
13. The therapist using a CBT approach in which the therapist encourages the patient to
investigate whether their thoughts are based on facts or assumptions is known as which of the
following?
Pg 473 Cognitive behavioral
14. A patient comment at the end of their group therapy how important it was for them to have
observed the improvement of others. This is consistent with which of Yalom’s therapeutic
factors
Pg 477Group cohesiveness
15. Freud’s Psychosexual stages development of sexual identity occurs during what age range?
3 to 6 years
MIDTERM EXAM REVIEW
QUESTIONS (with all information
you need) 100% CORRECT ANSWERS
LATEST 2025/2026 GUIDE, WALDEN
UNIVERSITY
,1. Which of the following is inconsistent with Socratic Dialogue basic rules for the therapist? P..
363- 364
A. The collaborative dialogue is goal-directed and specific.
B. The therapist may use everyday experiences as therapeutic metaphors.
C. Self-disclosure is frequently used to motivate the patient in problem solving.
D. Socratic Dialogue questions should be framed in a way to elicit an affirmative response.
2. A patient involved in expressive psychotherapy is having intense emotional reactions to
painful experiences that have been expressed. This is known as which of the following?
Catharsis
A patient involved in expressive psychotherapy is having intense emotional reactions to
painful experiences that have been expressed. This is known as which of the following?
A Immediacy
. the quality of bringing one into direct and instant involvement with something, giving rise to a sense of
urgency or excitement.
B. Abreaction
the expression and consequent release of a previously repressed emotion, achieved
through reliving the experience that caused it
C Differentiation
. Differentiation is the active, ongoing process of defining self, revealing self, clarifying
boundaries, and managing the anxiety that comes from risking either greater intimacy or potential
separation
D Rapprochement
. a state of cordial relations between individuals or groups
3. The change agent in relational psychodynamic therapy is which of the following
- Mindfulness
4. schizoid personality is a pathological outcome associated with which of Erikson’s
psychosocial stages?
Intimacy vs isolation (20-30yrs) – p.254
Erickson’s Stages and Considerations
Stage 1: Trust vs. Mistrust, Infancy (birth-1y/o)
• Corresponds with Freud’s oral stage of development.
• Virtue/Strength vs Failure: HOPE vs poor relationships, suspicious withdrawn.
• Possible etiology with schizoid and depressive states
Stage 2: Autonomy vs. Shame/Doubt, Early Childhood (1-3y/o)
• Corresponds with Freud’s anal stage of development.
• Doubt is the fear of being attacked or overpowered
• Shame leads to repressed rage and defiance
• Virtue/Strength vs Failure: WILL POWER, SELF-CTRL vs lack of independence.
Stage 3: Initiative vs. Guilt, Late Childhood (3-6y/o)
, • Corresponds with Freud’s phallic stage of development.
• Guilt is the sense of badness
• Virtue/Strength vs Failure: A SENSE OF PURPOSE vs lack of goals and self-
initiation.
• Possible etiology with conversion and psychosomatic disorders.
Stage 4: Industry vs. inferiority, School-age (6-12y/o)
• Corresponds with Freud’s latency stage of development.
• “Hero Worship” and same-sex admiration is common, needs good role models
outside of the family.
• Virtue/Strength vs Failure: COMPETENCE, ACHIEVEMENTS vs difficulty
learning or mastering skills.
Stage 5: Identity vs. Role Confusion, Adolescence (12-20y/o)
• Corresponds with Freud’s genital stage of development.
• The most important stage according to Erikson r/t the sense of belonging.
• Sexual identity/role is formed, personal philosophy of life, morals, and values is
developed.
• Virtue/Strength vs Failure: SELF-BELIEF & FIDELITY vs. identity confusion.
Stage 6: Intimacy vs. Isolation, Early Adulthood (20-35y/o)
• Virtue/Strength vs Failure: LOVE, COMMITMENTS vs emotional isolation, self-
absorb, distancing oneself.
Stage 7: Generativity vs. Self-Absorption/Stagnation, Middle Adulthood (35-65y/o)
• Coping with life changes or endures a midlife crisis; creating the need for new
meaning and purpose.
• Virtue/Strength vs Failure: CARE FOR OTHERS vs self-absorption (stagnation),
inability to change/care for others.
Stage 8: Integrity vs. Despair, Late Adulthood (>65y/o)
• Consists of a life review that’s either meaningful versus disappointing with
perceived failures (despair).
• Virtue/Strength vs Failure: WISDOM, FULFILLMENT vs. bitter, dissatisfied w
life.
5. patients who would not be considered ideal candidates for psychoanalytic psychotherapy are
which of
the following?
- Pts who do not know who they are
- Those who are not in touch with reality
- Those who cannot perfectly describe others.
- Those that are confused
6. The therapist using a CBT approach says to the patient: “You say you become depressed.
Explain to me what depressed feels like to you.” This is an example of what question type in
Socratic Dialogue?
Translational Questions
7. Which of the following is true regarding the difference between brief and long-term
psychodynamic
psychotherapy?
, Brief psychodynamic Psychotherapy takes place in fewer days per week and lasts for a shorter
duration.
- Although psychodynamic psychotherapy is frequently thought of as long- term therapy, brief
psychodynamic psychotherapy is probably most often practiced given the current climate of
managed care.
- Long term goes for more than 1yr-2yrs and over 40 sessions.
- Brief will be goal-oriented with about 25 sessions. Psychodynamic therapy focuses on
unconscious processes manifested in a person’s behavior.
8. Which of the following is true about Automatic Thought Records? ATS (page 368)
- key component in CBT
- first introduced in 1979 by Beck to capture and analyze automatic thoughts both during
and
between sessions.
- Used as homework after introducing the process within the therapy session
9. Patients who would not be considered ideal candidates for psychoanalytic psychotherapy are
which of the following.
The confused, severely psychotic, those who are not aware of their suffering, the
uneducated
See #5 see pg 271
10. A patient involved in expressive psychotherapy is having intense emotional reactions to
painful experiences that have been expressed. This is known as which of the following?
Catharsis pg 477
11. The focus of therapy in brief psychodynamic psychotherapy is on which of the following.
Setting the termination date pg 281
12. The process of a group member benefiting by observing the therapy of another member with
similar problems is a phenomenon referred to as which of the following:
Pg 475 Instillation of hope
13. The therapist using a CBT approach in which the therapist encourages the patient to
investigate whether their thoughts are based on facts or assumptions is known as which of the
following?
Pg 473 Cognitive behavioral
14. A patient comment at the end of their group therapy how important it was for them to have
observed the improvement of others. This is consistent with which of Yalom’s therapeutic
factors
Pg 477Group cohesiveness
15. Freud’s Psychosexual stages development of sexual identity occurs during what age range?
3 to 6 years
