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1. Which psychotherapy approach has demonstrated effectiveness in treating
panic disorder?
a) Cognitive Behavioral Therapy (CBT)
b) Panic-focused psychodynamic psychotherapy
c) Supportive therapy
d) Exposure therapy
Answer: b) Panic-focused psychodynamic psychotherapy
2. In panic-focused psychodynamic psychotherapy, which element is emphasized
as the key agent for change?
a) Medication adherence
b) Transference
c) Exposure exercises
d) Family involvement
Answer: b) Transference
3. What does the holistic therapy model primarily emphasize?
a) Solely the cognitive patterns of the client
b) The mind-body-spirit interconnection
c) Elimination of all symptoms
d) Pharmacologic treatment first
Answer: b) The mind-body-spirit interconnection
4. According to SAMHSA, recovery-oriented behavioral care focuses on:
a) Achieving complete symptom remission
b) Medication-only management
c) Hope, person-driven goals, and resilience
,d) Short-term stabilization only
Answer: c) Hope, person-driven goals, and resilience
5. In the therapeutic relationship, the PMHNP should emphasize which approach?
a) Neutral detachment
b) Acceptance, empathy, patience, and kindness
c) Strict clinical authority
d) Maintaining minimal emotional connection
Answer: b) Acceptance, empathy, patience, and kindness
6. What best describes client resilience?
a) Avoiding painful emotions at all costs
b) The ability to cope with adversity and access resources
c) Complete reliance on the therapist
d) Resistance to treatment
Answer: b) The ability to cope with adversity and access resources
7. Which of the following is NOT part of SAMHSA’s recovery principles?
a) Peer support
b) Trauma-informed care
c) Professional-driven goals
d) Holistic perspective
Answer: c) Professional-driven goals
8. The holistic paradigm of healing encourages the client to:
a) Ignore distressing emotions until symptoms resolve
b) Accept dysregulation and disharmony in the present moment
c) Focus exclusively on future goals
d) Depend primarily on medications for change
Answer: b) Accept dysregulation and disharmony in the present moment
9. In Maslow’s hierarchy, which level involves food, water, and shelter?
a) Safety
b) Physiological
c) Love/Belonging
,d) Esteem
Answer: b) Physiological
10. Which of the following is a component of the safety level of Maslow’s
hierarchy?
a) Intimacy
b) Employment security
c) Self-actualization
d) Friendship
Answer: b) Employment security
11. A patient reports feeling worthless and isolated despite basic needs being met.
Which level of Maslow’s hierarchy is most relevant?
a) Esteem
b) Love/Belonging
c) Self-actualization
d) Safety
Answer: b) Love/Belonging
12. Which of Maslow’s levels includes confidence and respect from others?
a) Self-actualization
b) Esteem
c) Physiological
d) Safety
Answer: b) Esteem
13. A client pursuing personal growth and creativity is likely working at which level
of Maslow’s hierarchy?
a) Physiological
b) Safety
c) Self-actualization
d) Esteem
Answer: c) Self-actualization
, 14. Which therapy is most appropriate for a highly self-motivated client with
strong self-awareness who wishes to explore unconscious processes?
a) Supportive therapy
b) Psychoanalysis
c) Group therapy
d) Behavioral activation
Answer: b) Psychoanalysis
15. Supportive therapy is especially helpful for clients experiencing:
a) Psychotic delusions
b) Emotional distress and life stressors
c) Strong resistance to treatment
d) Bipolar mania only
Answer: b) Emotional distress and life stressors
16. How often are psychoanalysis sessions typically scheduled?
a) Once a month
b) Weekly for six weeks
c) Several times per week over years
d) Only as needed during crises
Answer: c) Several times per week over years
17. The main therapeutic goal of psychoanalysis is to:
a) Provide quick symptom relief
b) Help the client better understand themselves and create change
c) Build coping skills for immediate stressors
d) Teach medication adherence
Answer: b) Help the client better understand themselves and create change
18. Supportive therapy aims to:
a) Eliminate unconscious conflicts
b) Provide stabilization and problem-solving
c) Promote creativity and transcendence