NRNP 6645 MIDTERM, NRNP 6645 MIDTERM EXAM, NRNP 6645 FINAL EXAM LATEST
VERSION QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES /
NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES COMPLETE EXAM
PREP | GRADED A+
1. A client with PTSD avoids trauma reminders. Which CBT technique is most appropriate
first?
A. Flooding
B. Imaginal exposure
C. Cognitive restructuring alone
D. Thought stopping
Answer: B. Imaginal exposure
Imaginal exposure reduces avoidance by repeatedly recounting trauma memories in a safe
environment.
2. In psychodynamic therapy, a client unconsciously redirects feelings about their father
onto the therapist. This is called:
A. Projection
B. Countertransference
C. Transference
D. Reaction formation
Answer: C. Transference
Transference involves projecting past relationship patterns onto the therapist, offering
insight into internal conflicts.
3. According to Yalom, which therapeutic factor involves members learning from each
other's experiences?
A. Universality
,B. Interpersonal learning
C. Catharsis
D. Instillation of hope
Answer: B. Interpersonal learning
Interpersonal learning occurs when group members gain insight through feedback and
observing others' interactions.
4. A PMHNP using Motivational Interviewing (MI) hears a client say, "I know I need to quit
drinking, but I only drink on weekends." This is an example of:
A. Change talk
B. Sustain talk
C. Readiness to change
D. Self-efficacy
Answer: B. Sustain talk
Sustain talk argues for maintaining the status quo and requires reflective listening rather
than confrontation.
5. In DBT, which module teaches clients to effectively ask for what they need while
maintaining self-respect?
A. Mindfulness
B. Distress tolerance
C. Emotion regulation
D. Interpersonal effectiveness
Answer: D. Interpersonal effectiveness
Interpersonal effectiveness skills (DEAR MAN, GIVE, FAST) help clients assert needs while
preserving relationships.
6. A client in group therapy dominates conversation and interrupts others. The PMHNP
should:
A. Remove the client from group
B. Privately address the behavior and set limits
C. Ignore the behavior to avoid shame
, D. Ask other members to confront the client
Answer: B. Privately address the behavior and set limits
Addressing disruptive behavior privately maintains group safety and models therapeutic
communication.
7. Which family therapy concept describes a three-person interaction pattern that stabilizes
anxiety?
A. Differentiation
B. Triangulation
C. Enmeshment
D. Detriangulation
Answer: B. Triangulation
Triangulation occurs when a dyad under stress brings in a third person to reduce tension,
common in Bowenian theory.
8. A PMHNP using CBT with a depressed client identifies the automatic thought "I'm
worthless." The next step is:
A. Behavioral activation
B. Thought record and cognitive restructuring
C. Relaxation training
D. Exposure therapy
Answer: B. Thought record and cognitive restructuring
Cognitive restructuring involves examining evidence for automatic thoughts and developing
balanced alternatives.
9. In psychodynamic therapy, what is the primary goal of analyzing resistance?
A. To make the client comply
B. To uncover unconscious conflicts
C. To end therapy quickly
D. To strengthen defense mechanisms
Answer: B. To uncover unconscious conflicts
VERSION QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES /
NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES COMPLETE EXAM
PREP | GRADED A+
1. A client with PTSD avoids trauma reminders. Which CBT technique is most appropriate
first?
A. Flooding
B. Imaginal exposure
C. Cognitive restructuring alone
D. Thought stopping
Answer: B. Imaginal exposure
Imaginal exposure reduces avoidance by repeatedly recounting trauma memories in a safe
environment.
2. In psychodynamic therapy, a client unconsciously redirects feelings about their father
onto the therapist. This is called:
A. Projection
B. Countertransference
C. Transference
D. Reaction formation
Answer: C. Transference
Transference involves projecting past relationship patterns onto the therapist, offering
insight into internal conflicts.
3. According to Yalom, which therapeutic factor involves members learning from each
other's experiences?
A. Universality
,B. Interpersonal learning
C. Catharsis
D. Instillation of hope
Answer: B. Interpersonal learning
Interpersonal learning occurs when group members gain insight through feedback and
observing others' interactions.
4. A PMHNP using Motivational Interviewing (MI) hears a client say, "I know I need to quit
drinking, but I only drink on weekends." This is an example of:
A. Change talk
B. Sustain talk
C. Readiness to change
D. Self-efficacy
Answer: B. Sustain talk
Sustain talk argues for maintaining the status quo and requires reflective listening rather
than confrontation.
5. In DBT, which module teaches clients to effectively ask for what they need while
maintaining self-respect?
A. Mindfulness
B. Distress tolerance
C. Emotion regulation
D. Interpersonal effectiveness
Answer: D. Interpersonal effectiveness
Interpersonal effectiveness skills (DEAR MAN, GIVE, FAST) help clients assert needs while
preserving relationships.
6. A client in group therapy dominates conversation and interrupts others. The PMHNP
should:
A. Remove the client from group
B. Privately address the behavior and set limits
C. Ignore the behavior to avoid shame
, D. Ask other members to confront the client
Answer: B. Privately address the behavior and set limits
Addressing disruptive behavior privately maintains group safety and models therapeutic
communication.
7. Which family therapy concept describes a three-person interaction pattern that stabilizes
anxiety?
A. Differentiation
B. Triangulation
C. Enmeshment
D. Detriangulation
Answer: B. Triangulation
Triangulation occurs when a dyad under stress brings in a third person to reduce tension,
common in Bowenian theory.
8. A PMHNP using CBT with a depressed client identifies the automatic thought "I'm
worthless." The next step is:
A. Behavioral activation
B. Thought record and cognitive restructuring
C. Relaxation training
D. Exposure therapy
Answer: B. Thought record and cognitive restructuring
Cognitive restructuring involves examining evidence for automatic thoughts and developing
balanced alternatives.
9. In psychodynamic therapy, what is the primary goal of analyzing resistance?
A. To make the client comply
B. To uncover unconscious conflicts
C. To end therapy quickly
D. To strengthen defense mechanisms
Answer: B. To uncover unconscious conflicts
