Page 1 of 510
Walden University NRNP 6665 Midterm
Exam – REAL Exam | 100 Questions |
100% Correct Answers | Updated 2026|
Walden University | A+ Graded
Question 1
Biofeedback, deep breathing, mindfulness, and progressive
muscle relaxation are strategies that are typically used in which
of the following therapies?
A. Relaxation therapy
B. Social skills training
C. Motivational Interviewing
D. Applied behavioral analysis
Answer: A. Relaxation therapy
Rationale: Relaxation therapy encompasses a broad set of
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techniques—including progressive muscle relaxation, guided
imagery, deep breathing exercises, biofeedback, and
mindfulness—that aim to reduce physiological arousal and
muscular tension. These are foundational self-regulation skills
taught in cognitive-behavioral and integrative psychotherapeutic
models, particularly for anxiety disorders, chronic pain, and
stress-related conditions. Social skills training (B) focuses on
improving interpersonal communication and does not emphasize
somatic calming techniques. Motivational interviewing (C) is a
directive, person-centered approach for resolving ambivalence
about change, not relaxation. Applied behavioral analysis (D) is
a systematic intervention based on operant conditioning
principles, typically used in autism spectrum disorder treatment.
Question 2
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According to the American Psychiatric Association (APA), which of
the following are required to support a child’s DSM-5
diagnosis? (Select the best answer)
A. The child’s clinical presentation fulfills the specific
symptom-based diagnostic criteria.
B. The child’s symptoms are not caused by other diagnoses or
stressors.
C. The child’s symptoms impair the child’s functioning in at least
two settings.
D. A and B only.
Answer: D. A and B only
Rationale: To validate any DSM-5 diagnosis, the clinician must
first establish that the presenting symptoms meet the full
diagnostic criteria (criterion A). Second, they must rule out
alternative explanations, including other mental disorders,
substance use, and general medical conditions (differential
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diagnosis). For children, functional impairment is generally
expected, but DSM-5 does not universally require impairment “in
at least two settings” for every diagnosis; that specification
applies primarily to disruptive behavior disorders (e.g.,
oppositional defiant disorder, conduct disorder) and to certain
ADHD diagnostic guidelines. Therefore, A and B are universally
required, while C is condition-specific.
Question 3
Which of the following is NOT consistent with good sleep
hygiene?
A. Allowing child to keep a cell phone at the bedside.
B. Establishing bedtime routines and maintaining them
consistently.
C. Limiting use of electronics in the evening (i.e., television,
computer, etc.).
Walden University NRNP 6665 Midterm
Exam – REAL Exam | 100 Questions |
100% Correct Answers | Updated 2026|
Walden University | A+ Graded
Question 1
Biofeedback, deep breathing, mindfulness, and progressive
muscle relaxation are strategies that are typically used in which
of the following therapies?
A. Relaxation therapy
B. Social skills training
C. Motivational Interviewing
D. Applied behavioral analysis
Answer: A. Relaxation therapy
Rationale: Relaxation therapy encompasses a broad set of
,Page 2 of 510
techniques—including progressive muscle relaxation, guided
imagery, deep breathing exercises, biofeedback, and
mindfulness—that aim to reduce physiological arousal and
muscular tension. These are foundational self-regulation skills
taught in cognitive-behavioral and integrative psychotherapeutic
models, particularly for anxiety disorders, chronic pain, and
stress-related conditions. Social skills training (B) focuses on
improving interpersonal communication and does not emphasize
somatic calming techniques. Motivational interviewing (C) is a
directive, person-centered approach for resolving ambivalence
about change, not relaxation. Applied behavioral analysis (D) is
a systematic intervention based on operant conditioning
principles, typically used in autism spectrum disorder treatment.
Question 2
,Page 3 of 510
According to the American Psychiatric Association (APA), which of
the following are required to support a child’s DSM-5
diagnosis? (Select the best answer)
A. The child’s clinical presentation fulfills the specific
symptom-based diagnostic criteria.
B. The child’s symptoms are not caused by other diagnoses or
stressors.
C. The child’s symptoms impair the child’s functioning in at least
two settings.
D. A and B only.
Answer: D. A and B only
Rationale: To validate any DSM-5 diagnosis, the clinician must
first establish that the presenting symptoms meet the full
diagnostic criteria (criterion A). Second, they must rule out
alternative explanations, including other mental disorders,
substance use, and general medical conditions (differential
, Page 4 of 510
diagnosis). For children, functional impairment is generally
expected, but DSM-5 does not universally require impairment “in
at least two settings” for every diagnosis; that specification
applies primarily to disruptive behavior disorders (e.g.,
oppositional defiant disorder, conduct disorder) and to certain
ADHD diagnostic guidelines. Therefore, A and B are universally
required, while C is condition-specific.
Question 3
Which of the following is NOT consistent with good sleep
hygiene?
A. Allowing child to keep a cell phone at the bedside.
B. Establishing bedtime routines and maintaining them
consistently.
C. Limiting use of electronics in the evening (i.e., television,
computer, etc.).
