NRNP 6645 Psychotherapy with Multiple Modalities MIDTERM EXAM 2025
NRNP 6645 Psychotherapy with Multiple Modalities midterm exam 2025
Question 1 1 pts
Choose the following statement that is most true: The lower the psychotherapy patient is determined to be on the model of Maslow’s hierarchy of needs
Group of answer choices
The less involved the therapist must be in active treatment
The more involved the therapist must be in active treatment
The patient needs no therapist for treatment
The more enmeshed the therapist must be.
Question 4 1 pts
Dialectical Behavior Therapy is known to be the most effective treatment for all the following disorders:
Group of answer choices
Cluster A personality disordered patients
Cluster B personality disordered patients
Cluster C personality disordered patients
None of the above
Question 6 1 pts
Which of the following is consistent regarding termination of treatment in brief psychodynamic psychotherapy?
Group of answer choices
The termination date is not set and is ongoing as long as the patient wants to come for visits
The termination date is set within 30 sessions
The termination date is set within 60 sessions
None of these are true
NRNP 6645 Psychotherapy with Multiple Modalities midterm exam 2025 – Question 7 1 pts
All of the following are potential ethical and legal violations for therapists when conducting therapy EXCEPT:
Group of answer choices
allowing a person to run up a high unpaid bill
sexual fantasies about a patient
processing therapist emotions about a patient in clinical supervision with a colleague in private
talking about a patient session in the elevator with a colleague
Question 8 1 pts
The study of theories and principles for mental health, mental illness, and general psychodynamics is a strategy that supports which therapeutic group factor?
Group of answer choices
Imparting of information
Interpersonal learning
Imitative behavior
Development of socializing techniques
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Question 9 1 pts
What group therapeutic approach focuses on examining interactions among and between the group leader and group members, and assisting group members in increasing awareness of unconscious motivations and needs?
Group of answer choices
Cognitive Behavioral
Person-Centered
Psychodynamic
None of the above
Question 10 1 pts
During the initial phase of family therapy one person is identified as “the problem”. The family therapist challenges linearity by which of the following?
Group of answer choices
Asking the children to not be involved
Asking the person identified as the problem to meet privately without regard to others in the family
Asking the person identified as the problem how they think the problem could be fixed.
Asking how others in the family about the involvement involved in or how affected by “the problem”.
Question 11 1 pts
The therapist using a cognitive behavioral therapy approach says to the patient: “You say you become depressed. Explain to me what depression feels like to you.” This is an example of what question type in Socratic Dialogue?
Group of answer choices
Memory question
Translation question
Application question
History question
Question 13 1 pts
Psychodynamic psychotherapy interventions focus on which of the following?
Group of answer choices
The person’s thoughts beliefs and behaviors
The person’s relationships and family dynamics
The person’s emotions and thoughts, deepening understanding of triggers form the past played out in the present.
The person’s body, beliefs, images, and emotions to process trauma
Question 16 1 pts
What psychotherapy framework is the best choice for the therapy to use when assisting older adults with reflection and resolution in transitioning from one life stage to another focusing on bereavement, role transitions, and role conflict?
Group of answer choices
Interpersonal Psychotherapy
Cognitive Behavioral Therapy with use of computer keyboard for typing
Mindfulness-Based Interventions
Motivational Interviewing
NRNP 6645 Psychotherapy with Multiple Modalities midterm exam 2025
Factors that distinguish psychodynamic therapy from cognitive behavioral therapy include which of the following factors.
Group of answer choices
Emphasis on the past; Focus on expression of emotion; Emphasis on transference
Focus on here and now, focus on current relationships, exploration of intra psychic issues.
Emphasis on here and now; exploring and working with resistance to treatment, the working alliance.
Identification of patterns in actions, thoughts, feelings, experiences; Focus on current relationships.
Question 181 pts
Which of the following neurotransmitter stimulates the hypothalamic-pituitary-adrenal axis and acts on the reward system?
Group of answer choices
Gamma-aminobutyric acid
Dopamine
Cortisol
Norepinephrine
Which therapy is based on the theory of how a patient structures their experiences largely determine how they feel and behave (maladaptive thoughts are rooted in irrational or illogical assumptions)?
Group of answer choices
Psychodynamic Therapy
Supportive Psychotherapy
Cognitive Behavioral Therapy
Interpersonal Psychotherapy
Question 201 pts
Conducting psychotherapy is a skill and an art that must be learned by nurses transitioning from registered nurse to advanced practice registered nurses as they are accustomed to “taking care of people, being action-oriented, wanting to rescue patients by making them feel better” and helping the patient feel better is not the main goal of psychotherapy when in fact in psychotherapy attempts of “improving symptoms” may even be counterproductive to the therapeutic process.
Group of answer choices
True
False
True
Question 211 pts
In group therapy, which Yalom principle is displayed when one group member shares vulnerable information about their own experiences in order to help another member of the group?
Group of answer choices
Altruism
Imitative Behavior
Universality
Existential Factors
Question 221 pts
Key Concepts for Emotionally Focused Family Therapy include all the following EXCEPT:
Group of answer choices
Attachment Styles
Coalitions
Emotions
Attachment Injuries
Question 231 pts
The therapist is assessing a patient for suicide risk. All of the following are considered protective factors to lower suicide risk for patients EXCEPT:
Group of answer choices
a patient having religious beliefs
a patient having a history of self harm but never hospitalized
a patient expressing responsibility for family, friends, work, and/or pets
a patient demonstrating resiliency and ability to cope with stress
Question 241 pts
The technique used by the CBT therapist to help the individual uncover underlying assumptions in logic and sequence through careful questioning by the therapist asking,” If this is true then what happens?”
Group of answer choices
Idiosyncratic Meaning
Labeling of distortions,
Downward Arrow
Questioning the Evidence
Question 291 pts
According to Yalom, which of the following is consistent with the therapeutic benefit of imitative behavior?
Group of answer choices
Imitative behavior generally plays a more important role in early stages of a group.
Imitative behavior may allow an individual to experiment with a new behavior.
Finding out what we are not is progress toward finding out what we are.
All of the above
Question 301 pts
According to Yalom, members of a cohesive psychotherapy group will demonstrate all the following variables EXCEPT:
Group of answer choices
try harder to influence other group members
be more open to influence by other members
reluctantly participate in group meetings
be willing to listen and more accepting of others
Question 311 pts
All of the following are left-brain functions EXCEPT:
Group of answer choices
Empathy
Problem-solving
Explicit reasoning
Controls the right side of the body
Question 321 pts
All of the following are features of Interpersonal Psychotherapy EXCEPT:
Group of answer choices
Long term therapy sessions
Based on the present, not the past
Focused sessions, not open-ended
awareness of personality but not main focus
Question 331 pts
The idea that nothing happens by chance, that every thought and all behavior has a cause refers to which of the following concepts?
Group of answer choices
Id vs ego conflict
Super ego actions to censor and restrain
Psychic determinism
Ego synchrony
Question 341 pts
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?
Group of answer choices
Labeling of Distortions
Questioning the Evidence
Advantages and Disadvantages
Examining Options and Alternatives
The therapist is informed by the managed care company that authorization for additional treatment with a patient has been denied. The therapist is concerned stopping treatment will jeopardize the patient’s safety and realizes which of the following are the best ethical actions?
Group of answer choices
- the therapist continues to work with the patient to ensure ongoing treatment while working with the managed care company on payment solutions.
- Stop treatment immediately.
- Attempt to work out a payment plan with the patient for ongoing treatment
- Both A and C are correct
Question 37 1 pts
According to Freud’s Psychosexual stages development of sexual identity occurs during what age range?
Group of answer choices
18 months to 3 years
3 years to 6 years
6 years to 12 years
13 years to 20 years
Question 39 1 pts
Hildegard Peplau developed the psychodynamic interpersonal model for psychiatric nursing based on which theorist’s framework?
Group of answer choices
Eric Erickson
Sigmund Freud
Margaret Mahler
Harry Stack Sullivan
Question 40 1 pts
Common patterns of behavior and experience derived from the settings in which people live is known as which of the following?
Group of answer choices
Race
Culture
Ethnicity
Family structure
Question 41 1 pts
In patients with chronic hyperarousal their Resilience Zone may be too narrow. Strategies to widen the Resilience Zone would include which of the following?
Group of answer choices
- Exercise, decreasing caffeine intake, and imagery
- Relaxation exercises, increasing caffeine intake and imagery
- Both A and B
- None of the above because actually their Resilience Zone is too wide.
Question 49 1 pts
Which of the following are consistent with findings related to levels of cohesiveness in groups?
Group of answer choices
- The higher the overall levels of cohesiveness are associated with significantly better total outcome than groups with low cohesiveness.
- Group member with little sense of belonging or attraction to a group is unlikely to have a negative outcome.
- The attraction to the group is a powerful determinant of outcome.
- A and C
Question 50 1 pts
Choose the two most theorized psychiatric disorders that are thought to have heritability and epigenetic roots.
Group of answer choices
Schizophrenia
Persistent Depressive Disorder
Bipolar Disorders
Borderline Personality Disorder
Question 51 1 pts
The therapist is meeting with a patient who is in the process of an unwanted divorce. The patient endorses persistent suicidal ideations, with strong intent. The therapist recognizes the patient is at high suicide risk and recommends which of the following?
Group of answer choices
Develop a crisis plan and give emergency numbers.
Hospital psychiatric admission and suicide precautions.
Refer to intensive outpatient therapy and give emergency numbers.
Develop a no-suicide contract and provide emergency numbers.
Question 53 1 pts
Schizoid personality is a pathological outcome associated with which of Erickson’s psychosocial stages?
Group of answer choices
Autonomy vs. self-doubt
Industry vs. inferiority
Identity vs. role confusion
Intimacy vs. isolation
Question 541 pts
A descriptive/biological approach of specialized knowledge that treats individuals as members of a diagnostic group is based on
Group of answer choices
A biomedical model
A holistic model
A recovery model
A resilience model
Question 55 1 pts
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?
Group of answer choices
Immediacy
Abreaction
Differentiation
Rapprochement
Question 56 1 pts
Which of the following is NOT consistent with the underlying assumptions of psychodynamic psychotherapy?
Group of answer choices
What has happened in the past determines what we do today.
Psychodynamic psychotherapy is rooted in developmental theory
By changing one’s thoughts, emotions and behaviors can be changed.
Through understanding the past, the individual is impowered to make more conscious decisions.
NRNP 6645 Psychotherapy with Multiple Modalities midterm exam 2025 – Question 57 1 pts
The Health Insurance Portability and Accountability Act defined psychotherapy notes as separate notes maintained by therapists documenting/analyzing the contents of sessions outside of the patient’s medical record. Progress notes are documented in the patient’s medical record. Psychotherapy notes are treated differently in privacy laws than progress notes as they contain sensitive, personal notes from the therapist that are typically not required or useful for treatment, payment, or healthcare operations; they are only beneficial for the mental health provider who created the notes. All the following are elements documented in the progress note in the medical record that WOULD NOT be documented in protected psychotherapy notes EXCEPT:
Group of answer choices
counseling session start and stop times
treatment plan modalities and frequencies
results of clinical screenings and testing
therapist thoughts about how difficult was to hear patient talk about sexual abuse due to potential countertransference
Question 72 1 pts
The nurse psychotherapist realizes that “true presence” in a therapeutic relationship involves which of the following?
Group of answer choices
Acceptance, nonjudgmental attitude and empathy.
Listening to what the meaning of a situation is in the moment.
“Being with” the patient rather than “doing to” the patient.
All of the above are true
Question 73 1 pts
All of the following are general principles of brief psychodynamic psychotherapy EXCEPT:
Group of answer choices
define a precipitating event
no therapy termination date is set
identify developmental issues and defenses to understand how to proceed
be sensitive to how the past is influencing the present
Question 74 1 pts
All of the following are appropriate reasons for using screening tools for assessment EXCEPT:
Group of answer choices
measuring patient outcomes
evaluating efficacy of treatment
supplementing the psychiatric interview
obtaining information from a non-cooperative patient
Question 76 1 pts
Socratic Dialogue is the gold standard for therapists asking patients questions to elicit answers in Cognitive Behavioral Therapy (CBT). The CBT therapist asks the patient “On a scale of 1 to 10 how would you rate your level of depression today?” “And how does that compare to 2 months ago?” This is an example of what type of question type in Socratic Dialogue?
Group of answer choices
Application questions
Memory questions
Evaluation questions
Translation questions
Question 77 1 pts
Which of the following statements is true for Cognitive-Behavioral Therapy (CBT)?
Group of answer choices
CBT is a system of psychotherapy based on a theoretical framework which maintains how an individual structures one’s experiences largely determines how one feels and behaves.
Maladaptive thoughts relating to the “cognitive triad” are rooted in irrational or illogical assumptions.
By changing one’s thoughts, emotions and behaviors can be changed.
All of the above are true
NRNP 6645 Psychotherapy with Multiple Modalities midterm exam 2025 – Question 88 1 pts
All of the following are types of Exposure Therapy aimed to reduce distress a person experiences with stimuli associated with danger EXCEPT:
Group of answer choices
Eye Movement Desensitization and Reprocessing
Dialectical Behavior Therapy
Prolonged Exposure
Exposure and Response Prevention
Question 91 1 pts
If a health care professional terminates treatment because of managed care failure to authorize the session who is liable for harm based upon abandonment of the treatment.
Group of answer choices
The health care provider
The managed care company.
The individual at the managed care company who failed to authorize necessary treatment.
all of these
Question 100 1 pts
Staff in an independent living facility notice that Mr. Smith, a 75-year-old male resident is alone most of the time and seems to have alienated most of the other residents and staff. The therapist understands that from Erikson’s psychosocial stages perspective, he is dealing with which psychosocial stage of development?
Group of answer choices
Intimacy vs. isolation
Ego integrity vs. despair
Generativity vs. stagnation
Autonomy vs. alienation
NRNP 6645 Psychotherapy with Multiple Modalities midterm exam 2025
