NRNP 6645 final exam questions 2025
NRNP 6645 final exam questions 2025
Question 1 1 pts
The therapist working with a patient diagnosed with borderline personality disorder is aware that which of the following attachment styles has been highly correlated with this disorder?
Group of answer choices
Secure attachment style
Unresolved attachment style
Preoccupied attachment style
Disorganized attachment style
Question 2 1 pts
Which of the following are psychotherapeutic techniques used in person centered psychotherapy?
Group of answer choices
A highly structured approach is used.
Process interventions are widely used.
Directive, interpretive techniques are used.
A nondirective-facilitative counseling approach is used.
Question 3 1 pts
Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) is a relationship-based treatment approach implemented with the parents and child. The therapist is guided in this treatment technique with the following acronym associated with TF-CBT for the treatment of trauma in children:
Group of answer choices
PACE
PERFORM
PREVENT
PRACTICE
Question 4 1 pts
Which of the following is true about dreamwork from a Gestalt perspective?
Group of answer choices
The individual tells the dream in past tense
Elements of the dream are viewed using standardized dream symbol meaning.
A dream diary is required to capture all elements of the team.
The characters and objects in the dream are projections of the individual whose dream it is.
Question 51 pts
Neuroscientists argue self-regulation development begins in childhood and involves developing inhibitory control with the integration of emotion with memory. What areas of the brain do they claim are involved with this process?
Group of answer choices
Broca’s Area
Basal Ganglia
Wernicke’s Area
Frontal lobe in coordination with limbic structures
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Question 6 1 pts
Which of the following therapeutic approaches would be a better choice for an older adult who presents with chronic depression, mild cognitive impairment expressing concerns about a negative life event and perceives himself as helpless?
Group of answer choices
Interpersonal Psychotherapy (IPT)
Cognitive Behavioral Therapy (CBT)
Cognitive Behavioral Therapy for Mild Dementia (CBT-MD)
Reminiscence Therapy (RT)
Question 71 pts
All of the following are guiding principles for 12-step Peer Support Groups for patients diagnosed with substance use disorders EXCEPT:
Group of answer choices
Examining past errors with the help of a sponsor
Recognizing a higher power that can give strength
Forgetting past errors and move forward without further thought
Admitting that one cannot control one’s addiction or compulsion
Question 9 1 pts
An important element of child psychotherapy is goal setting. Which of the following demonstrates the best way to build therapeutic relationship in goal setting for family therapy:
Group of answer choices
Allowing only the child to participate in goal setting.
Allowing only the parent/guardian to participate in goal setting.
Allowing both the parent/guardian and child to participate in goal setting.
Allowing neither parent or child to participate in goal setting.. After careful assessment the therapist determines they should set the therapy goals.
Question 10 1 pts
When evaluating the concept of resiliency building in children through psychotherapy, the best outcome is defined as:
Group of answer choices
curing with psychotropic medication
healing so children can regulate their emotions/behaviors to be positively connected in their social environments
ensuring they child does not have disciplinary actions while in school
ensuring children do not have arguments with their siblings
NRNP 6645 final exam questions 2025 Question 11 1 pts
Research suggests that psychodynamic therapeutic approaches are effective for some children, particularly those with which of the following disorders?
Group of answer choices
Conduct Disorders
Anxiety and Depression
Depression and Psychosis
Attention Deficit-Hyperactivity Disorders
Question 12 1 pts
Which best describes gerotranscendence?
Group of answer choices
Erik Erikson’s ninth stage of development
Emphasizes ongoing growth over decrements
Focuses on the transition to old-old (80 years and older).
Focuses on letting go and coming to terms with end of one’s life
Question 13 1 pts
Advanced Practice Registered Nurses use medical evaluation and management (E/M) codes for billing treatment services. The specific five-digit E/M code is chosen based on patient type, service location, and service level. What do the third and fourth digits of an E/M code identify?
Group of answer choices
- type of patient
- location of service
- both A and B are true
- None of these
Question 14 1 pts
Gestalt therapists are aware patients have boundary disturbances in awareness and contact and bring awareness to these interruptions through ways to reduce them and restore self-regulation. What is the interruption concept known to therapists to mean patients allow a blurring between themselves and their environment, they “try to blend in and get along with everyone”?
Group of answer choices
Introjection
Projection
Deflection
Confluence
Question 15 1 pts
The “here and now” approach in Humanistic-Existential Therapy is often a misunderstood concept where people believe talking about the “here and now” means the current present only when it truly means talking about the past, present, and future as if experienced in the present.
Group of answer choices
True
False
Question 161 pts
The primary source for constructive change in a humanistic-existential approach is which of the follow:
Group of answer choices
The patient’s motivation
The therapist’s structure
The therapist-patient relationship
The patient-family relationship
Question 171 pts
A specific type of CBT therapies aimed to reduce distress as a person experiences sensation with danger is known as which of the following?
Group of answer choices
Exposure Therapy
Cognitive Rehearsal
Guided relaxation and meditation
Shame-Attacking
Question 181 pts
Which of the following is true about communication with children and adolescents?
Group of answer choices
Communication is developmentally based.
Offices should be free of toys or distractions.
Speak to children in adult manner as it lets them know you take them seriously.
Communicate at level lower than the child or adolescent to improve their self-esteem.
Question 191 pts
The following are specific strategies for working with adolescents versus adults in psychotherapy EXCEPT which of the following?
Group of answer choices
Therapist assumes a more active role
Stage of brain development is more of a consideration for therapy techniques implemented
It is especially helpful to leave extremely long silence episodes between interactions
Monitor nonverbal body language for worsening anxiety, gently move to another line of conversation, then circle back around to uncomfortable topic as build therapeutic relationship allows
Question 201 pts
Functional status refers to
Group of answer choices
A person’s capacity to manage activities of daily living independently
A person’s positive perspective on their own capabilities
A person’s expected increase in dependency as one ages
A person’s expected decrease in independence as one ages
Question 211 pts
According to Wheeler et al. (2020) which of the following is NOT supported by current evidence about Mental Health in older adults?
NRNP 6645 final exam questions 2025 Group of answer choices
At least 20% of older adults have one or more mental health or substance use conditions.
Mental illness is a normal part of aging.
There is an increasing need for behavioral health and substance abuse specialty services in primary care.
Mental health policy and treatment of older adults have lagged resulting in this population being underserved.
Question 221 pts
One key diagnostic feature for changing a diagnosis of Acute Stress Disorder to Posttraumatic Stress Disorder is the following:
Group of answer choices
symptoms develop after a trauma event and persist after 4 weeks
symptoms develop after a trauma event and persist for 2 weeks only
6 out of 14 diagnostic symptoms from the DSM-5 are noted after 3 days
there is no reported “sense of numbing”
Question 231 pts
Evidence supports which of the following statements about women and addictions treatment?
Group of answer choices
Women seeking treatment for substance use disorder are more likely than men to have experienced traumatic events.
Women are more apt to drop out of treatment than men.
Women are less likely than men to seek mental health services.
Women are less likely than men to participate in group therapy.
Question 241 pts
Which of the following Dialectical Behavioral Therapy (DBT) strategies are implemented by therapists based upon the knowledge that many patients in need of this psychotherapy treatment modality experience poor boundary maintenance as a way of attempting to influence others?
Group of answer choices
expression of a desire to have mutual respect and reassurance of desire for helping the patient
reassurance confidentiality within the limits of the law and ethical practice will be maintained which includes a duty to report clear risks of harm to self and/or others
maintaining clear boundaries of the therapeutic relationship including ethical conduct and separation of personal and professional roles
All of the above are important strategies for DBT
Question 251 pts
Which theorist is known as the founder of phenomenology and focused on a “person’s lived experience as the source of knowledge and truth”?
Group of answer choices
Freud
Jung
Husserl
Henderson
Question 261 pts
The primary goal for the stabilization stage of trauma treatment when considering patient safety before moving from the safety stage to the processing stage is for the patient to demonstrate:
Group of answer choices
self-regulation of internal states of arousal
disregarding trust and therapeutic relationships
work toward preventing traumatic countertransference
learn to deny the trauma
Question 271 pts
The loss of control over the intense urge to take a drug even at the expense of adverse consequences is known as which of the following?
Group of answer choices
Tolerance
Withdrawal
Addiction
A craving
Question 281 pts
Which of the following statements is consistent with a humanistic-existential approach when the patient starts talking about past event?
Group of answer choices
Tell me about your childhood.
Let’s just focus on the here and now.
Tell me the story as if it were happening now.
Tell me what happened last week.
Question 291 pts
McGovern et al (2014) have found which of the following therapeutic approaches helpful In working with post-stroke patients experiencing depression?
Group of answer choices
Interpersonal Therapy for Mild Cognitive Impairment (IPT-CT)
Problem-Solving Therapy for Executive Dysfunction (PST-ED)
Cognitive Behavioral Therapy for Mild Dementia (CBT-MD)
Ecosystem-Focused therapy (EFT)
Question 301 pts
The mother of a 6-year-old is concerned that the child seems to always want to pretend when playing. Which would be an appropriate response to the mother?
Group of answer choices
This shows some regression as most children of this age are in the concrete operational stage and play should be more realistic.
This is an appropriate activity for a child of this age consistent with Piaget’s sensorimotor stage.
Pretend play is an appropriate activity for a child in the Preoperational stage of cognitive development.
Pretend play shows the ability to think abstractly which indicates cognitive ability consistent with the formal operational stage of cognitive development.
Question 311 pts
Which of the following is true about the use of medications and/or psychotherapy in the treatment of patients diagnosed with Posttraumatic Stress Disorder (PTSD)?
Group of answer choices
Medication may be a helpful as an adjunctive treatment but is not a first-line treatment
Medication directly promotes new learning and processing.
Medications assuage the guilt, grief and interpersonal difficulties specifically in patients with PTSD.
Medications alone can cure PTSD
Question 321 pts
Dialectical Behavior Therapists realize which of the following:
Group of answer choices
Everyone with borderline personality has comorbid posttraumatic stress disorder (PTSD
Everyone diagnosed with PTSD can be diagnosed with comorbid borderline personality disorder.
There are important overlapping symptoms and neuropsychological correlates that PTSD and borderline personality disorder have in common.
DBT should only be used with individuals diagnosed with personality disorder or those with chronic suicidal thoughts.
Question 331 pts
In working with an older adult patient in the termination phase the therapist suggests it may be helpful to teach family members ways to support the patient and prevent relapse. This suggestion demonstrates which of the following?
Group of answer choices
A major HIPPA violation
Lack of confidence in the patient and the therapeutic process of CBT
An appropriate strategy to solidify a supportive network for the patient.
Resistance to terminating the therapeutic relationship.
Question 341 pts
The therapist using Dialectical Behavior Therapy with a patient with borderline personality disorder uses persuasive dialogue to do which of the following?
Group of answer choices
- Invite the patient to new ways of viewing a situation
- Guiding patient to develop more skills to achieve a greater quality of life.
- Engage the patient in change talk
- A and B
Question 361 pts
When referring a patient to a 12-step group the therapist realizes which of the following supports successful patient engagement in 12-step group participation?
Group of answer choices
- Provide an overview of the 12-step approach, explain the concept of powerlessness and spirituality within the 12-step tradition.
- Use Motivational Interviewing contracts for attendance at several different groups to find the right “fit” and encourage attendance.
- Encourage patient to not worry about going to the groups because due to high attrition rates, most groups have many new patients at each session.
- A and B only
Question 371 pts
Which of the following would NOT be a first-line intervention for an individual with Posttraumatic Stress Disorder?
Group of answer choices
CPT
CPT-PE
EMDR therapy
Pharmacological interventions.
Question 381 pts
The Gestalt therapist notices the patient is fidgeting with fingers, legs are shaking and asks the patient “What are you experiencing right now in your body?” This is a type of creative experimentation known as which of the following?
Group of answer choices
Focusing
Body awareness
Language of responsibility
Empty-chair dialogue
Question 571 pts
The patient in Dialectical Behavior Therapy (DBT) is focusing on self-efficacy, interdependence, and self-dependence. At times, the patient seems bored with therapy and informs the therapist of re-emerging thoughts of self-harming but does not want to act on these thoughts. The therapist using the DBT model of therapy would do which of the following?
Group of answer choices
Do nothing different.
Increase the frequency and intensity of processing the trauma
Decrease the frequency and intensity of processing the trauma
Immediately hospitalized the patient without further assessment
Question 581 pts
Which of the following is true about Complementary and Alternative Medicine (CAM) Therapies and Older Adults?
Group of answer choices
CAM therapies are a good alternative to conventional medicine
CAM therapies can be used in conjunction with psychotherapy to provide effective, evidence-based treatments to older adults with psychiatric disorder.
Evidence is unclear whether CAM therapies improve quality of life or wellness in older adults.
Most middle age and older adults are reluctant to use CAM therapies for management of mental health concerns.
Question 591 pts
The most effective treatment for SUD with or without co-morbid psychiatric disorders is:
Group of answer choices
Multidimensional addressing medical, psychosocial and mental health issues
Trauma-informed care.
12-Step Peer Support Groups
Cognitive Behavioral Therapy
Question 601 pts
The following is considered the first-line treatment recommendation for Postraumatic Stress Disorders:
Group of answer choices
Electroconvulsive Therapy
Psychotropic Medications
Psychotherapy
None of these
Question 611 pts
Which of the following is not consistent with the Dialectical Behavior Therapy approach to boundary maintenance?
Group of answer choices
Clarify explicitly the boundaries of the therapeutic relationship.
The therapist will maintain confidentiality within the limits of the law and ethical practice.
Explain a professional relationship is based on mutual respect and the desire to help the patient.
Maintain a rigid distant relationship with the patient to avoid any mixed messages to the patient.
Question 621 pts
Which of the following screening tools for alcohol and drug use is recommended specifically for the target population of pregnant women:
Group of answer choices
AUDIT-C
CRAFFT
CAGE
UNCOPE
Question 641 pts
A Trauma Resiliency Model therapist encourages the patient to describe the “felt sense” of internal or external body sensations associated with resilience, stress, and release. This is known as which of the following Trauma Resiliency Model skills?
Group of answer choices
Tracking
Resourcing and resource intensification
Grounding
Gesturing
Question 651 pts
The concept of resiliency in child therapies is in direct contrast to which traditional approach for treating children?
Group of answer choices
Family inclusion
The concept of recovery
Problem-based therapy
Interacting systems consideration
NRNP 6645 final exam questions 2025 Question 661 pts
An organized, consistent set of perceptions about the self, continually influenced by experience and its interpretation which includes self-worth, self-image and ideal self, is which key concept of person-centered therapy?
Group of answer choices
Belief of human nature
Self-concept
Actualizing tendency
Fully functioning person
Question 671 pts
Clinical practice guidelines recommend the use of psychotropic medications in combination with psychotherapy for which of the following child and adolescent severe emotional disorder:
Group of answer choices
Pediatric bipolar disorder
Insomnia
Attachment Disorder
Oppositional Defiant Disorder
Question 681 pts
In working with an older adult female patient, the therapist notices that the patient starts bringing her baked goods. Once the patient stated, “You remind me so much of my daughter, you are so easy to talk to.” The therapist recognizes this interaction is related to the following concept:
Group of answer choices
Gerotranscendence
Transference
Countertransference
Time for termination
Question 691 pts
Patient-reported signs of dissociation may include all the following EXCEPT:
Group of answer choices
Feeling out of touch with surroundings
Feeling like they are on autopilot
Things sound different, muffled or too loud, tiny, or echoing
Body becomes still or stiff
Question 701 pts
Which of the following capture techniques of interviewing communication skills with the acronym OARS (open questions, affirming, reflecting, summarizing)?
Group of answer choices
Couples Interviewing Skills
Family Interviewing Skills
Interpersonal Interviewing Skills
Motivational Interviewing Skills
Question 711 pts
Medication management sessions, psychotherapy sessions, and combination medication management with add-on psychotherapy sessions will all have different billing codes and reimbursement rates; therefore, advanced practice nurses who conduct psychotherapy as well as prescribe psychotropic medications must have a good understanding of the differences as well as the documentation requirements for each type of session.
Group of answer choices
True
False
Question 721 pts
A patient whose husband had recently died suddenly expresses remorse regarding an argument they had shortly before his death. The Gestalt Therapist would likely use which of the following techniques to complete unfinished business?
Group of answer choices
Empty-chair dialogue
Dreamwork
Language of responsibility
Focusing
Question 731 pts
All of the following support emotional stability and well-being in older adults EXCEPT:
Group of answer choices
Diminished functional status
sense of personal control and empowerment
decisional control
resilience in recovery
Question 741 pts
An older adult female talks frequently about her love of gardening as a way of coping. The therapist begins to realize after self-reflection that she allows the therapy session to move more toward a discussion of the love for flowers instead of focusing on the patient’s concerns because the therapist’s deceased mother also had a love of gardening. This phenomenon is best known as:
Group of answer choices
Gerotransference
Transcendence
Countertransference
A sign of a close therapeutic relationship
Question 751 pts
Which of the following is a biologically based psychotherapy model best known to be used to treat patients who have experienced trauma?
Group of answer choices
Trauma Resiliency Model
Cognitive Behavioral Therapy
Existential Psychotherapy
Psychodynamic Psychotherapy
Question 761 pts
Which therapy approach has been shown to be effective in reducing depressive symptoms and suicidality in older adult with co-existing personality disorders?
Group of answer choices
Dialectical Behavior Therapy (DBT)
Ecosystem-Focused Therapy (EFT)
Cognitive Behavioral Therapy for Executive Dysfunction (CBT-MD)
Problem Adaptation Therapy (PATH)
Question 781 pts
The patient participating in Dialectical Behavior Therapy with a history of self-harming through cutting, the patient has been focusing on non-traumatizing emotional experiences and has shown progress in behavior control and management of emotions. The therapist recognizes the patient is ready for which of the following:
Group of answer choices
The patient is ready to focus on building a therapeutic relationship
The patient is ready to focus on how to cope with scars
The patient is ready to focus on past trauma events
The patient is ready to focus on termination from therapy.
Question 791 pts
Which of the following is NOT consistent with a family-centered approach in child therapy?
Group of answer choices
In family-centered treatment, the family is the focus of treatment.
Family- centered treatment is appropriate to improve family interactions.
Family-centered treatment is appropriate to keep families engaged in services
Family-centered treatment is appropriate to increase family knowledge about mental health.
Question 801 pts
The therapist notices in working with a patient with a dissociative disorder that the person appears to be doing worse after significant gains are made. The therapist understands the reason for this phenomenon is likely which of the following:
Group of answer choices
This indicates the change(s) really did not take
The patient is consciously sabotaging the therapy.
This indicates process is trying to force a change too fast.
As positive changes occur they may be followed by a temporary increase in sadness, anger, or anxiety because even positive change may be experienced as a loss.
Question 811 pts
The MOST fundamental art aspect for a therapist in the science practice of Dialectical Behavioral Therapy treatment is assisting the patient with:
Group of answer choices
accepting and changing behaviors, to step out of comfort zone, synthesize fear and pain, and develop new skills/characteristics for greater quality of life
drawing genograms
uncovering lies the patient has told
pointing out the damage created by patient behaviors
Question 821 pts
The therapist working with the older adult cohort recognizes:
Group of answer choices
As a group, the elderly, regardless of specific age, race or experiences have similar issues.
This is basically the baby boomer generation, with great empowerment and entitlement
This enlightened cohort sees no stigma with mental health diagnosis or treatment.
There is great diversity with individual variation and cohort effects
Question 831 pts
The advanced practice registered nurse can add time reviewing charts, reviewing results of tests, ordering medications, collaborating with other professionals, insurance pre-authorizations, and interacting with the pharmacy to patient face-to-face billing times if these activities occur on the same day the patient is seen for the visit.
Group of answer choices
True
False
Question 841 pts
The person-centered therapist who is genuine and authentic during the therapy session is exhibiting which psychological condition?
Group of answer choices
Congruence
Actualizing tendency
Belief of human nature
Accurate empathic understanding
NRNP 6645 final exam questions 2025 Question 85 1 pts
Challenges assessing psychiatric symptoms in older adults include which of the following EXCEPT:
Group of answer choices
Denial of symptoms
Age-related variations in symptom presentation
Masking of symptoms by comorbid disorders and medications
Ease in obtaining an accurate mental health history
Question 871 pts
Constructing from a biopsychosocial Four Perspectives framework, the therapist will use the following “four Ps” when formulating treatment goals for children:
Group of answer choices
predisposing, precipitating, perpetuating, and protective factors
predictive, promising, percolating, and protective factors
precipitating, purposeful, processing, and protective factors
prescribing, populating, performing, and protective factors
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Question 881 pts
The therapist proficient in Interpersonal Psychotherapy (IPT) is working with an older adult. The patient does not recognized she has depression. Which of the following is true?
Group of answer choices
- IPT is not an appropriate model for treating depression in older adults.
- This is a common IPT issue with older adults during the initial sessions.
- The therapist should consider using a standardized scale to quantify the depression and use this to educate the patient and the family.
- B and C
Question 891 pts
Addiction is now recognized as:
Group of answer choices
A primary disease of the brain’s neurocircuitry
A volitional behavior that can be managed independently’
A family issue to be dealt with privately
A volitional behavior that will never be cured
Question 901 pts
Which of the following is NOT consistent with Eye Movement Desensitization and Reprocessing (EMDR) in treating patients diagnosed with Posttraumatic Stress Disorders?
Group of answer choices
Treatment effects are witnessed in patients at rates of 77%-100% of with remission after 3-6 sessions
EMDR requires homework
EMDR treatment mechanism of action is unclear
EMDR was the first psychotherapy to demonstrate neurophysiological effects in response to treatment
Question 911 pts
In providing psychoeducation to a patient in recovery from substance use disorders, the therapist would NOT include which of the following?
Group of answer choices
Recovery is a lifelong process of change
A patient is considered recovered after 6 months free of substance use.
Recovery encompasses dimensions of health, home, purpose and community.
Recovery applies to recovery from mental disorder, substance use disorders and behavioral addictions.
Question 931 pts
In diagnosing children and adolescents with mental health disorders, the therapist must remember the following considerations to be true:
Group of answer choices
- children’s psychiatric diagnoses are not static and can change over the years
- taxonomies do not provide for a child or adolescent presentation that might be a blend of behaviors that do not fit one existing diagnostic criteria
- Both A and B are true
- None of these are true
Question 941 pts
A therapist specializing in the treatment of patients diagnosed with Posttraumatic Stress Disorders begins to experience disturbing dreams, anxiety, increased fatigue, and irritability. These symptoms are consistent with the phenomenon of:
Group of answer choices
Transference
Countertransference
Secondary trauma
Burnout
Question 951 pts
The therapist understands the following statements regarding traits identified for individuals diagnosed with personality disorders include all the following EXCEPT:
Group of answer choices
Often these individuals will see their problems as independent of their own behaviors.
These individuals will often describe themselves as a victim.
These individuals often present for treatment at the request of a significant other or other external pressure.
These individuals already have resiliency in coping.
Question 971 pts
Using a psychodynamic psychotherapy stage-oriented model for the treatment of trauma, the therapist would do which of the following in Stage 1?
Group of answer choices
- Address safety issues
- Process painful memories
- Promote symptoms stabilization
- A and B are true
Question 981 pts
What two therapeutic strategies assist with developing “dual awareness” for patients in the treatment of trauma?
Group of answer choices
Grounding and Managing Flashbacks
Mindfulness and Rating of Level of Disturbance
Sleep Hygiene and Administering Psychotropic Medication
None of these are true
Question 1001 pts
Dysregulation of this area of the brain is associated with memory problems and this person may be unable to integrate memories into the present and personal memory into identity, and thought to underlie symptoms of flashbacks, nightmares, avoidances and dissociation.
NRNP 6645 final exam questions 2025 Group of answer choices
Locus coeruleus
Cerebellum
Thalamus
Hypothalamus
