NR 606 MIDTERM EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ Underlying assumptions for child and adolescent psychotherapy.
Answer: Developmental considerations
Family involvement
Systems involvement
Resiliency
◉ Underlying assumptions for child and adolescent psychotherapy:
Developmental considerations. Answer: -developmental level will
impact how they:
• reason
• approach relationships
• regulate emotion and behavior
• communicate
-Developmental considerations
• inform the diagnostic process
• guide tx planning
,◉ Underlying assumptions for child and adolescent psychotherapy:
Family involvement. Answer: -Family involvement in tx & decision-
making
• a norm in child and adolescent psychotherapy
-invite parents to share the hx of the child or adolescent's chief
complaint & prior tx, medical & developmental hx, & behavioral info
privately with the therapist ahead of the session
• avoid feelings of criticism or discouragement
-collaborate with parent or caregiver as a tx partner
◉ Underlying assumptions for child and adolescent psychotherapy:
Systems involvement. Answer: -Therapists must consider the
systems that surround children & adolescents & promote their
development
• family
• school
• peers
• the community
-Therapy can help promote the child/adolescent's socioemotional
competence
-help develop a community support system
,◉ Underlying assumptions for child and adolescent psychotherapy:
Resiliency. Answer: -therapist work to promote resiliency in children
& adolescents
• using strength-based orientation
-supports:
• functioning
• self-regulation
• deal with challenges they faces
◉ Piaget's Stages of Cognitive Development. Answer: -Sensorimotor
stage: Birth-2 yrs
• cognitive abilities based on reflexes
• object permanence & causality
-Preoperational stage: 2-7yrs
• can use mental representations, symbolic thought, & language
• thinking is egocentric
-Concrete operational stage: 7-11yrs
• logical operations when thinking/solving problems
• thinking is concrete
, -Formal operational stage: 12yrs+
• Adolescent can use abstract reasoning in addition to logical
operations
• Child can understand theories, hypothesize, comprehend abstract
ideas (love & justice)
◉ Screening, Brief Intervention, Referral to Treatment (SBIRT).
Answer: -Screening
• Quickly assesses severity of substance use & ID the appropriate
level of tx
-Brief intervention
• Focuses on increasing insight & awareness regarding substance
use & motivation toward behavioral change
-Referral
• Guidance to tx provides those identified as needing more extensive
tx with access to specialty care
◉ Medication-Assisted Treatment (MAT). Answer: Treatment for
opioid use disorder combining the use of medications (methadone,
buprenorphine, or naltrexone) with counseling and behavioral
therapies.
QUESTIONS WITH ANSWERS GRADED A+
◉ Underlying assumptions for child and adolescent psychotherapy.
Answer: Developmental considerations
Family involvement
Systems involvement
Resiliency
◉ Underlying assumptions for child and adolescent psychotherapy:
Developmental considerations. Answer: -developmental level will
impact how they:
• reason
• approach relationships
• regulate emotion and behavior
• communicate
-Developmental considerations
• inform the diagnostic process
• guide tx planning
,◉ Underlying assumptions for child and adolescent psychotherapy:
Family involvement. Answer: -Family involvement in tx & decision-
making
• a norm in child and adolescent psychotherapy
-invite parents to share the hx of the child or adolescent's chief
complaint & prior tx, medical & developmental hx, & behavioral info
privately with the therapist ahead of the session
• avoid feelings of criticism or discouragement
-collaborate with parent or caregiver as a tx partner
◉ Underlying assumptions for child and adolescent psychotherapy:
Systems involvement. Answer: -Therapists must consider the
systems that surround children & adolescents & promote their
development
• family
• school
• peers
• the community
-Therapy can help promote the child/adolescent's socioemotional
competence
-help develop a community support system
,◉ Underlying assumptions for child and adolescent psychotherapy:
Resiliency. Answer: -therapist work to promote resiliency in children
& adolescents
• using strength-based orientation
-supports:
• functioning
• self-regulation
• deal with challenges they faces
◉ Piaget's Stages of Cognitive Development. Answer: -Sensorimotor
stage: Birth-2 yrs
• cognitive abilities based on reflexes
• object permanence & causality
-Preoperational stage: 2-7yrs
• can use mental representations, symbolic thought, & language
• thinking is egocentric
-Concrete operational stage: 7-11yrs
• logical operations when thinking/solving problems
• thinking is concrete
, -Formal operational stage: 12yrs+
• Adolescent can use abstract reasoning in addition to logical
operations
• Child can understand theories, hypothesize, comprehend abstract
ideas (love & justice)
◉ Screening, Brief Intervention, Referral to Treatment (SBIRT).
Answer: -Screening
• Quickly assesses severity of substance use & ID the appropriate
level of tx
-Brief intervention
• Focuses on increasing insight & awareness regarding substance
use & motivation toward behavioral change
-Referral
• Guidance to tx provides those identified as needing more extensive
tx with access to specialty care
◉ Medication-Assisted Treatment (MAT). Answer: Treatment for
opioid use disorder combining the use of medications (methadone,
buprenorphine, or naltrexone) with counseling and behavioral
therapies.
