NRNP 6645 PSYCHOTHERAPY FINAL EXAM – QUESTIONS AND ANSWERS | VERIFIED
AND WELL DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST
EXAM UPDATE
CORE DOMAINS*
• Psychotherapy Theories and Modalities
• Cognitive Behavioral Therapy (CBT)
• Group and Family Therapy
• Motivational Interviewing
• Crisis Intervention and Trauma-Informed Care
• Ethics and Legal Standards in Psychotherapy
• Therapeutic Communication and Rapport Building
• Cultural Competence and Diversity
• Psychiatric Assessment and Treatment Planning
• Evidence-Based Psychotherapeutic Interventions
INTRODUCTION*
,The NRNP 6645 Psychotherapy Final Exam evaluates the learner’s understanding of major
psychotherapy theories, therapeutic communication techniques, ethical and legal
responsibilities, and evidence-based clinical interventions. The examination assesses the
ability to apply psychotherapy principles in diverse clinical settings using both foundational
knowledge and critical thinking skills. Questions include multiple-choice and scenario-based
formats designed to test clinical judgment, patient-centered care, treatment planning, and
professional decision-making. Emphasis is placed on real-world psychotherapy applications,
cultural sensitivity, therapeutic alliance development, crisis management, and adherence to
ethical standards in advanced psychiatric nursing practice.
SECTION ONE: QUESTIONS 1–50
1. Which therapeutic approach primarily focuses on identifying and changing distorted
thinking patterns?
A. Psychoanalysis
B. Cognitive Behavioral Therapy
C. Humanistic Therapy
D. Gestalt Therapy
🟢 Correct Answer: B. Cognitive Behavioral Therapy
🔴 Explanation: CBT focuses on identifying maladaptive thoughts and replacing them with
healthier cognitive patterns to improve emotions and behaviors.
, 2. A therapist demonstrates unconditional positive regard during sessions. This concept
is most associated with which theorist?
A. Carl Rogers
B. Sigmund Freud
C. Aaron Beck
D. B.F. Skinner
🟢 Correct Answer: A. Carl Rogers
🔴 Explanation: Carl Rogers emphasized unconditional positive regard as a central
component of person-centered therapy.
3. Which defense mechanism involves refusing to acknowledge painful realities?
A. Projection
B. Rationalization
C. Denial
D. Sublimation
🟢 Correct Answer: C. Denial
🔴 Explanation: Denial occurs when an individual avoids accepting reality or facts that are
emotionally distressing.
4. During motivational interviewing, the therapist’s primary goal is to:
, A. Confront the patient aggressively
B. Diagnose personality disorders
C. Analyze unconscious conflicts
D. Enhance intrinsic motivation for change
🟢 Correct Answer: D. Enhance intrinsic motivation for change
🔴 Explanation: Motivational interviewing helps patients explore ambivalence and
strengthen internal motivation for behavioral change.
5. A patient states, “Nobody at work likes me.” Which CBT technique would best
challenge this belief?
A. Dream interpretation
B. Cognitive restructuring
C. Free association
D. Flooding
🟢 Correct Answer: B. Cognitive restructuring
🔴 Explanation: Cognitive restructuring helps patients examine and modify irrational or
distorted beliefs.
6. Which therapy is most strongly associated with exposure techniques for anxiety
disorders?
AND WELL DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST
EXAM UPDATE
CORE DOMAINS*
• Psychotherapy Theories and Modalities
• Cognitive Behavioral Therapy (CBT)
• Group and Family Therapy
• Motivational Interviewing
• Crisis Intervention and Trauma-Informed Care
• Ethics and Legal Standards in Psychotherapy
• Therapeutic Communication and Rapport Building
• Cultural Competence and Diversity
• Psychiatric Assessment and Treatment Planning
• Evidence-Based Psychotherapeutic Interventions
INTRODUCTION*
,The NRNP 6645 Psychotherapy Final Exam evaluates the learner’s understanding of major
psychotherapy theories, therapeutic communication techniques, ethical and legal
responsibilities, and evidence-based clinical interventions. The examination assesses the
ability to apply psychotherapy principles in diverse clinical settings using both foundational
knowledge and critical thinking skills. Questions include multiple-choice and scenario-based
formats designed to test clinical judgment, patient-centered care, treatment planning, and
professional decision-making. Emphasis is placed on real-world psychotherapy applications,
cultural sensitivity, therapeutic alliance development, crisis management, and adherence to
ethical standards in advanced psychiatric nursing practice.
SECTION ONE: QUESTIONS 1–50
1. Which therapeutic approach primarily focuses on identifying and changing distorted
thinking patterns?
A. Psychoanalysis
B. Cognitive Behavioral Therapy
C. Humanistic Therapy
D. Gestalt Therapy
🟢 Correct Answer: B. Cognitive Behavioral Therapy
🔴 Explanation: CBT focuses on identifying maladaptive thoughts and replacing them with
healthier cognitive patterns to improve emotions and behaviors.
, 2. A therapist demonstrates unconditional positive regard during sessions. This concept
is most associated with which theorist?
A. Carl Rogers
B. Sigmund Freud
C. Aaron Beck
D. B.F. Skinner
🟢 Correct Answer: A. Carl Rogers
🔴 Explanation: Carl Rogers emphasized unconditional positive regard as a central
component of person-centered therapy.
3. Which defense mechanism involves refusing to acknowledge painful realities?
A. Projection
B. Rationalization
C. Denial
D. Sublimation
🟢 Correct Answer: C. Denial
🔴 Explanation: Denial occurs when an individual avoids accepting reality or facts that are
emotionally distressing.
4. During motivational interviewing, the therapist’s primary goal is to:
, A. Confront the patient aggressively
B. Diagnose personality disorders
C. Analyze unconscious conflicts
D. Enhance intrinsic motivation for change
🟢 Correct Answer: D. Enhance intrinsic motivation for change
🔴 Explanation: Motivational interviewing helps patients explore ambivalence and
strengthen internal motivation for behavioral change.
5. A patient states, “Nobody at work likes me.” Which CBT technique would best
challenge this belief?
A. Dream interpretation
B. Cognitive restructuring
C. Free association
D. Flooding
🟢 Correct Answer: B. Cognitive restructuring
🔴 Explanation: Cognitive restructuring helps patients examine and modify irrational or
distorted beliefs.
6. Which therapy is most strongly associated with exposure techniques for anxiety
disorders?
