WALDEN UNIVERSITY NRNP 6645/NRNP6645
PSYCHOTHERAPY WITH MULTIPLE MODALITIES
MIDTERM EXAM 2 DIFFERENT VERSIONS 200
QS AND ANSWERS - WEEK 6 LATEST UPDATE
SECTION 1: FOUNDATIONS OF PSYCHOTHERAPY & THERAPEUTIC FRAME
Question 1
A psychiatric mental health nurse practitioner (PMHNP) is seeing a patient for the
first time. The patient states, "I don't know if talking will help." Which response
best demonstrates a therapeutic frame?
A) "Talking always helps, trust me."
B) "Medication might be a better option for you."
C) "Some people feel that way. What concerns you about talking?"
D) "Let's just try it for 15 minutes."
Correct Answer: C
Rationale: Validating the patient's concern while inviting exploration respects
autonomy and builds alliance. Option A is dismissive, B changes the subject
prematurely, and D imposes without addressing resistance .
Question 2
The concept that reminds us that families are open systems, and our
interpretations are shaped by assumptions we absorb from the culture is known
as:
A) Systems Theory
B) Constructivism
,C) Attachment Theory
D) Object Relations Theory
Correct Answer: B
Rationale: Constructivism emphasizes that families are open systems and that our
interpretations are shaped by cultural assumptions. Systems theory focuses on
family interactions, attachment theory on early bonds, and object relations on
internalized relationships .
Question 3
Good practice habits that are relevant for legal and ethical professional
responsibility include which of the following? (Select all that apply)
A) Maintaining accurate and timely documentation
B) Obtaining informed consent
C) Maintaining confidentiality within legal limits
D) Practicing within scope of competence
Correct Answer: A, B, C, and D (All of the above)
Rationale: All of these are fundamental to legal and ethical professional
responsibility. Documentation, informed consent, confidentiality, and scope of
practice are core components of ethical practice standards .
Question 4
The advanced practice psychiatric nurse may intervene as appropriate with
agencies or persons in order to advocate for the patient; do for the patient what
he or she cannot do for self, always with an aim toward maximum independence
and growth. This is consistent with which basic strategy of dynamic supportive
therapy?
A) Enhance self-esteem
B) Strengthen defenses
,C) Improve reality testing
D) Maximize adaptive coping mechanisms
Correct Answer: D
Rationale: In dynamic supportive therapy, the therapist advocates for the patient
and provides support with the goal of maximizing independence and growth. This
aligns with the strategy of maximizing adaptive coping mechanisms .
Question 5
The capacity to be alone is known as which of the following?
A) Oneness
B) Autonomy
C) Independence
D) Object constancy
Correct Answer: D
Rationale: Object constancy, a concept from object relations theory, refers to the
capacity to maintain a positive internalized image of another person even when
apart, and also encompasses the capacity to be alone without feeling abandoned
or empty .
Question 6
A PMHNP notices a patient consistently arrives 10 minutes late to sessions. Which
psychodynamic concept best explains this behavior?
A) Transference
B) Resistance
C) Countertransference
D) Free association
Correct Answer: B
, Rationale: Resistance refers to the patient's unconscious avoidance of threatening
material, which can manifest through behaviors like lateness. Transference
involves feelings displaced from past figures onto the therapist .
SECTION 2: PSYCHODYNAMIC & PSYCHOANALYTIC THERAPY
Question 7
According to Freud's Psychosexual stages, development of sexual identity occurs
during what age range?
A) 18 months to 3 years
B) 3 years to 6 years
C) 6 years to 12 years
D) 13 years to 20 years
Correct Answer: B
Rationale: According to Freud, the phallic stage (ages 3-6 years) is when sexual
identity development occurs, including the Oedipus complex. The anal stage is 18
months to 3 years, latency is 6-12 years, and genital is adolescence .
Question 8
According to Freud, failure to successfully accomplish the tasks of learning
independence and control is associated with which of the following problematic
traits?
A) Excessive dependency
B) Orderliness
C) Sexual identity issues
D) Excessive guilt
Correct Answer: A
PSYCHOTHERAPY WITH MULTIPLE MODALITIES
MIDTERM EXAM 2 DIFFERENT VERSIONS 200
QS AND ANSWERS - WEEK 6 LATEST UPDATE
SECTION 1: FOUNDATIONS OF PSYCHOTHERAPY & THERAPEUTIC FRAME
Question 1
A psychiatric mental health nurse practitioner (PMHNP) is seeing a patient for the
first time. The patient states, "I don't know if talking will help." Which response
best demonstrates a therapeutic frame?
A) "Talking always helps, trust me."
B) "Medication might be a better option for you."
C) "Some people feel that way. What concerns you about talking?"
D) "Let's just try it for 15 minutes."
Correct Answer: C
Rationale: Validating the patient's concern while inviting exploration respects
autonomy and builds alliance. Option A is dismissive, B changes the subject
prematurely, and D imposes without addressing resistance .
Question 2
The concept that reminds us that families are open systems, and our
interpretations are shaped by assumptions we absorb from the culture is known
as:
A) Systems Theory
B) Constructivism
,C) Attachment Theory
D) Object Relations Theory
Correct Answer: B
Rationale: Constructivism emphasizes that families are open systems and that our
interpretations are shaped by cultural assumptions. Systems theory focuses on
family interactions, attachment theory on early bonds, and object relations on
internalized relationships .
Question 3
Good practice habits that are relevant for legal and ethical professional
responsibility include which of the following? (Select all that apply)
A) Maintaining accurate and timely documentation
B) Obtaining informed consent
C) Maintaining confidentiality within legal limits
D) Practicing within scope of competence
Correct Answer: A, B, C, and D (All of the above)
Rationale: All of these are fundamental to legal and ethical professional
responsibility. Documentation, informed consent, confidentiality, and scope of
practice are core components of ethical practice standards .
Question 4
The advanced practice psychiatric nurse may intervene as appropriate with
agencies or persons in order to advocate for the patient; do for the patient what
he or she cannot do for self, always with an aim toward maximum independence
and growth. This is consistent with which basic strategy of dynamic supportive
therapy?
A) Enhance self-esteem
B) Strengthen defenses
,C) Improve reality testing
D) Maximize adaptive coping mechanisms
Correct Answer: D
Rationale: In dynamic supportive therapy, the therapist advocates for the patient
and provides support with the goal of maximizing independence and growth. This
aligns with the strategy of maximizing adaptive coping mechanisms .
Question 5
The capacity to be alone is known as which of the following?
A) Oneness
B) Autonomy
C) Independence
D) Object constancy
Correct Answer: D
Rationale: Object constancy, a concept from object relations theory, refers to the
capacity to maintain a positive internalized image of another person even when
apart, and also encompasses the capacity to be alone without feeling abandoned
or empty .
Question 6
A PMHNP notices a patient consistently arrives 10 minutes late to sessions. Which
psychodynamic concept best explains this behavior?
A) Transference
B) Resistance
C) Countertransference
D) Free association
Correct Answer: B
, Rationale: Resistance refers to the patient's unconscious avoidance of threatening
material, which can manifest through behaviors like lateness. Transference
involves feelings displaced from past figures onto the therapist .
SECTION 2: PSYCHODYNAMIC & PSYCHOANALYTIC THERAPY
Question 7
According to Freud's Psychosexual stages, development of sexual identity occurs
during what age range?
A) 18 months to 3 years
B) 3 years to 6 years
C) 6 years to 12 years
D) 13 years to 20 years
Correct Answer: B
Rationale: According to Freud, the phallic stage (ages 3-6 years) is when sexual
identity development occurs, including the Oedipus complex. The anal stage is 18
months to 3 years, latency is 6-12 years, and genital is adolescence .
Question 8
According to Freud, failure to successfully accomplish the tasks of learning
independence and control is associated with which of the following problematic
traits?
A) Excessive dependency
B) Orderliness
C) Sexual identity issues
D) Excessive guilt
Correct Answer: A
