NRNP 6645 Final Exam V2 | NRNP 6645
Psychotherapy with Multiple Modalities |
Actual Q&A with Rationale (NRNP6645
Final Exam) | Walden University
1. According to Yalom, which therapeutic factor is characterized by members realizing that
they are not alone in their suffering and that others share similar problems?
A. Altruism
B. Universality
C. Catharsis
D. Existential factors
Answer: B
Rationale: Universality is a foundational curative factor in group therapy where patients
perceive that their struggles are common to others. This realization helps to decrease
feelings of isolation, shame, and uniqueness regarding their mental health challenges. It is
often cited as one of the most helpful aspects for members in the early stages of group
development.
2. In Bowenian family therapy, what term describes the process of a third person being
brought into a two-person relationship to reduce tension?
A. Enmeshment
,B. Emotional cutoff
C. Differentiation of self
D. Triangulation
Answer: D
Rationale: Triangulation occurs when a dyad in conflict involves a third party to stabilize
the emotional environment. While this process may reduce immediate anxiety, it ultimately
prevents the original pair from resolving their conflict. The PMHNP aims to help family
members recognize and dissolve these triangles to foster direct communication.
3. Which Cognitive Behavioral Therapy (CBT) technique involves the therapist and patient
working together to identify and test the validity of the patient’s thoughts?
A. Collaborative Empiricism
B. Free association
C. Systematic desensitization
D. Paradoxical intention
Answer: A
Rationale: Collaborative empiricism is a hallmark of CBT where the therapist and client act
as co-investigators. They treat the client’s thoughts as hypotheses rather than facts and
design ‘experiments’ to test them. This approach empowers the patient to use logic and
evidence to challenge maladaptive schemas.
, 4. In Dialectical Behavior Therapy (DBT), which module is specifically designed to help
patients manage intense emotions without engaging in impulsive or harmful behaviors?
A. Interpersonal effectiveness
B. Mindfulness
C. Distress tolerance
D. Emotion regulation
Answer: C
Rationale: Distress tolerance focuses on developing skills to survive immediate crises and
accept reality as it is. It provides patients with techniques like self-soothing and improving
the moment to prevent acting on self-destructive urges. This module is essential for
patients with Borderline Personality Disorder who experience frequent emotional
dysregulation.
5. A family therapist observes that the parents in a family are over-involved in their children’s
lives, making it difficult for the children to develop autonomy. Minuchin would describe this
as:
A. Enmeshment
B. Disengagement
C. Rigid boundaries
D. A healthy hierarchy
Psychotherapy with Multiple Modalities |
Actual Q&A with Rationale (NRNP6645
Final Exam) | Walden University
1. According to Yalom, which therapeutic factor is characterized by members realizing that
they are not alone in their suffering and that others share similar problems?
A. Altruism
B. Universality
C. Catharsis
D. Existential factors
Answer: B
Rationale: Universality is a foundational curative factor in group therapy where patients
perceive that their struggles are common to others. This realization helps to decrease
feelings of isolation, shame, and uniqueness regarding their mental health challenges. It is
often cited as one of the most helpful aspects for members in the early stages of group
development.
2. In Bowenian family therapy, what term describes the process of a third person being
brought into a two-person relationship to reduce tension?
A. Enmeshment
,B. Emotional cutoff
C. Differentiation of self
D. Triangulation
Answer: D
Rationale: Triangulation occurs when a dyad in conflict involves a third party to stabilize
the emotional environment. While this process may reduce immediate anxiety, it ultimately
prevents the original pair from resolving their conflict. The PMHNP aims to help family
members recognize and dissolve these triangles to foster direct communication.
3. Which Cognitive Behavioral Therapy (CBT) technique involves the therapist and patient
working together to identify and test the validity of the patient’s thoughts?
A. Collaborative Empiricism
B. Free association
C. Systematic desensitization
D. Paradoxical intention
Answer: A
Rationale: Collaborative empiricism is a hallmark of CBT where the therapist and client act
as co-investigators. They treat the client’s thoughts as hypotheses rather than facts and
design ‘experiments’ to test them. This approach empowers the patient to use logic and
evidence to challenge maladaptive schemas.
, 4. In Dialectical Behavior Therapy (DBT), which module is specifically designed to help
patients manage intense emotions without engaging in impulsive or harmful behaviors?
A. Interpersonal effectiveness
B. Mindfulness
C. Distress tolerance
D. Emotion regulation
Answer: C
Rationale: Distress tolerance focuses on developing skills to survive immediate crises and
accept reality as it is. It provides patients with techniques like self-soothing and improving
the moment to prevent acting on self-destructive urges. This module is essential for
patients with Borderline Personality Disorder who experience frequent emotional
dysregulation.
5. A family therapist observes that the parents in a family are over-involved in their children’s
lives, making it difficult for the children to develop autonomy. Minuchin would describe this
as:
A. Enmeshment
B. Disengagement
C. Rigid boundaries
D. A healthy hierarchy
