NRNP 6645 Final Exam V1 | NRNP 6645
Psychotherapy with Multiple Modalities |
Actual Q&A with Rationale (NRNP6645
Final Exam) | Walden University
1. A PMHNP is conducting a group session and notices that members are beginning to realize
their problems are not unique. According to Yalom, which curative factor does this
represent?
A. Altruism
B. Catharsis
C. Universality
D. Imparting information
Answer: C
Rationale: Universality is the recognition that one’s experiences and struggles are shared
by others. This curative factor helps to decrease the patient’s sense of isolation and shame.
It is often one of the first therapeutic benefits realized in a group setting.
2. In Bowenian Family Systems Theory, the process of a person maintaining emotional
objectivity while remaining connected to the family is known as:
A. Triangulation
B. Emotional Cutoff
,C. Differentiation of Self
D. Enmeshment
Answer: C
Rationale: Differentiation of self involves the ability to distinguish between intellectual
and emotional functioning. It allows an individual to remain part of the family system
without becoming lost in the family’s emotional reactivity. Higher levels of differentiation
are associated with better psychological health.
3. According to Salvador Minuchin, a family where boundaries are overly permeable and
members are over-involved in each other’s lives is described as:
A. Disengaged
B. Enmeshed
C. Hierarchical
D. Triangulated
Answer: B
Rationale: Enmeshment refers to a lack of clear boundaries between family members,
leading to excessive reactivity. This state prevents individual autonomy and can stifle
personal growth within the family unit. Structural therapy aims to clarify these boundaries
to improve functioning.
, 4. During a CBT session, a patient states, ‘If I don’t get an A on this exam, I’m a total failure
and will never get a job.’ Which cognitive distortion is this?
A. Personalization
B. Emotional Reasoning
C. Mind Reading
D. All-or-Nothing Thinking
Answer: D
Rationale: All-or-nothing thinking, also known as black-and-white thinking, involves
viewing situations in only two categories instead of on a continuum. This distortion leads
to extreme evaluations of self and others. Therapy focuses on helping the patient identify
shades of gray in their logic.
5. Interpersonal Psychotherapy (IPT) primarily focuses on which of the following areas to
alleviate depressive symptoms?
A. Role transitions and interpersonal disputes
B. Childhood trauma and repressed memories
C. Cognitive restructuring of negative schemas
D. Systemic family power dynamics
Answer: A
Psychotherapy with Multiple Modalities |
Actual Q&A with Rationale (NRNP6645
Final Exam) | Walden University
1. A PMHNP is conducting a group session and notices that members are beginning to realize
their problems are not unique. According to Yalom, which curative factor does this
represent?
A. Altruism
B. Catharsis
C. Universality
D. Imparting information
Answer: C
Rationale: Universality is the recognition that one’s experiences and struggles are shared
by others. This curative factor helps to decrease the patient’s sense of isolation and shame.
It is often one of the first therapeutic benefits realized in a group setting.
2. In Bowenian Family Systems Theory, the process of a person maintaining emotional
objectivity while remaining connected to the family is known as:
A. Triangulation
B. Emotional Cutoff
,C. Differentiation of Self
D. Enmeshment
Answer: C
Rationale: Differentiation of self involves the ability to distinguish between intellectual
and emotional functioning. It allows an individual to remain part of the family system
without becoming lost in the family’s emotional reactivity. Higher levels of differentiation
are associated with better psychological health.
3. According to Salvador Minuchin, a family where boundaries are overly permeable and
members are over-involved in each other’s lives is described as:
A. Disengaged
B. Enmeshed
C. Hierarchical
D. Triangulated
Answer: B
Rationale: Enmeshment refers to a lack of clear boundaries between family members,
leading to excessive reactivity. This state prevents individual autonomy and can stifle
personal growth within the family unit. Structural therapy aims to clarify these boundaries
to improve functioning.
, 4. During a CBT session, a patient states, ‘If I don’t get an A on this exam, I’m a total failure
and will never get a job.’ Which cognitive distortion is this?
A. Personalization
B. Emotional Reasoning
C. Mind Reading
D. All-or-Nothing Thinking
Answer: D
Rationale: All-or-nothing thinking, also known as black-and-white thinking, involves
viewing situations in only two categories instead of on a continuum. This distortion leads
to extreme evaluations of self and others. Therapy focuses on helping the patient identify
shades of gray in their logic.
5. Interpersonal Psychotherapy (IPT) primarily focuses on which of the following areas to
alleviate depressive symptoms?
A. Role transitions and interpersonal disputes
B. Childhood trauma and repressed memories
C. Cognitive restructuring of negative schemas
D. Systemic family power dynamics
Answer: A
