NRNP 6645 Final Exam (Latest-2024, 100
Q and A) / NRNP6645 Final Exam:
Walden University
1. Core principle of Cognitive Behavioral Therapy (CBT) is:
• A. Free association
• B. Dream interpretation
• C. Hypnosis
• D. Identifying cognitive distortions
Answer: D
Rationale: The core principle of CBT is that thoughts, feelings, and
behaviors are interconnected, and that identifying and changing maladaptive
thought patterns (cognitive distortions) can lead to improvements in mood
and behavior.
2. Countertransference refers to:
• A. Client redirecting feelings toward therapist
• B. Therapist's emotional reaction to client
• C. Process of reframing thoughts
• D. Classical conditioning
Answer: B
Rationale: Countertransference is the therapist's emotional reaction to the
client, which can be based on the therapist's own unconscious feelings or
past experiences. It is important for therapists to recognize and manage
countertransference.
3. A patient with repetitive checking rituals. Best evidence-based therapy:
• A. Supportive counseling only
• B. ERP (Exposure and Response Prevention)
, • C. Psychoanalysis
• D. Existential therapy
Answer: B
Rationale: Exposure and Response Prevention (ERP) is a specific type of
CBT and is considered the gold-standard, evidence-based psychotherapy for
Obsessive-Compulsive Disorder (OCD).
4. Client ruminates about being worthless. Therapist challenges thought and
replaces with evidence-based reasoning. This is:
• A. Mindfulness training
• B. Cognitive restructuring
• C. Transference interpretation
• D. Insight-oriented therapy
Answer: B
Rationale: Cognitive restructuring is a core technique in CBT where the
therapist helps the client identify, challenge, and replace maladaptive or
irrational thoughts with more balanced and evidence-based ones.
5. Which approach focuses on here-and-now experience and responsibility?
• A. Gestalt therapy
• B. Psychodynamic therapy
• C. Behavioral therapy
• D. Cognitive therapy
Answer: A
Rationale: Gestalt therapy is an experiential and humanistic therapy that
emphasizes personal responsibility and focuses on the individual's
experience in the present moment, often using techniques like the "empty
chair".
6. Client with panic attacks avoids malls and markets. Which first-line
therapy is recommended?
• A. Exposure-based CBT
, • B. Psychoanalysis 3x weekly
• C. Client-centered supportive counseling only
• D. Hypnotherapy
Answer: A
Rationale: Exposure-based CBT, which includes interoceptive and in vivo
exposure, is a first-line, evidence-based treatment for panic disorder and
agoraphobia.
7. Which statement about transference is TRUE?
• A. It only occurs in psychodynamic therapy
• B. Client projects past feelings onto therapist
• C. It is unrelated to therapeutic relationship
• D. It must always be avoided
Answer: B
Rationale: Transference is a phenomenon where a client unconsciously
projects feelings, attitudes, and expectations from past relationships (often
from childhood) onto the therapist.
8. Motivational interviewing uses which technique most often?
• A. Direct confrontation
• B. Reflective listening
• C. Passive observation
• D. Giving unsolicited advice
Answer: B
Rationale: Reflective listening is a foundational skill in Motivational
Interviewing (MI). It is used to demonstrate empathy, build rapport, and help
the client explore their own ambivalence.
9. A client expresses ambivalence about stopping alcohol use. Best approach:
• A. Argue and insist on abstinence
• B. Use MI to explore pros and cons
, • C. Give punitive consequences
• D. Switch to psychodynamic therapy
Answer: B
Rationale: MI is specifically designed to resolve ambivalence. The therapist
uses techniques like exploring the pros and cons of the behavior to help the
client articulate their own reasons for change.
10. A therapist experiences strong dislike toward a client. This is:
• A. Projection
• B. Countertransference
• C. Displacement
• D. Sublimation
Answer: B
Rationale: As defined earlier, countertransference refers to the therapist's
emotional reactions to the client, which can be positive or negative.
11. Which psychotherapy is MOST effective for OCD?
• A. ERP (Exposure and Response Prevention)
• B. Psychoanalysis
• C. Interpersonal Therapy
• D. Supportive counseling only
Answer: A
Rationale: ERP is the most effective and well-researched psychological
treatment for OCD.
12. In motivational interviewing, resistance is viewed as:
• A. A normal part of change process
• B. A reason to terminate therapy
• C. Client being non-compliant
• D. An ethical violation
Answer: A
Q and A) / NRNP6645 Final Exam:
Walden University
1. Core principle of Cognitive Behavioral Therapy (CBT) is:
• A. Free association
• B. Dream interpretation
• C. Hypnosis
• D. Identifying cognitive distortions
Answer: D
Rationale: The core principle of CBT is that thoughts, feelings, and
behaviors are interconnected, and that identifying and changing maladaptive
thought patterns (cognitive distortions) can lead to improvements in mood
and behavior.
2. Countertransference refers to:
• A. Client redirecting feelings toward therapist
• B. Therapist's emotional reaction to client
• C. Process of reframing thoughts
• D. Classical conditioning
Answer: B
Rationale: Countertransference is the therapist's emotional reaction to the
client, which can be based on the therapist's own unconscious feelings or
past experiences. It is important for therapists to recognize and manage
countertransference.
3. A patient with repetitive checking rituals. Best evidence-based therapy:
• A. Supportive counseling only
• B. ERP (Exposure and Response Prevention)
, • C. Psychoanalysis
• D. Existential therapy
Answer: B
Rationale: Exposure and Response Prevention (ERP) is a specific type of
CBT and is considered the gold-standard, evidence-based psychotherapy for
Obsessive-Compulsive Disorder (OCD).
4. Client ruminates about being worthless. Therapist challenges thought and
replaces with evidence-based reasoning. This is:
• A. Mindfulness training
• B. Cognitive restructuring
• C. Transference interpretation
• D. Insight-oriented therapy
Answer: B
Rationale: Cognitive restructuring is a core technique in CBT where the
therapist helps the client identify, challenge, and replace maladaptive or
irrational thoughts with more balanced and evidence-based ones.
5. Which approach focuses on here-and-now experience and responsibility?
• A. Gestalt therapy
• B. Psychodynamic therapy
• C. Behavioral therapy
• D. Cognitive therapy
Answer: A
Rationale: Gestalt therapy is an experiential and humanistic therapy that
emphasizes personal responsibility and focuses on the individual's
experience in the present moment, often using techniques like the "empty
chair".
6. Client with panic attacks avoids malls and markets. Which first-line
therapy is recommended?
• A. Exposure-based CBT
, • B. Psychoanalysis 3x weekly
• C. Client-centered supportive counseling only
• D. Hypnotherapy
Answer: A
Rationale: Exposure-based CBT, which includes interoceptive and in vivo
exposure, is a first-line, evidence-based treatment for panic disorder and
agoraphobia.
7. Which statement about transference is TRUE?
• A. It only occurs in psychodynamic therapy
• B. Client projects past feelings onto therapist
• C. It is unrelated to therapeutic relationship
• D. It must always be avoided
Answer: B
Rationale: Transference is a phenomenon where a client unconsciously
projects feelings, attitudes, and expectations from past relationships (often
from childhood) onto the therapist.
8. Motivational interviewing uses which technique most often?
• A. Direct confrontation
• B. Reflective listening
• C. Passive observation
• D. Giving unsolicited advice
Answer: B
Rationale: Reflective listening is a foundational skill in Motivational
Interviewing (MI). It is used to demonstrate empathy, build rapport, and help
the client explore their own ambivalence.
9. A client expresses ambivalence about stopping alcohol use. Best approach:
• A. Argue and insist on abstinence
• B. Use MI to explore pros and cons
, • C. Give punitive consequences
• D. Switch to psychodynamic therapy
Answer: B
Rationale: MI is specifically designed to resolve ambivalence. The therapist
uses techniques like exploring the pros and cons of the behavior to help the
client articulate their own reasons for change.
10. A therapist experiences strong dislike toward a client. This is:
• A. Projection
• B. Countertransference
• C. Displacement
• D. Sublimation
Answer: B
Rationale: As defined earlier, countertransference refers to the therapist's
emotional reactions to the client, which can be positive or negative.
11. Which psychotherapy is MOST effective for OCD?
• A. ERP (Exposure and Response Prevention)
• B. Psychoanalysis
• C. Interpersonal Therapy
• D. Supportive counseling only
Answer: A
Rationale: ERP is the most effective and well-researched psychological
treatment for OCD.
12. In motivational interviewing, resistance is viewed as:
• A. A normal part of change process
• B. A reason to terminate therapy
• C. Client being non-compliant
• D. An ethical violation
Answer: A
