NRNP 6645 FINAL EXAM 2026/2027 | 3 Versions
– 300+ Q&A | Psychotherapy with Multiple
Modalities | Walden University PMHNP | Pass
Guaranteed - A+ Graded
1. A patient with generalized anxiety disorder states, "Everything always goes
wrong for me." Which CBT technique is most appropriate to address this thought?
A) Free association
B) Cognitive restructuring
C) Dream interpretation
D) Empty-chair technique
Answer: B
Rationale: CBT focuses on identifying and challenging cognitive distortions. Cognitive
restructuring helps patients evaluate irrational or automatic negative thoughts .
2. Which of the following is considered a core principle of CBT?
A) Unconscious conflicts drive behavior
B) Insight alone produces change
C) Thoughts influence emotions and behaviors
D) Childhood experiences are always the primary cause of symptoms
Answer: C
Rationale: CBT is based on the connection between thoughts, emotions, and behaviors .
3. A therapist asks a patient to monitor negative thoughts throughout the week
using a structured worksheet. This intervention is known as:
A) Free association
B) Dream analysis
,C) Thought recording (thought records)
D) Behavioral activation
Answer: C
Rationale: Thought records help patients identify automatic thoughts and associated
emotions .
4. A patient with depression reports, "I'm a complete failure because I didn't get
that promotion." The PMHNP recognizes this as which cognitive distortion?
A) Catastrophizing
B) Mind reading
C) Overgeneralization
D) Labeling
Answer: C
Rationale: Overgeneralization occurs when a single negative event is interpreted as a
never-ending pattern of defeat .
5. A PMHNP is helping a patient identify automatic negative thoughts and
challenge their validity. This process is known as:
A) Behavioral activation
B) Cognitive restructuring
C) Exposure therapy
D) Mindfulness training
Answer: B
Rationale: Cognitive restructuring is a core component of CBT that involves identifying,
challenging, and modifying maladaptive thoughts and beliefs .
6. A patient in CBT is asked to rate their depression on a 0-10 scale. The therapist
then asks, "How does that compare to two months ago?" This is an example of
what type of Socratic questioning?
,A) Clarification question
B) Probing assumptions
C) Probing reasons and evidence
D) This is not consistent with Socratic dialogue
Answer: D
Rationale: Asking for a rating scale comparison is a cognitive therapy technique for
tracking progress, but it is not considered a Socratic dialogue question .
7. "They probably think I am stupid" is an example of which type of cognitive
distortion?
A) Catastrophizing
B) Mind reading
C) Personalization
D) Emotional reasoning
Answer: B
Rationale: Mind reading occurs when a person assumes they know what others are
thinking without sufficient evidence .
8. A PMHNP integrates Motivational Interviewing (MI) with CBT for a patient with
alcohol use disorder. This is an example of:
A) Theoretical integration
B) Technical eclecticism
C) Common factors approach
D) Assimilative integration
Answer: B
Rationale: Technical eclecticism uses techniques from different models without full
theoretical integration. MI addresses ambivalence while CBT builds coping skills .
9. A specific type of CBT therapy aimed to reduce distress as a person experiences
sensations associated with danger is known as:
, A) Shame-attacking exercises
B) Exposure therapy
C) Cognitive rehearsal
D) Guided relaxation and meditation
Answer: B
Rationale: Exposure therapy systematically exposes patients to feared sensations or
situations in a controlled manner to reduce anxiety through habituation and new learning
.
10. Which of the following is consistent with Cognitive Behavioral Therapy (CBT)?
(Select all that apply)
A) Thoughts influence emotions and behaviors
B) Focus on unconscious conflicts
C) Collaborative empiricism between therapist and patient
D) A and C only
Answer: D
Rationale: CBT emphasizes the cognitive triad (thoughts, emotions, behaviors) and the
collaborative therapeutic relationship .
11. A patient in CBT says, "I've been depressed for years. Nothing will ever
change." The PMHNP responds, "What evidence do you have that things can't
change?" This intervention is an example of:
A) Cognitive restructuring
B) Behavioral activation
C) Exposure therapy
D) Schema therapy
Answer: A
Rationale: Challenging the evidence for negative beliefs is a core cognitive restructuring
technique .
– 300+ Q&A | Psychotherapy with Multiple
Modalities | Walden University PMHNP | Pass
Guaranteed - A+ Graded
1. A patient with generalized anxiety disorder states, "Everything always goes
wrong for me." Which CBT technique is most appropriate to address this thought?
A) Free association
B) Cognitive restructuring
C) Dream interpretation
D) Empty-chair technique
Answer: B
Rationale: CBT focuses on identifying and challenging cognitive distortions. Cognitive
restructuring helps patients evaluate irrational or automatic negative thoughts .
2. Which of the following is considered a core principle of CBT?
A) Unconscious conflicts drive behavior
B) Insight alone produces change
C) Thoughts influence emotions and behaviors
D) Childhood experiences are always the primary cause of symptoms
Answer: C
Rationale: CBT is based on the connection between thoughts, emotions, and behaviors .
3. A therapist asks a patient to monitor negative thoughts throughout the week
using a structured worksheet. This intervention is known as:
A) Free association
B) Dream analysis
,C) Thought recording (thought records)
D) Behavioral activation
Answer: C
Rationale: Thought records help patients identify automatic thoughts and associated
emotions .
4. A patient with depression reports, "I'm a complete failure because I didn't get
that promotion." The PMHNP recognizes this as which cognitive distortion?
A) Catastrophizing
B) Mind reading
C) Overgeneralization
D) Labeling
Answer: C
Rationale: Overgeneralization occurs when a single negative event is interpreted as a
never-ending pattern of defeat .
5. A PMHNP is helping a patient identify automatic negative thoughts and
challenge their validity. This process is known as:
A) Behavioral activation
B) Cognitive restructuring
C) Exposure therapy
D) Mindfulness training
Answer: B
Rationale: Cognitive restructuring is a core component of CBT that involves identifying,
challenging, and modifying maladaptive thoughts and beliefs .
6. A patient in CBT is asked to rate their depression on a 0-10 scale. The therapist
then asks, "How does that compare to two months ago?" This is an example of
what type of Socratic questioning?
,A) Clarification question
B) Probing assumptions
C) Probing reasons and evidence
D) This is not consistent with Socratic dialogue
Answer: D
Rationale: Asking for a rating scale comparison is a cognitive therapy technique for
tracking progress, but it is not considered a Socratic dialogue question .
7. "They probably think I am stupid" is an example of which type of cognitive
distortion?
A) Catastrophizing
B) Mind reading
C) Personalization
D) Emotional reasoning
Answer: B
Rationale: Mind reading occurs when a person assumes they know what others are
thinking without sufficient evidence .
8. A PMHNP integrates Motivational Interviewing (MI) with CBT for a patient with
alcohol use disorder. This is an example of:
A) Theoretical integration
B) Technical eclecticism
C) Common factors approach
D) Assimilative integration
Answer: B
Rationale: Technical eclecticism uses techniques from different models without full
theoretical integration. MI addresses ambivalence while CBT builds coping skills .
9. A specific type of CBT therapy aimed to reduce distress as a person experiences
sensations associated with danger is known as:
, A) Shame-attacking exercises
B) Exposure therapy
C) Cognitive rehearsal
D) Guided relaxation and meditation
Answer: B
Rationale: Exposure therapy systematically exposes patients to feared sensations or
situations in a controlled manner to reduce anxiety through habituation and new learning
.
10. Which of the following is consistent with Cognitive Behavioral Therapy (CBT)?
(Select all that apply)
A) Thoughts influence emotions and behaviors
B) Focus on unconscious conflicts
C) Collaborative empiricism between therapist and patient
D) A and C only
Answer: D
Rationale: CBT emphasizes the cognitive triad (thoughts, emotions, behaviors) and the
collaborative therapeutic relationship .
11. A patient in CBT says, "I've been depressed for years. Nothing will ever
change." The PMHNP responds, "What evidence do you have that things can't
change?" This intervention is an example of:
A) Cognitive restructuring
B) Behavioral activation
C) Exposure therapy
D) Schema therapy
Answer: A
Rationale: Challenging the evidence for negative beliefs is a core cognitive restructuring
technique .
