NRNP 6645 PSYCHOTHERAPY WITH
MULTIPLE MODALITIES EXAM
QUESTIONS AND ANSWERS
1. According to Irvin Yalom, which therapeutic factor involves the recognition that others
have similar problems and that the client is not alone?
A. Universality
B. Catharsis
C. Altruism
D. Instillation of hope
Answer: A
Conceptual Explanation: Universality is the recognition that one is not alone in their
suffering or experiences, which is a powerful curative factor in group therapy.
2. In Minuchin’s Structural Family Therapy, which term describes boundaries that are overly
permeable, leading to a lack of autonomy among family members?
A. Enmeshed
B. Triangulated
,C. Disengaged
D. Rigid
Answer: A
Conceptual Explanation: Enmeshment refers to blurred or diffuse boundaries where
family members are overly involved in each other’s lives, limiting individual autonomy.
3. In Cognitive Behavioral Therapy (CBT), the process of identifying and challenging ‘all-or-
nothing’ thinking is an intervention for which cognitive distortion?
A. Dichotomous reasoning
B. Personalization
C. Catastrophizing
D. Emotional reasoning
Answer: A
Conceptual Explanation: Dichotomous reasoning, also known as black-and-white
thinking, involves seeing things in only two categories rather than on a continuum.
4. Which Dialectical Behavior Therapy (DBT) module specifically focuses on helping clients
accept the present moment without judgment?
A. Interpersonal Effectiveness
B. Mindfulness
C. Emotional Regulation
, D. Distress Tolerance
Answer: B
Conceptual Explanation: Mindfulness is the core skill in DBT that teaches clients to be
fully present and aware in the moment without judging the experience.
5. During which stage of group development are members likely to challenge the leader and
experience conflict as they attempt to define their roles?
A. Forming
B. Norming
C. Storming
D. Performing
Answer: C
Conceptual Explanation: The ‘Storming’ stage is characterized by conflict, competition for
status, and challenges to the group leader’s authority.
6. A patient in therapy begins to treat the therapist as if the therapist were their overly
critical father. This phenomenon is known as:
A. Transference
B. Countertransference
C. Projection
D. Reaction Formation
MULTIPLE MODALITIES EXAM
QUESTIONS AND ANSWERS
1. According to Irvin Yalom, which therapeutic factor involves the recognition that others
have similar problems and that the client is not alone?
A. Universality
B. Catharsis
C. Altruism
D. Instillation of hope
Answer: A
Conceptual Explanation: Universality is the recognition that one is not alone in their
suffering or experiences, which is a powerful curative factor in group therapy.
2. In Minuchin’s Structural Family Therapy, which term describes boundaries that are overly
permeable, leading to a lack of autonomy among family members?
A. Enmeshed
B. Triangulated
,C. Disengaged
D. Rigid
Answer: A
Conceptual Explanation: Enmeshment refers to blurred or diffuse boundaries where
family members are overly involved in each other’s lives, limiting individual autonomy.
3. In Cognitive Behavioral Therapy (CBT), the process of identifying and challenging ‘all-or-
nothing’ thinking is an intervention for which cognitive distortion?
A. Dichotomous reasoning
B. Personalization
C. Catastrophizing
D. Emotional reasoning
Answer: A
Conceptual Explanation: Dichotomous reasoning, also known as black-and-white
thinking, involves seeing things in only two categories rather than on a continuum.
4. Which Dialectical Behavior Therapy (DBT) module specifically focuses on helping clients
accept the present moment without judgment?
A. Interpersonal Effectiveness
B. Mindfulness
C. Emotional Regulation
, D. Distress Tolerance
Answer: B
Conceptual Explanation: Mindfulness is the core skill in DBT that teaches clients to be
fully present and aware in the moment without judging the experience.
5. During which stage of group development are members likely to challenge the leader and
experience conflict as they attempt to define their roles?
A. Forming
B. Norming
C. Storming
D. Performing
Answer: C
Conceptual Explanation: The ‘Storming’ stage is characterized by conflict, competition for
status, and challenges to the group leader’s authority.
6. A patient in therapy begins to treat the therapist as if the therapist were their overly
critical father. This phenomenon is known as:
A. Transference
B. Countertransference
C. Projection
D. Reaction Formation
