NRNP 6645 EXAM - PSYCHOTHERAPY
WITH MULTIPLE MODALITIES
QUESTIONS AND ANSWERS
1. In Dialectical Behavior Therapy (DBT), the primary dialectical tension that the therapist
must manage is between:
A. Acceptance and change
B. Past trauma and future goals
C. Individual needs and group rules
D. Cognitive restructuring and behavioral activation
Answer: A
Conceptual Explanation: DBT is based on the dialectic of accepting the client as they are
while simultaneously helping them change maladaptive behaviors.
2. According to Irvin Yalom, which curative factor is described as the realization that one is
not alone in their suffering or problems?
A. Altruism
,B. Catharsis
C. Universality
D. Imitative behavior
Answer: C
Conceptual Explanation: Universality is the recognition of shared experiences and
feelings among group members, which decreases isolation.
3. In Bowenian Family Systems Theory, the concept of ‘differentiation of self’ refers to an
individual’s ability to:
A. Distance themselves from all family contact
B. Achieve financial independence from parents
C. Distinguish between intellectual processes and feeling processes
D. Form a triangle to reduce anxiety
Answer: C
Conceptual Explanation: Differentiation of self involves the ability to separate one’s own
emotional and intellectual functioning from the family’s ‘undifferentiated ego mass.’
4. Which therapeutic approach emphasizes the ‘here-and-now’ and uses techniques like the
‘empty chair’ to resolve unfinished business?
A. Psychodynamic Therapy
B. Cognitive Behavioral Therapy
, C. Gestalt Therapy
D. Solution-Focused Brief Therapy
Answer: C
Conceptual Explanation: Gestalt therapy focuses on current awareness and holistic
integration of self, often using the empty chair for experiential processing.
5. In Cognitive Behavioral Therapy (CBT), the ‘downward arrow’ technique is primarily used
to identify:
A. Immediate automatic thoughts
B. Behavioral triggers
C. Core beliefs or schemas
D. Subconscious defense mechanisms
Answer: C
Conceptual Explanation: The downward arrow technique helps clinicians drill down from
surface automatic thoughts to the underlying core beliefs that drive them.
6. A therapist notices that they are reacting to a patient’s hostility with an unusual level of
personal irritation. This is an example of:
A. Transference
B. Projective Identification
C. Resistance
WITH MULTIPLE MODALITIES
QUESTIONS AND ANSWERS
1. In Dialectical Behavior Therapy (DBT), the primary dialectical tension that the therapist
must manage is between:
A. Acceptance and change
B. Past trauma and future goals
C. Individual needs and group rules
D. Cognitive restructuring and behavioral activation
Answer: A
Conceptual Explanation: DBT is based on the dialectic of accepting the client as they are
while simultaneously helping them change maladaptive behaviors.
2. According to Irvin Yalom, which curative factor is described as the realization that one is
not alone in their suffering or problems?
A. Altruism
,B. Catharsis
C. Universality
D. Imitative behavior
Answer: C
Conceptual Explanation: Universality is the recognition of shared experiences and
feelings among group members, which decreases isolation.
3. In Bowenian Family Systems Theory, the concept of ‘differentiation of self’ refers to an
individual’s ability to:
A. Distance themselves from all family contact
B. Achieve financial independence from parents
C. Distinguish between intellectual processes and feeling processes
D. Form a triangle to reduce anxiety
Answer: C
Conceptual Explanation: Differentiation of self involves the ability to separate one’s own
emotional and intellectual functioning from the family’s ‘undifferentiated ego mass.’
4. Which therapeutic approach emphasizes the ‘here-and-now’ and uses techniques like the
‘empty chair’ to resolve unfinished business?
A. Psychodynamic Therapy
B. Cognitive Behavioral Therapy
, C. Gestalt Therapy
D. Solution-Focused Brief Therapy
Answer: C
Conceptual Explanation: Gestalt therapy focuses on current awareness and holistic
integration of self, often using the empty chair for experiential processing.
5. In Cognitive Behavioral Therapy (CBT), the ‘downward arrow’ technique is primarily used
to identify:
A. Immediate automatic thoughts
B. Behavioral triggers
C. Core beliefs or schemas
D. Subconscious defense mechanisms
Answer: C
Conceptual Explanation: The downward arrow technique helps clinicians drill down from
surface automatic thoughts to the underlying core beliefs that drive them.
6. A therapist notices that they are reacting to a patient’s hostility with an unusual level of
personal irritation. This is an example of:
A. Transference
B. Projective Identification
C. Resistance
