NRNP 6645: PSYCHOTHERAPY WITH
MULTIPLE MODALITIES FINAL EXAM
QUESTIONS AND ANSWERS
1. According to Irvin Yalom, which therapeutic factor refers to the realization that one is not
alone in their suffering and that others share similar problems?
A. Universality
B. Instillation of hope
C. Altruism
D. Catharsis
Answer: A
Conceptual Explanation: Universality is the recognition that other members in the group
experience similar thoughts, feelings, and problems, which helps reduce the patient’s sense
of isolation.
2. In Dialectical Behavior Therapy (DBT), the primary dialectic involves a balance between
which two concepts?
A. Change and Acceptance
,B. Emotion and Logic
C. Safety and Risk
D. Past and Present
Answer: A
Conceptual Explanation: The core dialectic in DBT is the synthesis of acceptance of the
client as they are and the necessity for change to reach their goals.
3. Which family therapy model emphasizes ‘differentiation of self’ to prevent individuals from
becoming emotionally fused with the family system?
A. Strategic Family Therapy
B. Bowenian Family Systems Theory
C. Structural Family Therapy
D. Narrative Family Therapy
Answer: B
Conceptual Explanation: Murray Bowen’s theory focuses on differentiation, which is the
ability to maintain one’s individuality while remaining emotionally connected to the family.
4. A therapist uses the ‘Miracle Question’ to help a client envision a future without their
current problem. This technique is characteristic of which modality?
A. Gestalt Therapy
B. Cognitive Behavioral Therapy (CBT)
, C. Psychodynamic Therapy
D. Solution-Focused Brief Therapy (SFBT)
Answer: D
Conceptual Explanation: The Miracle Question is a hallmark of SFBT, used to help clients
identify goals and solutions by imagining life without the problem.
5. In Structural Family Therapy, what is the primary goal of ‘enactment’?
A. To provide education on family roles
B. To uncover repressed childhood memories
C. To observe and modify family interactions in real-time
D. To assign homework tasks
Answer: C
Conceptual Explanation: Enactment involves the therapist asking the family to act out a
conflict or interaction so the therapist can observe and intervene to change the structure.
6. Which of the following describes ‘transference’ in the context of psychotherapy?
A. The therapist’s emotional reaction to the patient
B. The process of ending the therapeutic relationship
C. The patient’s unconscious displacement of feelings from a significant person onto the
therapist
MULTIPLE MODALITIES FINAL EXAM
QUESTIONS AND ANSWERS
1. According to Irvin Yalom, which therapeutic factor refers to the realization that one is not
alone in their suffering and that others share similar problems?
A. Universality
B. Instillation of hope
C. Altruism
D. Catharsis
Answer: A
Conceptual Explanation: Universality is the recognition that other members in the group
experience similar thoughts, feelings, and problems, which helps reduce the patient’s sense
of isolation.
2. In Dialectical Behavior Therapy (DBT), the primary dialectic involves a balance between
which two concepts?
A. Change and Acceptance
,B. Emotion and Logic
C. Safety and Risk
D. Past and Present
Answer: A
Conceptual Explanation: The core dialectic in DBT is the synthesis of acceptance of the
client as they are and the necessity for change to reach their goals.
3. Which family therapy model emphasizes ‘differentiation of self’ to prevent individuals from
becoming emotionally fused with the family system?
A. Strategic Family Therapy
B. Bowenian Family Systems Theory
C. Structural Family Therapy
D. Narrative Family Therapy
Answer: B
Conceptual Explanation: Murray Bowen’s theory focuses on differentiation, which is the
ability to maintain one’s individuality while remaining emotionally connected to the family.
4. A therapist uses the ‘Miracle Question’ to help a client envision a future without their
current problem. This technique is characteristic of which modality?
A. Gestalt Therapy
B. Cognitive Behavioral Therapy (CBT)
, C. Psychodynamic Therapy
D. Solution-Focused Brief Therapy (SFBT)
Answer: D
Conceptual Explanation: The Miracle Question is a hallmark of SFBT, used to help clients
identify goals and solutions by imagining life without the problem.
5. In Structural Family Therapy, what is the primary goal of ‘enactment’?
A. To provide education on family roles
B. To uncover repressed childhood memories
C. To observe and modify family interactions in real-time
D. To assign homework tasks
Answer: C
Conceptual Explanation: Enactment involves the therapist asking the family to act out a
conflict or interaction so the therapist can observe and intervene to change the structure.
6. Which of the following describes ‘transference’ in the context of psychotherapy?
A. The therapist’s emotional reaction to the patient
B. The process of ending the therapeutic relationship
C. The patient’s unconscious displacement of feelings from a significant person onto the
therapist
