NR605 PSYCHIATRIC MENTAL HEALTH
PRACTICUM EXAM PREP TEST BANK 2026
UPDATED QUESTIONS AND SOLUTIONS
◉ Kathy is a 32-year-old who has been in court-mandated therapy
for two months after her children were removed from the home by
Child Protective Services for suspected physical abuse and neglect.
The social worker has requested copies of her progress notes as a
part of the investigation. Is the therapist obligated to provide the
progress notes?
Yes, no client authorization necessary
Yes with written authorization from the client
No.
Answer: Yes, no client authorization necessary
Rationale: Because the notes were requested for a health and human
services investigation, the therapist may release the notes without
client authorization.
◉ Juanita is a 17-year-old who has been in therapy for 3 months for
major depressive disorder. Her mother is requesting a copy of her
psychotherapy notes so she can better understand the progress her
,daughter is making. Juanita has indicated that she is "ok" with her
mom accessing the notes. Is the therapist obligated to provide the
psychotherapy notes?
Yes, no client authorization necessary
Yes with written authorization from the client
No.
Answer: No
Rationale: Even though the client may authorize the release of notes
to her parent, the therapist is not obligated to release the process
notes to the client or her mother if they feel it is not in the best
interest of the client.
◉ Raghu is a 22-year-old who has been in therapy for two years.
Recently, he was arrested on charges of assault with a deadly
weapon. The therapist receives a subpoena from the court with
requests for his progress notes. Is the therapist obligated to provide
the progress notes?
Yes, no client authorization necessary
Yes with written authorization from the client
No.
Answer: Yes, no client authorization necessary
,Rationale: The therapist must obey the court subpoena and provide
the progress notes. Psychotherapy notes may still fall under
therapist-client privilege and may be withheld from the court; in this
case, the therapist should seek legal counsel to ensure proper
compliance with the subpoena.
◉ therapeutic communication.
Answer: -Translating emotions
• Sharing observations
• Sharing empathy
• Sharing hope
• Sharing humor
• Sharing feelings
-Non-verbal communication
• Active Listening
• Using touch
• Using silence
-Information verification/dissemination
• Providing information
• Clarifying
, • Focusing
• Paraphrasing
• Validation
• Asking relevant questions
◉ nontherapeutic techniques.
Answer: Asking for Explanations
-Why are you so anxious?
Asking Personal Questions
-Why don't you and John get married?
Giving Advice
-If I was you, I'd take a break from school.
Disapproval
-You shouldn't even think about assisted suicide; it's not right.
Defensive Responses
-No one here would intentionally lie to you.
False Reassurance
PRACTICUM EXAM PREP TEST BANK 2026
UPDATED QUESTIONS AND SOLUTIONS
◉ Kathy is a 32-year-old who has been in court-mandated therapy
for two months after her children were removed from the home by
Child Protective Services for suspected physical abuse and neglect.
The social worker has requested copies of her progress notes as a
part of the investigation. Is the therapist obligated to provide the
progress notes?
Yes, no client authorization necessary
Yes with written authorization from the client
No.
Answer: Yes, no client authorization necessary
Rationale: Because the notes were requested for a health and human
services investigation, the therapist may release the notes without
client authorization.
◉ Juanita is a 17-year-old who has been in therapy for 3 months for
major depressive disorder. Her mother is requesting a copy of her
psychotherapy notes so she can better understand the progress her
,daughter is making. Juanita has indicated that she is "ok" with her
mom accessing the notes. Is the therapist obligated to provide the
psychotherapy notes?
Yes, no client authorization necessary
Yes with written authorization from the client
No.
Answer: No
Rationale: Even though the client may authorize the release of notes
to her parent, the therapist is not obligated to release the process
notes to the client or her mother if they feel it is not in the best
interest of the client.
◉ Raghu is a 22-year-old who has been in therapy for two years.
Recently, he was arrested on charges of assault with a deadly
weapon. The therapist receives a subpoena from the court with
requests for his progress notes. Is the therapist obligated to provide
the progress notes?
Yes, no client authorization necessary
Yes with written authorization from the client
No.
Answer: Yes, no client authorization necessary
,Rationale: The therapist must obey the court subpoena and provide
the progress notes. Psychotherapy notes may still fall under
therapist-client privilege and may be withheld from the court; in this
case, the therapist should seek legal counsel to ensure proper
compliance with the subpoena.
◉ therapeutic communication.
Answer: -Translating emotions
• Sharing observations
• Sharing empathy
• Sharing hope
• Sharing humor
• Sharing feelings
-Non-verbal communication
• Active Listening
• Using touch
• Using silence
-Information verification/dissemination
• Providing information
• Clarifying
, • Focusing
• Paraphrasing
• Validation
• Asking relevant questions
◉ nontherapeutic techniques.
Answer: Asking for Explanations
-Why are you so anxious?
Asking Personal Questions
-Why don't you and John get married?
Giving Advice
-If I was you, I'd take a break from school.
Disapproval
-You shouldn't even think about assisted suicide; it's not right.
Defensive Responses
-No one here would intentionally lie to you.
False Reassurance
