UPDATED NRNP 6645 / NRNP 6645N Midterm = = = = = = =
Exam Bank: Psychotherapy with Multiple = = = = =
Modalities
(2026/2027) =
100 + Verified Q&A with Detailed Rationales |
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Walden University | PMHNP Exam Prep = = = = = =
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SECTION 1: PSYCHODYNAMIC & PSYCHOANALYTIC THEORY
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(Questions 1-20) = =
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Question 1: = =
The advanced practice psychiatric nurse helps the patient to identify
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and name feelings, focus on somatic sensations associated with emot
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ions, and encourages use of metaphor to describe feelings. This is co
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nsistent with which basic strategy of supportive psychodynamic ther
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apy? =
A) Make connections = =
,B) Decrease alexithymia = =
C) Encourage patient activity = = =
D) Maximize adaptive coping mechanisms = = = =
Answer: B) Decrease alexithymia
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Rationale: Alexithymia is the inability to identify and describe emoti
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ons. The PMHNP helps the patient identify and name feelings, focus o
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n somatic sensations, and use metaphor to describe feelings—
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all strategies to decrease alexithymia . This is a core supportive psyc
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hodynamic technique that builds emotional awareness and regulatio
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n. =
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Question 2: = =
According to Freud, failure to successfully accomplish the tasks of lea
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rning independence and control is associated with which of the follo
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wing problematic traits?
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A) Excessive dependency = =
B) Orderliness =
C) Sexual identity issues = = =
D) Excessive guilt = =
Answer: A) Excessive dependency
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, Rationale: According to Freud's psychosexual stages, failure to succ
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essfully resolve the tasks of learning independence and control is ass
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ociated with excessive dependency. This reflects fixation at the anal
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stage, where the child struggles with autonomy and control.
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Question 3: = =
Which of the following is consistent with the psychotherapeutic appr
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oach used by existential psychotherapists?
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A) The existential approach has a specific set of techniques used. B) T
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he existential relies on the patient to drive the therapeutic direction.
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C) The existential therapist presents broad existential themes but
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avoids in-depth questioning.
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D) The existential psychotherapist is free to draw on techniques fr
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om other psychotherapeutic models.
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Answer: D) The existential psychotherapist is free to draw on tech
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niques from other psychotherapeutic models.
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Rationale: Existential psychotherapy does not have a specific set of t
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echniques; rather, the therapist is free to draw on techniques from oth
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er models to address existential themes such as meaning, freedom, a
= = = = = = = = = =
Exam Bank: Psychotherapy with Multiple = = = = =
Modalities
(2026/2027) =
100 + Verified Q&A with Detailed Rationales |
= = = = = = = =
Walden University | PMHNP Exam Prep = = = = = =
=
SECTION 1: PSYCHODYNAMIC & PSYCHOANALYTIC THEORY
= = = = = =
(Questions 1-20) = =
=
Question 1: = =
The advanced practice psychiatric nurse helps the patient to identify
= = = = = = = = =
and name feelings, focus on somatic sensations associated with emot
= = = = = = = = = =
ions, and encourages use of metaphor to describe feelings. This is co
= = = = = = = = = = =
nsistent with which basic strategy of supportive psychodynamic ther
= = = = = = = =
apy? =
A) Make connections = =
,B) Decrease alexithymia = =
C) Encourage patient activity = = =
D) Maximize adaptive coping mechanisms = = = =
Answer: B) Decrease alexithymia
= = = =
Rationale: Alexithymia is the inability to identify and describe emoti
= = = = = = = = =
ons. The PMHNP helps the patient identify and name feelings, focus o
= = = = = = = = = = =
n somatic sensations, and use metaphor to describe feelings—
= = = = = = = =
all strategies to decrease alexithymia . This is a core supportive psyc
= = = = = = = = = = =
hodynamic technique that builds emotional awareness and regulatio
= = = = = = =
n. =
=
Question 2: = =
According to Freud, failure to successfully accomplish the tasks of lea
= = = = = = = = = =
rning independence and control is associated with which of the follo
= = = = = = = = = =
wing problematic traits?
= = =
A) Excessive dependency = =
B) Orderliness =
C) Sexual identity issues = = =
D) Excessive guilt = =
Answer: A) Excessive dependency
= = = =
, Rationale: According to Freud's psychosexual stages, failure to succ
= = = = = = = =
essfully resolve the tasks of learning independence and control is ass
= = = = = = = = = =
ociated with excessive dependency. This reflects fixation at the anal
= = = = = = = = = =
stage, where the child struggles with autonomy and control.
= = = = = = = = =
=
Question 3: = =
Which of the following is consistent with the psychotherapeutic appr
= = = = = = = = =
oach used by existential psychotherapists?
= = = = =
A) The existential approach has a specific set of techniques used. B) T
= = = = = = = = = = = =
he existential relies on the patient to drive the therapeutic direction.
= = = = = = = = = = =
C) The existential therapist presents broad existential themes but
= = = = = = = =
avoids in-depth questioning.
= = =
D) The existential psychotherapist is free to draw on techniques fr
= = = = = = = = =
om other psychotherapeutic models.
= = = =
Answer: D) The existential psychotherapist is free to draw on tech
= = = = = = = = = =
niques from other psychotherapeutic models.
= = = = =
Rationale: Existential psychotherapy does not have a specific set of t
= = = = = = = = = =
echniques; rather, the therapist is free to draw on techniques from oth
= = = = = = = = = = =
er models to address existential themes such as meaning, freedom, a
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