100% WALDEN UNIVERSITY NRNP
6645/NRNP6645 PSYCHOTHERAPY WITH
MULTIPLE MODALITIES MIDTERM
EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
• Psychodynamic and Cognitive-Behavioral Therapies
• Humanistic, Existential, and Integrative Therapies
• Group, Family, and Couples Therapy Modalities
• Legal, Ethical, and Cultural Considerations in Psychotherapy
• Therapeutic Alliance, Transference, and Countertransference
• Trauma-Informed Care and Crisis Intervention
• Psychopharmacology and Neurobiology in Psychotherapy
• Evidence-Based Treatment Planning for Diverse Populations
Introduction
The NRNP 6645 Midterm Examination assesses the advanced practice
psychiatric nurse's competency in psychotherapy with multiple
modalities. It evaluates knowledge across psychodynamic, cognitive-
behavioral, humanistic, existential, group, family, and couples therapies,
as well as legal and ethical considerations. The assessment employs
,multiple-choice and scenario-based questions to test clinical decision-
making and real-world application. Emphasis is placed on therapeutic
alliance, evidence-based practice, and cultural competence. This exam
ensures candidates are prepared to deliver effective, ethical, and
integrative psychotherapy.
Section One: Version 1 — Questions 1–100
1. A patient in psychodynamic psychotherapy states, "I don't
remember anything about my childhood before age ten. It's just a
blank." The therapist recognizes this as an unconscious protective
process known as:
A. Suppression
B. Repression
C. Denial
D. Projection
B. Repression
RATIONALE: Repression is an unconscious defense mechanism
that blocks painful or threatening memories, thoughts, or impulses from
conscious awareness. The patient's inability to remember childhood
experiences suggests repression. Suppression is a conscious effort to
forget or avoid thoughts. Denial involves refusing to acknowledge
reality. Projection involves attributing one's own unacceptable thoughts
or feelings to others.
2. According to Bordin's pan-theoretical model of the therapeutic
alliance, the three essential components are:
A. Empathy, unconditional positive regard, and genuineness
B. Goals, tasks, and bond
,C. Transference, countertransference, and resistance
D. Assessment, diagnosis, and treatment planning
B. Goals, tasks, and bond
RATIONALE: Bordin's model identifies three essential components:
agreement on goals (the objectives of therapy), agreement on tasks (the
activities and interventions used to achieve those goals), and the bond
(the interpersonal connection and trust between therapist and patient).
Empathy, unconditional positive regard, and genuineness are core
conditions of person-centered therapy as defined by Carl Rogers.
Transference, countertransference, and resistance are psychodynamic
concepts.
3. A therapist notices that she feels unusually protective and parental
toward a patient who reminds her of her younger sibling. This
phenomenon is known as:
A. Transference
B. Countertransference
C. Projective identification
D. Splitting
B. Countertransference
RATIONALE: Countertransference refers to the therapist's
emotional reactions, projections, or unconscious responses to the patient,
often influenced by the therapist's own personal history and unresolved
conflicts. The therapist's protective feelings stemming from the patient's
resemblance to her sibling indicate countertransference. Transference is
the patient's projection onto the therapist. Projective identification
involves the patient projecting feelings onto the therapist who then
experiences them.
, 4. A patient repeatedly expresses anger toward the therapist that
seems disproportionate to the therapeutic interaction. The therapist
recognizes this as:
A. Countertransference
B. Transference
C. Empathy
D. Therapeutic rapport
B. Transference
RATIONALE: Transference occurs when a patient unconsciously
projects feelings, attitudes, or expectations from past relationships onto
the therapist. The patient's disproportionate anger suggests that they are
transferring feelings from a significant past relationship onto the
therapist. Countertransference is the therapist's emotional reaction to the
patient.
5. Which of the following is a core concept in psychodynamic
therapy?
A. Automatic thoughts as the primary focus of change
B. Unconscious processes, defense mechanisms, and the influence of
early relationships on current functioning
C. Exclusive focus on measurable behavioral outcomes without
exploration of meaning
D. Ignoring the therapeutic relationship
B. Unconscious processes, defense mechanisms, and the influence
of early relationships on current functioning
RATIONALE: Psychodynamic approaches emphasize unconscious
motivation, defense mechanisms, transference, and how early relational
6645/NRNP6645 PSYCHOTHERAPY WITH
MULTIPLE MODALITIES MIDTERM
EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
• Psychodynamic and Cognitive-Behavioral Therapies
• Humanistic, Existential, and Integrative Therapies
• Group, Family, and Couples Therapy Modalities
• Legal, Ethical, and Cultural Considerations in Psychotherapy
• Therapeutic Alliance, Transference, and Countertransference
• Trauma-Informed Care and Crisis Intervention
• Psychopharmacology and Neurobiology in Psychotherapy
• Evidence-Based Treatment Planning for Diverse Populations
Introduction
The NRNP 6645 Midterm Examination assesses the advanced practice
psychiatric nurse's competency in psychotherapy with multiple
modalities. It evaluates knowledge across psychodynamic, cognitive-
behavioral, humanistic, existential, group, family, and couples therapies,
as well as legal and ethical considerations. The assessment employs
,multiple-choice and scenario-based questions to test clinical decision-
making and real-world application. Emphasis is placed on therapeutic
alliance, evidence-based practice, and cultural competence. This exam
ensures candidates are prepared to deliver effective, ethical, and
integrative psychotherapy.
Section One: Version 1 — Questions 1–100
1. A patient in psychodynamic psychotherapy states, "I don't
remember anything about my childhood before age ten. It's just a
blank." The therapist recognizes this as an unconscious protective
process known as:
A. Suppression
B. Repression
C. Denial
D. Projection
B. Repression
RATIONALE: Repression is an unconscious defense mechanism
that blocks painful or threatening memories, thoughts, or impulses from
conscious awareness. The patient's inability to remember childhood
experiences suggests repression. Suppression is a conscious effort to
forget or avoid thoughts. Denial involves refusing to acknowledge
reality. Projection involves attributing one's own unacceptable thoughts
or feelings to others.
2. According to Bordin's pan-theoretical model of the therapeutic
alliance, the three essential components are:
A. Empathy, unconditional positive regard, and genuineness
B. Goals, tasks, and bond
,C. Transference, countertransference, and resistance
D. Assessment, diagnosis, and treatment planning
B. Goals, tasks, and bond
RATIONALE: Bordin's model identifies three essential components:
agreement on goals (the objectives of therapy), agreement on tasks (the
activities and interventions used to achieve those goals), and the bond
(the interpersonal connection and trust between therapist and patient).
Empathy, unconditional positive regard, and genuineness are core
conditions of person-centered therapy as defined by Carl Rogers.
Transference, countertransference, and resistance are psychodynamic
concepts.
3. A therapist notices that she feels unusually protective and parental
toward a patient who reminds her of her younger sibling. This
phenomenon is known as:
A. Transference
B. Countertransference
C. Projective identification
D. Splitting
B. Countertransference
RATIONALE: Countertransference refers to the therapist's
emotional reactions, projections, or unconscious responses to the patient,
often influenced by the therapist's own personal history and unresolved
conflicts. The therapist's protective feelings stemming from the patient's
resemblance to her sibling indicate countertransference. Transference is
the patient's projection onto the therapist. Projective identification
involves the patient projecting feelings onto the therapist who then
experiences them.
, 4. A patient repeatedly expresses anger toward the therapist that
seems disproportionate to the therapeutic interaction. The therapist
recognizes this as:
A. Countertransference
B. Transference
C. Empathy
D. Therapeutic rapport
B. Transference
RATIONALE: Transference occurs when a patient unconsciously
projects feelings, attitudes, or expectations from past relationships onto
the therapist. The patient's disproportionate anger suggests that they are
transferring feelings from a significant past relationship onto the
therapist. Countertransference is the therapist's emotional reaction to the
patient.
5. Which of the following is a core concept in psychodynamic
therapy?
A. Automatic thoughts as the primary focus of change
B. Unconscious processes, defense mechanisms, and the influence of
early relationships on current functioning
C. Exclusive focus on measurable behavioral outcomes without
exploration of meaning
D. Ignoring the therapeutic relationship
B. Unconscious processes, defense mechanisms, and the influence
of early relationships on current functioning
RATIONALE: Psychodynamic approaches emphasize unconscious
motivation, defense mechanisms, transference, and how early relational
