NRNP 6645 Midterm Exam – Psychotherapy with Multiple
Modalities (2025/2026) | 100% Verified Questions and Answers |
Grade A – Walden
Practice Questions
Question 1. Which therapeutic approach emphasizes the exploration of unconscious con-
flicts to address psychological distress?
A. Cognitive Behavioral Therapy (CBT)
B. Psychoanalytic Therapy
C. Solution-Focused Brief Therapy (SFBT)
D. Dialectical Behavior Therapy (DBT)
Answer: B. Psychoanalytic Therapy
Rationale: According to Walden’s curriculum, psychoanalytic therapy, rooted
in Freud’s theories, focuses on uncovering unconscious conflicts driving psy-
chological distress. CBT targets thought patterns, SFBT emphasizes solu-
tions, and DBT addresses emotional regulation.
Question 2. In Cognitive Behavioral Therapy, what is the primary goal when addressing
a client’s automatic negative thoughts?
A. Reinforce the thoughts
B. Identify and restructure them
C. Ignore the thoughts
D. Explore their unconscious origins
Answer: B. Identify and restructure them
Rationale: Walden’s CBT framework emphasizes identifying automatic neg-
ative thoughts and restructuring them to promote healthier cognitive pat-
terns. Reinforcing or ignoring thoughts is counterproductive, and uncon-
scious exploration aligns with psychoanalytic therapy.
Question 3. A client with borderline personality disorder is best suited for which psy-
chotherapy modality?
A. Gestalt Therapy
B. Dialectical Behavior Therapy
C. Narrative Therapy
D. Person-Centered Therapy
Answer: B. Dialectical Behavior Therapy
Rationale: Walden’s curriculum highlights DBT as the evidence-based treat-
ment for borderline personality disorder, focusing on emotional regulation,
1
, distress tolerance, and interpersonal effectiveness. Other modalities lack
specific efficacy for this disorder.
Question 4. What is the primary focus of Person-Centered Therapy according to Carl
Rogers?
A. Behavioral modification
B. Unconditional positive regard
C. Cognitive restructuring
D. Exploring past traumas
Answer: B. Unconditional positive regard
Rationale: Walden’s teachings on Person-Centered Therapy emphasize Rogers’
core conditions, including unconditional positive regard, empathy, and con-
gruence, to foster client self-actualization. Other options align with different
modalities.
Question 5. Which assessment tool is commonly used to evaluate a client’s level of de-
pression in psychotherapy?
A. Beck Depression Inventory
B. Minnesota Multiphasic Personality Inventory
C. Rorschach Inkblot Test
D. Thematic Apperception Test
Answer: A. Beck Depression Inventory
Rationale: Walden’s curriculum endorses the Beck Depression Inventory as
a reliable, standardized tool to assess depression severity, guiding treatment
planning. Other tools assess personality or projective themes, not depression
specifically.
Question 6. In Gestalt Therapy, what technique encourages clients to focus on the present
moment?
A. Empty chair technique
B. Free association
C. Socratic questioning
D. Systematic desensitization
Answer: A. Empty chair technique
Rationale: Walden’s Gestalt Therapy framework highlights the empty chair
technique to promote awareness of present emotions and unresolved con-
flicts. Free association is psychoanalytic, Socratic questioning is CBT, and
desensitization is behavioral.
Question 7. Which principle is central to Solution-Focused Brief Therapy?
A. Exploring childhood experiences
2
, B. Identifying client strengths and solutions
C. Analyzing defense mechanisms
D. Challenging irrational beliefs
Answer: B. Identifying client strengths and solutions
Rationale: Walden’s curriculum emphasizes SFBT’s focus on client strengths
and future-oriented solutions rather than past problems. Other options align
with psychoanalytic or CBT approaches.
Question 8. A therapist using Narrative Therapy helps a client by:
A. Restructuring cognitive distortions
B. Reframing their life story
C. Teaching mindfulness skills
D. Analyzing unconscious drives
Answer: B. Reframing their life story
Rationale: Walden’s Narrative Therapy teachings focus on helping clients re-
frame their life stories to create empowering narratives, separating problems
from their identity. Other options belong to CBT, DBT, or psychoanalytic
therapy.
Question 9. What is a key ethical consideration when establishing a therapeutic alliance?
A. Maintaining confidentiality
B. Prescribing medication
C. Ignoring client preferences
D. Avoiding documentation
Answer: A. Maintaining confidentiality
Rationale: Walden’s curriculum underscores confidentiality as a cornerstone
of ethical practice, fostering trust in the therapeutic alliance. Prescribing
is outside a therapist’s scope, ignoring preferences undermines alliance, and
documentation is required.
Question 10. Which psychotherapy modality is most effective for treating specific phobias?
A. Psychoanalytic Therapy
B. Exposure Therapy
C. Person-Centered Therapy
D. Family Systems Therapy
Answer: B. Exposure Therapy
Rationale: Walden’s curriculum identifies exposure therapy, a behavioral
approach, as the most effective for specific phobias through gradual desen-
sitization. Other modalities are less targeted for this condition.
Question 11. In DBT, what is the purpose of the “chain analysis” technique?
3
Modalities (2025/2026) | 100% Verified Questions and Answers |
Grade A – Walden
Practice Questions
Question 1. Which therapeutic approach emphasizes the exploration of unconscious con-
flicts to address psychological distress?
A. Cognitive Behavioral Therapy (CBT)
B. Psychoanalytic Therapy
C. Solution-Focused Brief Therapy (SFBT)
D. Dialectical Behavior Therapy (DBT)
Answer: B. Psychoanalytic Therapy
Rationale: According to Walden’s curriculum, psychoanalytic therapy, rooted
in Freud’s theories, focuses on uncovering unconscious conflicts driving psy-
chological distress. CBT targets thought patterns, SFBT emphasizes solu-
tions, and DBT addresses emotional regulation.
Question 2. In Cognitive Behavioral Therapy, what is the primary goal when addressing
a client’s automatic negative thoughts?
A. Reinforce the thoughts
B. Identify and restructure them
C. Ignore the thoughts
D. Explore their unconscious origins
Answer: B. Identify and restructure them
Rationale: Walden’s CBT framework emphasizes identifying automatic neg-
ative thoughts and restructuring them to promote healthier cognitive pat-
terns. Reinforcing or ignoring thoughts is counterproductive, and uncon-
scious exploration aligns with psychoanalytic therapy.
Question 3. A client with borderline personality disorder is best suited for which psy-
chotherapy modality?
A. Gestalt Therapy
B. Dialectical Behavior Therapy
C. Narrative Therapy
D. Person-Centered Therapy
Answer: B. Dialectical Behavior Therapy
Rationale: Walden’s curriculum highlights DBT as the evidence-based treat-
ment for borderline personality disorder, focusing on emotional regulation,
1
, distress tolerance, and interpersonal effectiveness. Other modalities lack
specific efficacy for this disorder.
Question 4. What is the primary focus of Person-Centered Therapy according to Carl
Rogers?
A. Behavioral modification
B. Unconditional positive regard
C. Cognitive restructuring
D. Exploring past traumas
Answer: B. Unconditional positive regard
Rationale: Walden’s teachings on Person-Centered Therapy emphasize Rogers’
core conditions, including unconditional positive regard, empathy, and con-
gruence, to foster client self-actualization. Other options align with different
modalities.
Question 5. Which assessment tool is commonly used to evaluate a client’s level of de-
pression in psychotherapy?
A. Beck Depression Inventory
B. Minnesota Multiphasic Personality Inventory
C. Rorschach Inkblot Test
D. Thematic Apperception Test
Answer: A. Beck Depression Inventory
Rationale: Walden’s curriculum endorses the Beck Depression Inventory as
a reliable, standardized tool to assess depression severity, guiding treatment
planning. Other tools assess personality or projective themes, not depression
specifically.
Question 6. In Gestalt Therapy, what technique encourages clients to focus on the present
moment?
A. Empty chair technique
B. Free association
C. Socratic questioning
D. Systematic desensitization
Answer: A. Empty chair technique
Rationale: Walden’s Gestalt Therapy framework highlights the empty chair
technique to promote awareness of present emotions and unresolved con-
flicts. Free association is psychoanalytic, Socratic questioning is CBT, and
desensitization is behavioral.
Question 7. Which principle is central to Solution-Focused Brief Therapy?
A. Exploring childhood experiences
2
, B. Identifying client strengths and solutions
C. Analyzing defense mechanisms
D. Challenging irrational beliefs
Answer: B. Identifying client strengths and solutions
Rationale: Walden’s curriculum emphasizes SFBT’s focus on client strengths
and future-oriented solutions rather than past problems. Other options align
with psychoanalytic or CBT approaches.
Question 8. A therapist using Narrative Therapy helps a client by:
A. Restructuring cognitive distortions
B. Reframing their life story
C. Teaching mindfulness skills
D. Analyzing unconscious drives
Answer: B. Reframing their life story
Rationale: Walden’s Narrative Therapy teachings focus on helping clients re-
frame their life stories to create empowering narratives, separating problems
from their identity. Other options belong to CBT, DBT, or psychoanalytic
therapy.
Question 9. What is a key ethical consideration when establishing a therapeutic alliance?
A. Maintaining confidentiality
B. Prescribing medication
C. Ignoring client preferences
D. Avoiding documentation
Answer: A. Maintaining confidentiality
Rationale: Walden’s curriculum underscores confidentiality as a cornerstone
of ethical practice, fostering trust in the therapeutic alliance. Prescribing
is outside a therapist’s scope, ignoring preferences undermines alliance, and
documentation is required.
Question 10. Which psychotherapy modality is most effective for treating specific phobias?
A. Psychoanalytic Therapy
B. Exposure Therapy
C. Person-Centered Therapy
D. Family Systems Therapy
Answer: B. Exposure Therapy
Rationale: Walden’s curriculum identifies exposure therapy, a behavioral
approach, as the most effective for specific phobias through gradual desen-
sitization. Other modalities are less targeted for this condition.
Question 11. In DBT, what is the purpose of the “chain analysis” technique?
3
