NRNP6645 Psychotherapy with Multiple
Modalities Final Exam – Walden University
2025/2026 | Verified Questions and Correct
Answers (Latest Update)
Section 1: Psychodynamic and Supportive Psychotherapy
(10 Questions)
Question 1: In classical psychodynamic therapy, what is the therapist’s primary role?
Answer: Objective observer
Rationale: The therapist maintains neutrality to facilitate insight into unconscious conflicts,
avoiding directive interventions.
Question 2: A patient in supportive psychodynamic therapy is encouraged to identify feelings
and use metaphors to describe them. This aligns with which strategy?
Answer: Making connections between feelings, behaviors, and events
Rationale: This strengthens ego function by linking emotions to experiences, promoting self-
awareness.
Question 3: A patient with gambling addiction misses sessions. The advanced practice
psychiatric nurse interprets this as:
Answer: Avoidance
Rationale: Missing sessions reflects resistance, a common defense mechanism in
psychodynamic therapy.
Question 4: Which factors are included in a relapse prevention plan for addiction? (Select all
that apply)
Answer: Identifying triggers; Developing coping strategies; Establishing support systems
Rationale: Comprehensive plans address triggers, skills, and support to prevent relapse.
Question 5: Recognizing multiple factors (biological, psychological, social) in a patient’s
condition reflects which framework?
Answer: Biopsychosocial
Rationale: Integrates all influences, unlike the biomedical model’s focus on physiology.
Question 6: In psychodynamic therapy, transference is best described as:
Answer: Projecting past feelings onto the therapist
Rationale: Transference involves unconscious redirection of emotions from past relationships.
, Question 7: The therapeutic factor of reliving early familial conflicts in group therapy is called:
Answer: Corrective recapitulation of the primary family group
Rationale: Groups allow resolution of family dynamics (Yalom, 2005).
Question 8: A patient feels relieved that others share similar fears in group therapy. This reflects
which therapeutic factor?
Answer: Universality
Rationale: Shared experiences reduce isolation and foster connection.
Question 9: Providing education about mental health in group therapy supports which factor?
Answer: Imparting of information
Rationale: Education reduces stigma and enhances understanding.
Question 10: Supportive psychotherapy differs from classical psychodynamic by:
Answer: Focusing on ego strengthening and present coping
Rationale: Supportive therapy emphasizes current functioning over deep unconscious
exploration.
Section 2: Cognitive Behavioral Therapy (CBT) and
Dialectical Behavior Therapy (DBT) (12 Questions)
Question 11: The primary goal of CBT is to:
Answer: Identify and modify dysfunctional thoughts and behaviors
Rationale: CBT targets cognitive distortions to alleviate symptoms (Hofmann et al., 2012).
Question 12: Which is a core principle of DBT?
Answer: Balancing acceptance and change
Rationale: DBT integrates mindfulness and skill-building for emotional regulation.
Question 13: A patient in CBT says, “I’m a failure at everything.” This is an example of:
Answer: All-or-nothing thinking
Rationale: This cognitive distortion involves extreme generalizations, addressed via Socratic
questioning.
Question 14: In DBT, chain analysis is used to:
Answer: Understand the sequence of events leading to a behavior
Rationale: Identifies triggers and vulnerabilities to prevent recurrence.
Question 15: Which interventions are part of CBT for depression? (Select all that apply)
Answer: Behavioral activation; Cognitive restructuring; Homework assignments
Rationale: These target low mood, distorted thoughts, and reinforce learning.
Modalities Final Exam – Walden University
2025/2026 | Verified Questions and Correct
Answers (Latest Update)
Section 1: Psychodynamic and Supportive Psychotherapy
(10 Questions)
Question 1: In classical psychodynamic therapy, what is the therapist’s primary role?
Answer: Objective observer
Rationale: The therapist maintains neutrality to facilitate insight into unconscious conflicts,
avoiding directive interventions.
Question 2: A patient in supportive psychodynamic therapy is encouraged to identify feelings
and use metaphors to describe them. This aligns with which strategy?
Answer: Making connections between feelings, behaviors, and events
Rationale: This strengthens ego function by linking emotions to experiences, promoting self-
awareness.
Question 3: A patient with gambling addiction misses sessions. The advanced practice
psychiatric nurse interprets this as:
Answer: Avoidance
Rationale: Missing sessions reflects resistance, a common defense mechanism in
psychodynamic therapy.
Question 4: Which factors are included in a relapse prevention plan for addiction? (Select all
that apply)
Answer: Identifying triggers; Developing coping strategies; Establishing support systems
Rationale: Comprehensive plans address triggers, skills, and support to prevent relapse.
Question 5: Recognizing multiple factors (biological, psychological, social) in a patient’s
condition reflects which framework?
Answer: Biopsychosocial
Rationale: Integrates all influences, unlike the biomedical model’s focus on physiology.
Question 6: In psychodynamic therapy, transference is best described as:
Answer: Projecting past feelings onto the therapist
Rationale: Transference involves unconscious redirection of emotions from past relationships.
, Question 7: The therapeutic factor of reliving early familial conflicts in group therapy is called:
Answer: Corrective recapitulation of the primary family group
Rationale: Groups allow resolution of family dynamics (Yalom, 2005).
Question 8: A patient feels relieved that others share similar fears in group therapy. This reflects
which therapeutic factor?
Answer: Universality
Rationale: Shared experiences reduce isolation and foster connection.
Question 9: Providing education about mental health in group therapy supports which factor?
Answer: Imparting of information
Rationale: Education reduces stigma and enhances understanding.
Question 10: Supportive psychotherapy differs from classical psychodynamic by:
Answer: Focusing on ego strengthening and present coping
Rationale: Supportive therapy emphasizes current functioning over deep unconscious
exploration.
Section 2: Cognitive Behavioral Therapy (CBT) and
Dialectical Behavior Therapy (DBT) (12 Questions)
Question 11: The primary goal of CBT is to:
Answer: Identify and modify dysfunctional thoughts and behaviors
Rationale: CBT targets cognitive distortions to alleviate symptoms (Hofmann et al., 2012).
Question 12: Which is a core principle of DBT?
Answer: Balancing acceptance and change
Rationale: DBT integrates mindfulness and skill-building for emotional regulation.
Question 13: A patient in CBT says, “I’m a failure at everything.” This is an example of:
Answer: All-or-nothing thinking
Rationale: This cognitive distortion involves extreme generalizations, addressed via Socratic
questioning.
Question 14: In DBT, chain analysis is used to:
Answer: Understand the sequence of events leading to a behavior
Rationale: Identifies triggers and vulnerabilities to prevent recurrence.
Question 15: Which interventions are part of CBT for depression? (Select all that apply)
Answer: Behavioral activation; Cognitive restructuring; Homework assignments
Rationale: These target low mood, distorted thoughts, and reinforce learning.
