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NRNP 6645 Psychotherapy with Individuals and Families Midterm Examination, Walden University, 2026/2027 – 130-Question Psychiatric-Mental Health Nursing Competency Assessment

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This document covers the NRNP 6645 Psychotherapy with Individuals and Families Midterm Examination for the 2026/2027 academic year in the Walden University Psychiatric-Mental Health Nurse Practitioner program. It includes 130 exam-style questions focused on psychotherapy theories, therapeutic communication, family systems, and evidence-based psychiatric nursing interventions aligned with NONPF Core Competencies and AACN Essentials (2021). The material supports exam preparation by reinforcing individual and family psychotherapy approaches, therapeutic alliance development, mental health assessment, ethical practice, cultural considerations, crisis intervention, and advanced psychiatric clinical decision-making.

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Stages of Learning model - ANSWERS-A framework describing the progression of a
learner from unconscious incompetency to unconscious competency.
Unconscious incompetency - ANSWERS-A stage where a person is unaware of their
lack of skill or knowledge.
Conscious incompetency - ANSWERS-A stage where a person is aware of their lack of
skill or knowledge.
Conscious competency - ANSWERS-A stage where a person is aware of their skill or
knowledge and can perform it.
Unconscious competency - ANSWERS-A stage where a person can perform a skill or
knowledge without conscious thought.
Freud's tasks of learning independence and control - ANSWERS-Associated with
problematic traits such as excessive dependency.
Standards of care - ANSWERS-Legally binding guidelines that dictate the minimum
acceptable level of care.
Practice guidelines - ANSWERS-Recommendations that are not legally binding and can
be more flexible.
Cognitive-Behavioral Therapy (CBT) - ANSWERS-A system of psychotherapy that
focuses on how an individual's thoughts influence their feelings and behaviors.
Primary thinking - ANSWERS-Recognizes indeterminate, negative, and irrational
thinking as part of human action.

, Secondary thinking - ANSWERS-Recognizes the indeterminate, negative, and irrational
thinking as foremost.
Imitative behavior - ANSWERS-A therapeutic benefit that allows individuals to
experiment with new behaviors.
Psychoanalytic psychotherapy - ANSWERS-Not ideal for patients with primarily
primitive defenses.
Dynamic supportive therapy - ANSWERS-A strategy where the nurse assists the patient
with reality testing, problem-solving, and interpersonal awareness.
Therapeutic alliance - ANSWERS-The relationship between therapist and patient that is
essential for effective therapy.
Cognitive triad - ANSWERS-A concept in CBT that includes maladaptive thoughts
rooted in irrational assumptions.
Universality - ANSWERS-A therapeutic factor where a group member realizes others
share similar feelings of incompetency.
Reality testing - ANSWERS-A process in dynamic supportive therapy that helps patients
distinguish between their perceptions and reality.
Psychic determinism - ANSWERS-The concept that every thought and behavior has a
cause.
Supportive psychodynamic psychotherapy - ANSWERS-Focuses on feelings, defenses,
life stresses, and problem-solving.
Direct advice - ANSWERS-A strategy in imparting information that can elucidate
interpersonal pathology.
Solution focused therapy - ANSWERS-A therapy approach that focuses on potential
solutions rather than the etiology of the problem.
Clinical practice guidelines - ANSWERS-Recommendations for the use of
psychodynamic therapy for various psychiatric disorders.
Panic-focused psychodynamic psychotherapy - ANSWERS-Recommended as an initial
treatment for Panic Disorder.
First-line treatment - ANSWERS-The preferred initial treatment option for a specific
disorder.
Major Depressive Disorder - ANSWERS-A condition for which psychodynamic therapy
is considered a therapeutic treatment option.
Directive approach - ANSWERS-Learning to be directive to help the patient feel better.
Psychotherapeutic process - ANSWERS-Letting the psychotherapeutic process unfold
over time.
Main goal of psychotherapy - ANSWERS-Helping the patient feel better is the main goal
of psychotherapy.
Therapeutic toolbox - ANSWERS-Building a therapeutic toolbox for a variety of 'fix it'
solutions for a variety of problems.
Cultural framework in relationships - ANSWERS-This is a culturally consistent
framework where the wife is typically the decision maker in the family.
Gender inequality awareness - ANSWERS-The couple is aware of the gender inequality
in the family and is fine with it.
Resilience and posttraumatic growth - ANSWERS-There is a curvilinear relationship
between posttraumatic growth and resilience.

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2025/2026
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