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Georgette’s Domain 4: Psychotherapies – PMHNP Board Review | Verified Study Q&A 2025/2026

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Georgette’s Domain 4: Psychotherapies – PMHNP Board Review (2025/2026) provides a comprehensive collection of verified study questions with complete, clearly explained answers focused on psychotherapy concepts tested on the PMHNP certification exam. This review guide covers major psychotherapy modalities, therapeutic approaches, treatment goals, indications, and clinical applications relevant to PMHNP practice. Designed as a focused board preparation and study resource, it helps learners reinforce key concepts, strengthen clinical reasoning, and build confidence for success on the PMHNP board examination.

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GEORGETTE'S DOMAIN 4: PSYCHOTHERAPIES pmhnp board
Study online at https://quizlet.com/_gn1t97

1. A 16 y/o who is experiencing identity confusion, a sense of not knowing where
he fits in . Which stage of development has failed?: Identity vs Role Confusion
Adolescence

-12-20 y/o
-Development of a stable sense of self
2. A 30 y/o pt is experiencing concerns with her personal and relational develop-
ment. She expresses doubts about her relationships and feels isolated. Which
stage of development is presenting challenges?: Intimacy vs isolation

-20-35 y/o
-This stage revolves around the development of meaningful relationships and the fear of social isolation
3. A pt is experiencing a deep existential crisis. Feels overwhelmed about the
meaning of her life, their purpose, and inevitable death. They have dread and
anxiety. Which therapeutic approach would best help?: Existential psychotherapy to explore
life's meaning and conflicts

-well-suited for a patient's existential crisis
4. Which stage is it: When a child's crucial task is acquiring academic skills,
demonstrating competence in school, and establishing a sense of accomplish-
ment in relation to peers: Industry vs. Inferiority

-Middle childhood
-6-12 y/o
-success in this stage leads to a sense of industry and competence, while failure can result in feelings of inferiority
5. A 6 y/o rarely interacts with classmates, refuses to participate in activities, and
seeks approval from adults. Which stage is he struggling with?: Industry vs. Inferiority

-Children who struggle in this stage ay feel inferior and incompetent
6. A 12 y/o is displaying anxiety and hesitates to engage in new tasks. Avoids
taking initiative, fearing potential disapproval and possibility of failure. Which
stage is he struggling with?: Initiative vs Guilt



, GEORGETTE'S DOMAIN 4: PSYCHOTHERAPIES pmhnp board
Study online at https://quizlet.com/_gn1t97

-early childhood
-3-6 y/o
-developing a sense of purpose and the ability to take initiative
7. An 80 y/o pt who often reflects on past experiences, cherishes memories with
her loved ones, and expresses a sense of contentment with her life's journey.
Which stage is she most likely navigating at this stage?: Integrity vs Despair

-Late adulthood
-65 and older
-Revolves around the reflection of one's life, acceptance of one's experiences, and the development of wisdom
8. A 4 y/o pt frequently engages in imaginative play, asks questions about
the world, and initiates activities. Expresses curiosity and desire to explore
environment. Which stage is he most likely navigating at this stage?: Initiative vs
Guilt
9. A 5 y/o who displays signs of hesitation and guilt when attempting new
activities. Often reluctant to initiate play or creative tasks, and fears that her
actions might lead to disapproval or criticism. Which stage is he struggling
with?: Initiative vs Guilt
10. A 75 y/o pt expresses feelings of regret, dissatisfaction, and despair when
reflecting on her life experiences. She dwells on missed opportunities, unre-
solved conflicts, and unmet goals. Which stage is she likely failing to master?-
: Integrity vs Despair
11. A 10 month old baby loses interest in a toy when it is hidden and doesn't
make an attempt to look for it. He immediately reaches for it when he sees it.
Which stage of cognitive development best describes his cognitive abilities?
-sensorimotor
-preoperational
-concrete operational
-formal operational: Sensorimotor stage

-typically occurs between birth and 2 y/o

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