NRNP 6645 Midterm Practice Questions
2026
1. A client reports persistent thoughts such as “I always fail at everything.”
During CBT, the therapist identifies this as which cognitive distortion?
A. Personalization
B. Catastrophizing
C. Overgeneralization
D. Emotional reasoning
Correct Answer: C. Overgeneralization
2. A therapist notices strong feelings of frustration toward a client who reminds
them of a difficult family member. This reaction best illustrates:
A. Projection
B. Transference
C. Countertransference
D. Displacement
Correct Answer: C. Countertransference
3. A patient with panic disorder repeatedly avoids situations where panic attacks
previously occurred. In behavioral terms, this avoidance behavior is maintained
primarily by:
A. Positive reinforcement
B. Negative reinforcement
C. Punishment
D. Extinction
Correct Answer: B. Negative reinforcement
, 4. A therapist encourages a patient to imagine confronting a feared object while
practicing relaxation techniques. This intervention is best described as:
A. Flooding
B. Systematic desensitization
C. Cognitive restructuring
D. Response prevention
Correct Answer: B. Systematic desensitization
5. During therapy, a patient begins discussing childhood experiences and
unconscious motivations influencing present behavior. This approach reflects:
A. Behavioral therapy
B. Cognitive therapy
C. Psychodynamic therapy
D. Existential therapy
Correct Answer: C. Psychodynamic therapy
6. In motivational interviewing, the therapist’s primary goal is to:
A. Challenge irrational beliefs directly
B. Enhance intrinsic motivation for change
C. Provide structured behavioral tasks
D. Analyze unconscious conflict
Correct Answer: B. Enhance intrinsic motivation for change
7. Which of the following therapist responses best reflects motivational
interviewing principles?
A. “You need to stop drinking immediately.”
B. “Why do you keep making poor decisions?”
C. “What concerns do you have about your drinking?”
D. “Your behavior is self-destructive.”
Correct Answer: C. “What concerns do you have about your drinking?”
2026
1. A client reports persistent thoughts such as “I always fail at everything.”
During CBT, the therapist identifies this as which cognitive distortion?
A. Personalization
B. Catastrophizing
C. Overgeneralization
D. Emotional reasoning
Correct Answer: C. Overgeneralization
2. A therapist notices strong feelings of frustration toward a client who reminds
them of a difficult family member. This reaction best illustrates:
A. Projection
B. Transference
C. Countertransference
D. Displacement
Correct Answer: C. Countertransference
3. A patient with panic disorder repeatedly avoids situations where panic attacks
previously occurred. In behavioral terms, this avoidance behavior is maintained
primarily by:
A. Positive reinforcement
B. Negative reinforcement
C. Punishment
D. Extinction
Correct Answer: B. Negative reinforcement
, 4. A therapist encourages a patient to imagine confronting a feared object while
practicing relaxation techniques. This intervention is best described as:
A. Flooding
B. Systematic desensitization
C. Cognitive restructuring
D. Response prevention
Correct Answer: B. Systematic desensitization
5. During therapy, a patient begins discussing childhood experiences and
unconscious motivations influencing present behavior. This approach reflects:
A. Behavioral therapy
B. Cognitive therapy
C. Psychodynamic therapy
D. Existential therapy
Correct Answer: C. Psychodynamic therapy
6. In motivational interviewing, the therapist’s primary goal is to:
A. Challenge irrational beliefs directly
B. Enhance intrinsic motivation for change
C. Provide structured behavioral tasks
D. Analyze unconscious conflict
Correct Answer: B. Enhance intrinsic motivation for change
7. Which of the following therapist responses best reflects motivational
interviewing principles?
A. “You need to stop drinking immediately.”
B. “Why do you keep making poor decisions?”
C. “What concerns do you have about your drinking?”
D. “Your behavior is self-destructive.”
Correct Answer: C. “What concerns do you have about your drinking?”
