NR605 Week 8 Final Exam Due 22nd December 2025 Complete
Actual Exam Questions 1- 75 NR605 Diagnosis Management in
Psychiatric Mental Health NR 605 Midterm and Finals
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NR605 Week 8 Final Exam – Complete 75-Question Test Bank
Course: NR605 Diagnosis & Management in Psychiatric-Mental Health
Across the Lifespan I Practicum
Institution: Chamberlain University
Exam Date: December 22, 2025
Format: Examplify Online Proctored
Sections: 75 multiple-choice and select-all-that-apply (SATA) questions
with detailed rationales
✅ Instructions
• Read each clinical vignette carefully.
• Select the best answer. For SATA questions, choose all that apply.
• Use the rationales to reinforce your understanding of core
concepts.
SECTION I – FOUNDATIONAL PRINCIPLES OF PSYCHOTHERAPY
(Questions 1–15)
Question 1
A PMHNP is evaluating a client who is considering psychotherapy. The
client asks, “Which type of therapy will be most effective for my
depression?” The PMHNP responds that the most widely practiced
form of psychotherapy is:
A) Psychodynamic therapy
B) Interpersonal therapy (IPT)
C) Cognitive-behavioral therapy (CBT)
D) Humanistic therapy
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Answer: C – Cognitive-behavioral therapy (CBT)
Rationale: CBT is the most extensively researched and widely practiced
psychotherapy for depression and anxiety disorders. It is short-term,
structured, and goal-oriented, focusing on the interconnectedness of
thoughts, feelings, and behaviors.
Question 2
A client with a history of trauma says, “I can’t get past the memory of
the accident.” Which statement best reflects the core premise of CBT?
A) “Unresolved childhood conflicts are the root of your distress.”
B) “Your thoughts about the trauma, not the event itself, are causing
your current emotions.”
C) “You must fully experience and release the emotions associated with
the memory.”
D) “Your symptoms are caused by a chemical imbalance in your brain.”
Answer: B – “Your thoughts … are causing your current emotions.”
Rationale: A fundamental CBT principle is that an individual’s
interpretation of an event (cognitive appraisal) largely determines their
emotional and behavioral response. Changing maladaptive thought
patterns can reduce distress.
Question 3
Albert Ellis, widely known as the “grandfather” of cognitive-behavioral
therapy, is most closely associated with:
A) Rational Emotive Behavior Therapy (REBT)
B) Cognitive Therapy
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C) Dialectical Behavior Therapy (DBT)
D) Acceptance and Commitment Therapy (ACT)
Answer: A – Rational Emotive Behavior Therapy (REBT)
Rationale: Ellis developed REBT, which focuses on identifying and
challenging irrational beliefs. Aaron Beck, not Ellis, pioneered cognitive
therapy, which later evolved into CBT.
Question 4
During a CBT session, the PMHNP uses a guided questioning technique
to help the client explore their thoughts and beliefs. This technique is
known as:
A) Decatastrophizing
B) Socratic dialogue
C) Cognitive restructuring
D) Exposure therapy
Answer: B – Socratic dialogue
Rationale: Socratic dialogue uses open-ended, probing questions to
help clients examine the evidence for their thoughts, recognize
cognitive distortions, and develop more balanced perspectives.
Question 5
A client believes, “If I make one mistake, I am a total failure.” This is an
example of which cognitive distortion?
A) Catastrophizing
B) Overgeneralization
C) All-or-nothing thinking
D) Personalization
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Answer: C – All-or-nothing thinking
Rationale: All-or-nothing thinking (also called black-and-white or
polarized thinking) is the tendency to view situations in extreme
categories without recognizing the middle ground. It is a common
cognitive distortion addressed in CBT.
Question 6
When a client expects the worst-case scenario to happen, the PMHNP
identifies this as:
A) Mind reading
B) Catastrophizing
C) Overgeneralization
D) Emotional reasoning
Answer: B – Catastrophizing
Rationale: Catastrophizing involves assuming the worst possible
outcome will occur, even when evidence suggests otherwise. It often
amplifies anxiety and can be challenged through decatastrophizing and
Socratic questioning.
Question 7
A PMHNP is using a client-centered communication style to help a
patient with substance use disorder resolve ambivalence about change.
This approach is best described as:
A) Cognitive restructuring
B) Motivational interviewing (MI)
C) Interpersonal therapy (IPT)
D) Psychoeducation
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