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WALDEN UNIVERSITY NRNP 6645/NRNP6645
PSYCHOTHERAPY WITH MULTIPLE MODALITIES
MIDTERM EXAM 2 DIFFERENT VERSIONS 200 QS AND
ANSWERS - WEEK 6 LATEST UPDATE GRADED A+
Question 1
A psychiatric nurse practitioner is conducting cognitive behavioral therapy (CBT).
Which principle is central to CBT?
A. Dreams reveal unconscious conflicts
B. Thoughts influence emotions and behaviors
C. Childhood experiences determine all behavior
D. Therapy focuses only on medications
Answer: B. Thoughts influence emotions and behaviors
Rationale: CBT focuses on identifying and changing maladaptive thoughts
affecting behavior and emotions.
Question 2
A client with major depressive disorder states, “Nothing good ever happens to
me.” Which cognitive distortion is the client demonstrating?
A. Catastrophizing
B. Personalization
C. Overgeneralization
D. Projection
Answer: C. Overgeneralization
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Rationale: Overgeneralization occurs when one negative event is viewed as a
never-ending pattern.
Question 3
During motivational interviewing, which response by the provider is most
appropriate?
A. “You must stop drinking immediately.”
B. “Why haven’t you changed your behavior?”
C. “What are your thoughts about making changes?”
D. “Your behavior is unacceptable.”
Answer: C. “What are your thoughts about making changes?”
Rationale: Motivational interviewing encourages client-centered exploration of
change.
Question 4
A client with generalized anxiety disorder reports constant worry and muscle
tension. Which therapy is considered first-line psychotherapy?
A. Psychoanalysis
B. Cognitive behavioral therapy
C. Aversion therapy
D. Hypnotherapy
Answer: B. Cognitive behavioral therapy
Rationale: CBT is highly effective for anxiety disorders.
Question 5
Which defense mechanism involves refusing to acknowledge reality?
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A. Projection
B. Sublimation
C. Denial
D. Rationalization
Answer: C. Denial
Rationale: Denial occurs when an individual refuses to accept painful realities.
Question 6
A therapist asks a client to keep a daily log of automatic negative thoughts.
Which CBT technique is being used?
A. Exposure therapy
B. Thought recording
C. Dream interpretation
D. Free association
Answer: B. Thought recording
Rationale: Thought records help identify maladaptive cognitive patterns.
Question 7
A client with panic disorder asks why panic attacks occur. Which explanation by
the PMHNP is most appropriate?
A. “They are caused only by physical illness.”
B. “They result from unconscious childhood trauma exclusively.”
C. “They involve sudden activation of the body’s fear response.”
D. “They occur because of personality weakness.”
Answer: C. “They involve sudden activation of the body’s fear response.”
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Rationale: Panic attacks involve exaggerated autonomic nervous system
activation.
Question 8
Which therapeutic communication technique is demonstrated by the statement,
“Tell me more about how you felt”?
A. Giving advice
B. Encouraging elaboration
C. Minimizing feelings
D. Confrontation
Answer: B. Encouraging elaboration
Rationale: Encouraging elaboration promotes further discussion and expression.
Question 9
A client with obsessive-compulsive disorder repeatedly washes hands. Which
therapy is most effective?
A. Electroconvulsive therapy
B. Exposure and response prevention
C. Psychoanalysis
D. Light therapy
Answer: B. Exposure and response prevention
Rationale: ERP is the gold-standard psychotherapy for OCD.
Question 10
A PMHNP notices a client becomes angry whenever discussing family
relationships. Which psychodynamic concept is this?
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WALDEN UNIVERSITY NRNP 6645/NRNP6645
PSYCHOTHERAPY WITH MULTIPLE MODALITIES
MIDTERM EXAM 2 DIFFERENT VERSIONS 200 QS AND
ANSWERS - WEEK 6 LATEST UPDATE GRADED A+
Question 1
A psychiatric nurse practitioner is conducting cognitive behavioral therapy (CBT).
Which principle is central to CBT?
A. Dreams reveal unconscious conflicts
B. Thoughts influence emotions and behaviors
C. Childhood experiences determine all behavior
D. Therapy focuses only on medications
Answer: B. Thoughts influence emotions and behaviors
Rationale: CBT focuses on identifying and changing maladaptive thoughts
affecting behavior and emotions.
Question 2
A client with major depressive disorder states, “Nothing good ever happens to
me.” Which cognitive distortion is the client demonstrating?
A. Catastrophizing
B. Personalization
C. Overgeneralization
D. Projection
Answer: C. Overgeneralization
pg. 1
,2|Page
Rationale: Overgeneralization occurs when one negative event is viewed as a
never-ending pattern.
Question 3
During motivational interviewing, which response by the provider is most
appropriate?
A. “You must stop drinking immediately.”
B. “Why haven’t you changed your behavior?”
C. “What are your thoughts about making changes?”
D. “Your behavior is unacceptable.”
Answer: C. “What are your thoughts about making changes?”
Rationale: Motivational interviewing encourages client-centered exploration of
change.
Question 4
A client with generalized anxiety disorder reports constant worry and muscle
tension. Which therapy is considered first-line psychotherapy?
A. Psychoanalysis
B. Cognitive behavioral therapy
C. Aversion therapy
D. Hypnotherapy
Answer: B. Cognitive behavioral therapy
Rationale: CBT is highly effective for anxiety disorders.
Question 5
Which defense mechanism involves refusing to acknowledge reality?
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A. Projection
B. Sublimation
C. Denial
D. Rationalization
Answer: C. Denial
Rationale: Denial occurs when an individual refuses to accept painful realities.
Question 6
A therapist asks a client to keep a daily log of automatic negative thoughts.
Which CBT technique is being used?
A. Exposure therapy
B. Thought recording
C. Dream interpretation
D. Free association
Answer: B. Thought recording
Rationale: Thought records help identify maladaptive cognitive patterns.
Question 7
A client with panic disorder asks why panic attacks occur. Which explanation by
the PMHNP is most appropriate?
A. “They are caused only by physical illness.”
B. “They result from unconscious childhood trauma exclusively.”
C. “They involve sudden activation of the body’s fear response.”
D. “They occur because of personality weakness.”
Answer: C. “They involve sudden activation of the body’s fear response.”
pg. 3
, 4|Page
Rationale: Panic attacks involve exaggerated autonomic nervous system
activation.
Question 8
Which therapeutic communication technique is demonstrated by the statement,
“Tell me more about how you felt”?
A. Giving advice
B. Encouraging elaboration
C. Minimizing feelings
D. Confrontation
Answer: B. Encouraging elaboration
Rationale: Encouraging elaboration promotes further discussion and expression.
Question 9
A client with obsessive-compulsive disorder repeatedly washes hands. Which
therapy is most effective?
A. Electroconvulsive therapy
B. Exposure and response prevention
C. Psychoanalysis
D. Light therapy
Answer: B. Exposure and response prevention
Rationale: ERP is the gold-standard psychotherapy for OCD.
Question 10
A PMHNP notices a client becomes angry whenever discussing family
relationships. Which psychodynamic concept is this?
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