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NRNP 6645 Midterm Exam Questions and Answers 2025–2026 | Psychotherapy with Multiple Modalities | PMHNP Exam Prep | A+ Verified Study Guide

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Prepare confidently for your NRNP 6645 Midterm Exam with this comprehensive collection of exam questions and verified answers covering psychotherapy with multiple modalities. This study guide is designed for PMHNP students and advanced practice psychiatric nursing learners seeking to master foundational and advanced psychotherapy concepts frequently tested in graduate nursing programs. The material includes cognitive behavioral therapy (CBT), psychodynamic psychotherapy, supportive psychotherapy, family therapy, group therapy, cultural competence, therapeutic communication, developmental theories, resilience theory, trauma-informed care, therapeutic alliance, transference, countertransference, and evidence-based psychotherapeutic interventions. Students will strengthen their understanding of major psychotherapy frameworks, ethical considerations, clinical decision-making, and psychiatric nursing practice. The guide also covers key theorists including Freud, Erikson, Peplau, Mahler, Sullivan, Bowen, Beck, and Yalom.

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NRNP – 6645 Exam Questions With Answers Psychotherapy
with Multiple Modalities

1. What distinguishes psychoanalytic therapy from other types of therapies?

A. The focus on problem-solving

B. The focus on irrational thoughts

C. The focus on dreams and wishes

D. The deep analysis of the patient relationship with the therapist.
PR
2. Strategies for working with anxiety are central to all therapy approaches. Which strategy
would be consistent with a behavioral therapy approach?

A. Restructuring
O
B. Interpretations

C. Desensitization
FD

D. Exploring wishes

3. Schizoid personality is a pathological outcome associated with which of Erickson's
O
psychosocial stages?

A. Autonomy vs. self-doubt
C

B. Industry vs. inferiority

C. Identity vs. role confusion

D. Intimacy vs. isolation


4. The advanced practice psychiatric nurse helps the patient to identify and name feelings, focus
on somatic sensations associated with emotions, and encourages use of metaphor to describe
feelings. This is consistent with which basic strategy of supportive psychodynamic therapy?

A. Make connections

,NRNP – 6645 Exam Questions With Answers Psychotherapy
with Multiple Modalities

B. Decrease alexithymia

C. Encourage patient activity

D. Maximize adaptive coping mechanisms




5. Good practice habits that are relevant for legal and ethical professional responsibility include
PR
which of the following? Check all that apply.
E. It is essential that emergency coverage is in place.

F. How the patient contacts you between sessions and in emergencies should be included in
the contract given to the patient during the initial session.
O

G. Explicitly state whether you will be available for phone calls between sessions
and adhere to clear limits.
FD

H. Check messages at least once per day and call back within 24 hours.

Step-by-step explanation
O
6. For severe trauma and phobias it is recommended to teach the patient some relation techniques
prior to beginning exposure therapy. When is it appropriate to use these relaxation techniques?
C
I. It is appropriate to use relaxation techniques in between exposures

J. It is appropriate to use relaxation techniques during the actual exposures conducted by
thetherapist.
K. It is appropriate to use relaxation techniques after the exposures

L. A and C

7. A patient being treated with supportive psychodynamic psychotherapy has been missing
sessions and coming late when coming to sessions. The advanced practice psychiatric
nurse recognizes this behavior as which of the following?

,NRNP – 6645 Exam Questions With Answers Psychotherapy
with Multiple Modalities
M. Avoidance


N. A sign the patient has met goals.
PR
O
FD
O
C

, NRNP – 6645 Exam Questions With Answers Psychotherapy
with Multiple Modalities
O. The patient is ready to talk about termination of therapy.

P. The patient is bored because the sessions have not been very interesting.

8. Cognitive Behavioral Therapy (CBT) interventions focus on

Q. The person's relationships and family dynamics

R. The person's thoughts, beliefs, or behaviors

S. The person's understanding of how the past gets triggered and plays out in the present
PR

T. The person's body, beliefs, images, and emotions to process trauma

9. The therapist using a CBT approach says to the patient: "You say you become depressed.
O
Explain to me what depressed feels like to you." This is an example of what question type
in Socratic
FD
Dialogue?

U. Memory question
O
V. Translation question

W.Application question
C

X. Interpretation question

10. According to the Stages of the Family Life Cycle the key emotional process of transition
for single

young adults is:

Y. Commitment to a new system.

Z. Accepting the shifting generational roles.C. Accepting new
members into the system.

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