NR 605
MIDTERM EXAM
WEEKS 1 – 4 COVERED
Verified Questions & Answers With Rationales
(Diagnosis and Management in Psychiatric-
Mental Health Across the Lifespan)
Chamberlain
CONSISTS OF 150 QUESTIONS
Study points for quick revision.
,Table of Contents
NR 605 Midterm Exam ................................................2
NR 605 Midterm Exam Study Points .........................59
NR 605 Midterm Exam
1. Which information should be included on the therapy contract?
A. The therapist's personal opinions about the client's diagnosis
B. Types of therapy offered
C. The therapist's family history
D. Confidentiality waivers for all family members
Correct Answer: B
Rationale:
The therapy contract (or informed consent for therapy) must outline the types of therapy
offered, fees, duration, confidentiality limits, and the roles/responsibilities of both parties.
This establishes the framework and expectations for treatment.
2. A client discusses a stressful situation at work during a session. The therapist
responds, "I can see this situation was very upsetting for you." What technique is
the therapist using?
A. Confrontation
B. Interpretation
C. Empathic listening
D. Silence
Correct Answer: C
Rationale:
Empathic listening (or accurate empathy) involves the therapist's ability to perceive the
client's internal frame of reference and communicate this understanding back to the
,client. It validates the client's emotional experience and strengthens the therapeutic
alliance.
3. Which items are most appropriate for the therapist's office?
A. A desk with the therapist seated behind it and the client across the room
B. A reclining couch and dim lighting only
C. An armchair and a sofa
D. A conference table with multiple chairs
Correct Answer: C
Rationale:
An armchair and a sofa create a comfortable, non-threatening environment that
facilitates open communication. The arrangement should be inviting, ensure appropriate
boundaries, and allow for face-to-face interaction without physical barriers.
4. A client begins tapping his foot nervously. What is an appropriate therapist
response?
A. Ignore the behavior to avoid embarrassing the client
B. Ask the client to stop tapping immediately
C. "I noticed that your foot began tapping when we discussed your father"
D. Change the subject to something less anxiety-provoking
Correct Answer: C
Rationale:
Noticing and gently commenting on nonverbal behavior (process commentary) can help
the client gain awareness of unconscious reactions. This is a foundational technique in
psychodynamic and Gestalt approaches, linking physical responses to emotional
content.
5. Ideally, who determines the number of therapy sessions?
A. The insurance company exclusively
B. The therapist alone based on diagnosis
C. The client and therapist make a mutual decision
D. The client decides without therapist input
Correct Answer: C
, Rationale:
Collaborative goal-setting is central to person-centered and most evidence-based
psychotherapies. The number of sessions should be determined mutually based on the
client's needs, treatment goals, and practical considerations, fostering autonomy and
shared responsibility.
6. A client presents for therapy with anxiety. The therapist asks the client to
explore specific situations when the anxiety arises. Which Gestalt therapy
concept is the therapist most likely applying?
A. Here and now
B. Figure and ground
C. Empty chair technique
D. Dream work
Correct Answer: B
Rationale:
In Gestalt therapy, "figure and ground" refers to the process of distinguishing the
dominant need or emotion (figure) from the background of experience. By exploring
specific situations where anxiety arises, the therapist helps the client identify the figure
(anxiety) against the ground of the client's overall experience.
7. A client presents to therapy and tearfully states, "I am so sick of being a failure
at everything I do." Which statement would be the most therapeutic response
from the therapist?
A. "You are not a failure; you have accomplished many things."
B. "Everyone feels that way sometimes."
C. "I care about how you are feeling; let's explore why you feel this way."
D. "Have you considered medication for these thoughts?"
Correct Answer: C
Rationale:
The most therapeutic response demonstrates empathy, validation, and a willingness to
explore the client's subjective experience without minimizing or prematurely problem-
solving. This approach aligns with person-centered therapy and builds the therapeutic
alliance.
MIDTERM EXAM
WEEKS 1 – 4 COVERED
Verified Questions & Answers With Rationales
(Diagnosis and Management in Psychiatric-
Mental Health Across the Lifespan)
Chamberlain
CONSISTS OF 150 QUESTIONS
Study points for quick revision.
,Table of Contents
NR 605 Midterm Exam ................................................2
NR 605 Midterm Exam Study Points .........................59
NR 605 Midterm Exam
1. Which information should be included on the therapy contract?
A. The therapist's personal opinions about the client's diagnosis
B. Types of therapy offered
C. The therapist's family history
D. Confidentiality waivers for all family members
Correct Answer: B
Rationale:
The therapy contract (or informed consent for therapy) must outline the types of therapy
offered, fees, duration, confidentiality limits, and the roles/responsibilities of both parties.
This establishes the framework and expectations for treatment.
2. A client discusses a stressful situation at work during a session. The therapist
responds, "I can see this situation was very upsetting for you." What technique is
the therapist using?
A. Confrontation
B. Interpretation
C. Empathic listening
D. Silence
Correct Answer: C
Rationale:
Empathic listening (or accurate empathy) involves the therapist's ability to perceive the
client's internal frame of reference and communicate this understanding back to the
,client. It validates the client's emotional experience and strengthens the therapeutic
alliance.
3. Which items are most appropriate for the therapist's office?
A. A desk with the therapist seated behind it and the client across the room
B. A reclining couch and dim lighting only
C. An armchair and a sofa
D. A conference table with multiple chairs
Correct Answer: C
Rationale:
An armchair and a sofa create a comfortable, non-threatening environment that
facilitates open communication. The arrangement should be inviting, ensure appropriate
boundaries, and allow for face-to-face interaction without physical barriers.
4. A client begins tapping his foot nervously. What is an appropriate therapist
response?
A. Ignore the behavior to avoid embarrassing the client
B. Ask the client to stop tapping immediately
C. "I noticed that your foot began tapping when we discussed your father"
D. Change the subject to something less anxiety-provoking
Correct Answer: C
Rationale:
Noticing and gently commenting on nonverbal behavior (process commentary) can help
the client gain awareness of unconscious reactions. This is a foundational technique in
psychodynamic and Gestalt approaches, linking physical responses to emotional
content.
5. Ideally, who determines the number of therapy sessions?
A. The insurance company exclusively
B. The therapist alone based on diagnosis
C. The client and therapist make a mutual decision
D. The client decides without therapist input
Correct Answer: C
, Rationale:
Collaborative goal-setting is central to person-centered and most evidence-based
psychotherapies. The number of sessions should be determined mutually based on the
client's needs, treatment goals, and practical considerations, fostering autonomy and
shared responsibility.
6. A client presents for therapy with anxiety. The therapist asks the client to
explore specific situations when the anxiety arises. Which Gestalt therapy
concept is the therapist most likely applying?
A. Here and now
B. Figure and ground
C. Empty chair technique
D. Dream work
Correct Answer: B
Rationale:
In Gestalt therapy, "figure and ground" refers to the process of distinguishing the
dominant need or emotion (figure) from the background of experience. By exploring
specific situations where anxiety arises, the therapist helps the client identify the figure
(anxiety) against the ground of the client's overall experience.
7. A client presents to therapy and tearfully states, "I am so sick of being a failure
at everything I do." Which statement would be the most therapeutic response
from the therapist?
A. "You are not a failure; you have accomplished many things."
B. "Everyone feels that way sometimes."
C. "I care about how you are feeling; let's explore why you feel this way."
D. "Have you considered medication for these thoughts?"
Correct Answer: C
Rationale:
The most therapeutic response demonstrates empathy, validation, and a willingness to
explore the client's subjective experience without minimizing or prematurely problem-
solving. This approach aligns with person-centered therapy and builds the therapeutic
alliance.
