NRNP 6645 / NRNP6645 Psychotherapy with Multiple
Modalities Final Exam Actual 2025/2026 with Detailed
Rationales | 100% Verified | Pass Guaranteed – A+
Graded
SECTION 1: Integrative & Eclectic Psychotherapy Approaches (12
Questions)
Q1: In Lazarus's multimodal therapy, the BASIC ID framework assesses seven
dimensions of human functioning. What does the "B" represent?
A. Biology
B. Boundaries
C. Behavior
D. Beliefs
Correct Answer: C
Rationale: Correct because in Lazarus's BASIC ID, B stands for Behavior, A for Affect,
S for Sensation, I for Imagery, C for Cognition, the second I for Interpersonal
relationships, and D for Drugs/biology.
Q2: According to Lambert's research on psychotherapy outcomes, which factor
accounts for the largest percentage of variance in client improvement?
A. Specific therapeutic techniques
B. Client/extratherapeutic factors
,C. The therapeutic relationship
D. Expectancy and placebo effects
Correct Answer: B
Rationale: Correct because Lambert's research indicates that client characteristics,
strengths, and extratherapeutic factors account for approximately 40% of outcome
variance, making them the single largest contributor to therapeutic change.
Q3: A therapist who primarily practices psychodynamic therapy but incorporates
mindfulness exercises and behavioral activation when evidence supports their use
for specific client problems is demonstrating:
A. Theoretical integration
B. Assimilative integration
C. Technical eclecticism
D. Common factors therapy
Correct Answer: B
Rationale: Correct because assimilative integration involves maintaining a home
theoretical orientation while selectively assimilating techniques from other
approaches into that framework based on evidence and client needs.
Q4: The transtheoretical model of change includes all of the following stages
EXCEPT:
A. Precontemplation
B. Contemplation
,C. Action
D. Resistance
Correct Answer: D
Rationale: Correct because Prochaska and DiClemente's stages of change include
precontemplation, contemplation, preparation, action, and maintenance; resistance
is a therapeutic phenomenon, not a stage of change.
Q5: The "dodo bird verdict" in psychotherapy outcome research suggests that:
A. Specific techniques are superior to common factors
B. Bona fide psychotherapies produce broadly equivalent outcomes
C. Psychodynamic therapy consistently outperforms CBT
D. Medication is always more effective than psychotherapy
Correct Answer: B
Rationale: Correct because the dodo bird verdict, derived from Rosenzweig's
observation and subsequent meta-analytic research, suggests that different
validated therapies achieve similar outcomes because they share common
therapeutic factors.
Q6: In feedback-informed treatment (FIT), the Outcome Rating Scale (ORS) and
Session Rating Scale (SRS) are used primarily to:
A. Satisfy insurance documentation requirements
B. Monitor client progress and the therapeutic alliance in real time
C. Compare the therapist's effectiveness to national norms exclusively
, D. Establish a formal psychiatric diagnosis
Correct Answer: B
Rationale: Correct because FIT uses the ORS and SRS to track client progress and
the quality of the therapeutic alliance session by session, enabling timely
adjustments to prevent treatment failure.
Q7: Matching therapeutic interventions to specific client characteristics, preferences,
and clinical presentations is known as:
A. Prescriptive matching
B. Theoretical purity
C. Nondirective therapy
D. Manualized treatment
Correct Answer: A
Rationale: Correct because prescriptive matching involves tailoring interventions to
individual client factors such as diagnosis, coping style, resistance level, and
preferences rather than applying a uniform approach.
Q8: Which integrative approach emphasizes applying empirically supported
principles of change across therapeutic modalities rather than adhering to specific
brand-name therapies?
A. Transtheoretical model
B. Multimodal therapy
C. Principle-driven integration
Modalities Final Exam Actual 2025/2026 with Detailed
Rationales | 100% Verified | Pass Guaranteed – A+
Graded
SECTION 1: Integrative & Eclectic Psychotherapy Approaches (12
Questions)
Q1: In Lazarus's multimodal therapy, the BASIC ID framework assesses seven
dimensions of human functioning. What does the "B" represent?
A. Biology
B. Boundaries
C. Behavior
D. Beliefs
Correct Answer: C
Rationale: Correct because in Lazarus's BASIC ID, B stands for Behavior, A for Affect,
S for Sensation, I for Imagery, C for Cognition, the second I for Interpersonal
relationships, and D for Drugs/biology.
Q2: According to Lambert's research on psychotherapy outcomes, which factor
accounts for the largest percentage of variance in client improvement?
A. Specific therapeutic techniques
B. Client/extratherapeutic factors
,C. The therapeutic relationship
D. Expectancy and placebo effects
Correct Answer: B
Rationale: Correct because Lambert's research indicates that client characteristics,
strengths, and extratherapeutic factors account for approximately 40% of outcome
variance, making them the single largest contributor to therapeutic change.
Q3: A therapist who primarily practices psychodynamic therapy but incorporates
mindfulness exercises and behavioral activation when evidence supports their use
for specific client problems is demonstrating:
A. Theoretical integration
B. Assimilative integration
C. Technical eclecticism
D. Common factors therapy
Correct Answer: B
Rationale: Correct because assimilative integration involves maintaining a home
theoretical orientation while selectively assimilating techniques from other
approaches into that framework based on evidence and client needs.
Q4: The transtheoretical model of change includes all of the following stages
EXCEPT:
A. Precontemplation
B. Contemplation
,C. Action
D. Resistance
Correct Answer: D
Rationale: Correct because Prochaska and DiClemente's stages of change include
precontemplation, contemplation, preparation, action, and maintenance; resistance
is a therapeutic phenomenon, not a stage of change.
Q5: The "dodo bird verdict" in psychotherapy outcome research suggests that:
A. Specific techniques are superior to common factors
B. Bona fide psychotherapies produce broadly equivalent outcomes
C. Psychodynamic therapy consistently outperforms CBT
D. Medication is always more effective than psychotherapy
Correct Answer: B
Rationale: Correct because the dodo bird verdict, derived from Rosenzweig's
observation and subsequent meta-analytic research, suggests that different
validated therapies achieve similar outcomes because they share common
therapeutic factors.
Q6: In feedback-informed treatment (FIT), the Outcome Rating Scale (ORS) and
Session Rating Scale (SRS) are used primarily to:
A. Satisfy insurance documentation requirements
B. Monitor client progress and the therapeutic alliance in real time
C. Compare the therapist's effectiveness to national norms exclusively
, D. Establish a formal psychiatric diagnosis
Correct Answer: B
Rationale: Correct because FIT uses the ORS and SRS to track client progress and
the quality of the therapeutic alliance session by session, enabling timely
adjustments to prevent treatment failure.
Q7: Matching therapeutic interventions to specific client characteristics, preferences,
and clinical presentations is known as:
A. Prescriptive matching
B. Theoretical purity
C. Nondirective therapy
D. Manualized treatment
Correct Answer: A
Rationale: Correct because prescriptive matching involves tailoring interventions to
individual client factors such as diagnosis, coping style, resistance level, and
preferences rather than applying a uniform approach.
Q8: Which integrative approach emphasizes applying empirically supported
principles of change across therapeutic modalities rather than adhering to specific
brand-name therapies?
A. Transtheoretical model
B. Multimodal therapy
C. Principle-driven integration
