NRNP 6645: PSYCHOTHERAPY WITH MULTIPLE MODALITIES
COMPLETE EXAM BANK 2026/2027 WALDEN UNIVERSITY | PMHNP
CURRICULUM 600 VERIFIED QUESTIONS WITH
CORRECT ANSWERS AND DETAILED RATIONALES ALIGNED WITH DSM-
5-TR CRITERIA, AACN DNP ESSENTIALS, AND PMHNP
CERTIFICATION COMPETENCIES
TABLE OF CONTENTS
MIDTERM EXAMINATION (Questions 1-300)
DOMAIN 1: FOUNDATIONS OF PSYCHOTHERAPY (Questions 1-60)
1A. History & Evolution of Psychotherapy
1B. Therapeutic Alliance & Relationship
1C. Ethical & Legal Considerations
1D. Cultural Competence & Diversity
1E. Evidence-Based Practice
1F. Neurobiology of Psychotherapy
DOMAIN 2: PSYCHODYNAMIC THERAPY (Questions 61-110)
2A. Freudian Psychoanalysis
2B. Object Relations Theory
2C. Self Psychology
2D. Attachment Theory
2E. Transference & Countertransference
2F. Defense Mechanisms
DOMAIN 3: COGNITIVE-BEHAVIORAL THERAPY (CBT) (Questions 111-170)
3A. Cognitive Distortions
3B. Behavioral Activation
3C. Exposure Therapy
3D. Cognitive Restructuring
3E. Third-Wave CBT (DBT, ACT, MBCT)
DOMAIN 4: HUMANISTIC-EXISTENTIAL THERAPY (Questions 171-220)
4A. Person-Centered Therapy
4B. Gestalt Therapy
4C. Existential Therapy
4D. Phenomenology
4E. Motivational Interviewing
DOMAIN 5: FAMILY & SYSTEMS THERAPY (Questions 221-270)
1
, 5A. Structural Family Therapy
5B. Bowenian Family Therapy
5C. Strategic Family Therapy
5D. Emotionally Focused Therapy
5E. Narrative Therapy
DOMAIN 6: GROUP THERAPY (Questions 271-300)
6A. Group Dynamics & Stages
6B. Yalom's Therapeutic Factors
6C. Group Leadership Styles
6D. Special Populations in Group Therapy
FINAL EXAMINATION (Questions 301-600)
DOMAIN 7: ADVANCED PSYCHODYNAMIC THERAPY (Questions 301-340)
7A. Contemporary Psychodynamic Approaches
7B. Mentalization-Based Therapy
7C. Transference-Focused Psychotherapy
7D. Interpersonal Psychotherapy (IPT)
DOMAIN 8: ADVANCED COGNITIVE & BEHAVIORAL THERAPIES (Questions 341-390)
8A. Dialectical Behavior Therapy (DBT)
8B. Acceptance & Commitment Therapy (ACT)
8C. Mindfulness-Based Cognitive Therapy (MBCT)
8D. Schema Therapy
DOMAIN 9: TRAUMA-INFORMED THERAPIES (Questions 391-440)
9A. Trauma-Informed Care
9B. EMDR
9C. Prolonged Exposure Therapy
9D. Trauma-Focused CBT
9E. Dissociative Disorders
DOMAIN 10: SPECIAL POPULATIONS & LIFE SPAN (Questions 441-490)
10A. Child & Adolescent Psychotherapy
10B. Geriatric Psychotherapy
10C. LGBTQ+ Affirming Therapy
10D. Culturally Adapted Psychotherapy
DOMAIN 11: PSYCHOTHERAPY INTEGRATION & RESEARCH (Questions 491-530)
11A. Common Factors Research
11B. Therapy Outcomes
11C. Neurobiology of Psychotherapy
2
,DOMAIN 12: PROFESSIONAL ISSUES & SELF-CARE (Questions 531-570)
12A. Burnout Prevention
12B. Self-Care Strategies
12C. Supervision & Consultation
12D. Scope of Practice
DOMAIN 13: CASE CONCEPTUALIZATION & TREATMENT PLANNING (Questions 571-600)
13A. Case Formulation
13B. Treatment Planning
13C. Termination & Relapse Prevention
MIDTERM EXAMINATION
DOMAIN 1: FOUNDATIONS OF PSYCHOTHERAPY Questions 1-60
1A. History & Evolution of Psychotherapy
Question 1
Who is credited as the founder of psychoanalysis?
A) Carl Jung
B) Sigmund Freud
C) Alfred Adler
D) Erik Erikson
Answer: B
Rationale: Sigmund Freud (1856-1939) is recognized as the founder of
psychoanalysis. He developed the theory of the unconscious mind, the structure
of the psyche (id, ego, superego), and the method of free association. Jung
(A) was a follower who developed analytical psychology. Adler (C) developed
individual psychology. Erikson (D) developed psychosocial theory.
Question 2
The development of psychotherapy as a formal discipline began primarily in:
A) Ancient Greece
B) The Middle Ages
C) The late 19th century
D) The 1960s
Answer: C
Rationale: Psychotherapy emerged as a formal discipline in the late 19th
3
, century with Freud's development of psychoanalysis in Vienna. While healing
practices have existed throughout history, the scientific and systematic
study of psychotherapy began during this period.
Question 3
The "first wave" of psychotherapy is generally considered to be:
A) Humanistic therapy
B) Cognitive therapy
C) Psychoanalysis
D) Behavior therapy
Answer: C
Rationale: The "first wave" of psychotherapy is psychoanalysis, developed by
Freud. The "second wave" was behavior therapy (D). The "third wave" included
humanistic (A) and later cognitive therapies (B).
Question 4
The "second wave" of psychotherapy was primarily associated with:
A) Psychoanalysis
B) Behaviorism
C) Humanistic psychology
D) Cognitive therapy
Answer: B
Rationale: The "second wave" of psychotherapy was behaviorism, which emerged
in the 1950s and 1960s, focusing on observable behavior and learning
principles. Psychoanalysis (A) was the first wave. Humanistic psychology (C)
and cognitive therapy (D) emerged later.
Question 5
The "third wave" of psychotherapy includes all of the following EXCEPT:
A) Cognitive-behavioral therapy
B) Acceptance and commitment therapy
C) Dialectical behavior therapy
D) Mindfulness-based cognitive therapy
4
COMPLETE EXAM BANK 2026/2027 WALDEN UNIVERSITY | PMHNP
CURRICULUM 600 VERIFIED QUESTIONS WITH
CORRECT ANSWERS AND DETAILED RATIONALES ALIGNED WITH DSM-
5-TR CRITERIA, AACN DNP ESSENTIALS, AND PMHNP
CERTIFICATION COMPETENCIES
TABLE OF CONTENTS
MIDTERM EXAMINATION (Questions 1-300)
DOMAIN 1: FOUNDATIONS OF PSYCHOTHERAPY (Questions 1-60)
1A. History & Evolution of Psychotherapy
1B. Therapeutic Alliance & Relationship
1C. Ethical & Legal Considerations
1D. Cultural Competence & Diversity
1E. Evidence-Based Practice
1F. Neurobiology of Psychotherapy
DOMAIN 2: PSYCHODYNAMIC THERAPY (Questions 61-110)
2A. Freudian Psychoanalysis
2B. Object Relations Theory
2C. Self Psychology
2D. Attachment Theory
2E. Transference & Countertransference
2F. Defense Mechanisms
DOMAIN 3: COGNITIVE-BEHAVIORAL THERAPY (CBT) (Questions 111-170)
3A. Cognitive Distortions
3B. Behavioral Activation
3C. Exposure Therapy
3D. Cognitive Restructuring
3E. Third-Wave CBT (DBT, ACT, MBCT)
DOMAIN 4: HUMANISTIC-EXISTENTIAL THERAPY (Questions 171-220)
4A. Person-Centered Therapy
4B. Gestalt Therapy
4C. Existential Therapy
4D. Phenomenology
4E. Motivational Interviewing
DOMAIN 5: FAMILY & SYSTEMS THERAPY (Questions 221-270)
1
, 5A. Structural Family Therapy
5B. Bowenian Family Therapy
5C. Strategic Family Therapy
5D. Emotionally Focused Therapy
5E. Narrative Therapy
DOMAIN 6: GROUP THERAPY (Questions 271-300)
6A. Group Dynamics & Stages
6B. Yalom's Therapeutic Factors
6C. Group Leadership Styles
6D. Special Populations in Group Therapy
FINAL EXAMINATION (Questions 301-600)
DOMAIN 7: ADVANCED PSYCHODYNAMIC THERAPY (Questions 301-340)
7A. Contemporary Psychodynamic Approaches
7B. Mentalization-Based Therapy
7C. Transference-Focused Psychotherapy
7D. Interpersonal Psychotherapy (IPT)
DOMAIN 8: ADVANCED COGNITIVE & BEHAVIORAL THERAPIES (Questions 341-390)
8A. Dialectical Behavior Therapy (DBT)
8B. Acceptance & Commitment Therapy (ACT)
8C. Mindfulness-Based Cognitive Therapy (MBCT)
8D. Schema Therapy
DOMAIN 9: TRAUMA-INFORMED THERAPIES (Questions 391-440)
9A. Trauma-Informed Care
9B. EMDR
9C. Prolonged Exposure Therapy
9D. Trauma-Focused CBT
9E. Dissociative Disorders
DOMAIN 10: SPECIAL POPULATIONS & LIFE SPAN (Questions 441-490)
10A. Child & Adolescent Psychotherapy
10B. Geriatric Psychotherapy
10C. LGBTQ+ Affirming Therapy
10D. Culturally Adapted Psychotherapy
DOMAIN 11: PSYCHOTHERAPY INTEGRATION & RESEARCH (Questions 491-530)
11A. Common Factors Research
11B. Therapy Outcomes
11C. Neurobiology of Psychotherapy
2
,DOMAIN 12: PROFESSIONAL ISSUES & SELF-CARE (Questions 531-570)
12A. Burnout Prevention
12B. Self-Care Strategies
12C. Supervision & Consultation
12D. Scope of Practice
DOMAIN 13: CASE CONCEPTUALIZATION & TREATMENT PLANNING (Questions 571-600)
13A. Case Formulation
13B. Treatment Planning
13C. Termination & Relapse Prevention
MIDTERM EXAMINATION
DOMAIN 1: FOUNDATIONS OF PSYCHOTHERAPY Questions 1-60
1A. History & Evolution of Psychotherapy
Question 1
Who is credited as the founder of psychoanalysis?
A) Carl Jung
B) Sigmund Freud
C) Alfred Adler
D) Erik Erikson
Answer: B
Rationale: Sigmund Freud (1856-1939) is recognized as the founder of
psychoanalysis. He developed the theory of the unconscious mind, the structure
of the psyche (id, ego, superego), and the method of free association. Jung
(A) was a follower who developed analytical psychology. Adler (C) developed
individual psychology. Erikson (D) developed psychosocial theory.
Question 2
The development of psychotherapy as a formal discipline began primarily in:
A) Ancient Greece
B) The Middle Ages
C) The late 19th century
D) The 1960s
Answer: C
Rationale: Psychotherapy emerged as a formal discipline in the late 19th
3
, century with Freud's development of psychoanalysis in Vienna. While healing
practices have existed throughout history, the scientific and systematic
study of psychotherapy began during this period.
Question 3
The "first wave" of psychotherapy is generally considered to be:
A) Humanistic therapy
B) Cognitive therapy
C) Psychoanalysis
D) Behavior therapy
Answer: C
Rationale: The "first wave" of psychotherapy is psychoanalysis, developed by
Freud. The "second wave" was behavior therapy (D). The "third wave" included
humanistic (A) and later cognitive therapies (B).
Question 4
The "second wave" of psychotherapy was primarily associated with:
A) Psychoanalysis
B) Behaviorism
C) Humanistic psychology
D) Cognitive therapy
Answer: B
Rationale: The "second wave" of psychotherapy was behaviorism, which emerged
in the 1950s and 1960s, focusing on observable behavior and learning
principles. Psychoanalysis (A) was the first wave. Humanistic psychology (C)
and cognitive therapy (D) emerged later.
Question 5
The "third wave" of psychotherapy includes all of the following EXCEPT:
A) Cognitive-behavioral therapy
B) Acceptance and commitment therapy
C) Dialectical behavior therapy
D) Mindfulness-based cognitive therapy
4
