Nrnp 6645 final exam 2026-2027 3 versions – 300+ q&a psychotherapy with
multiple modalities walden university pmhnp pass guaranteed ..
NRNP 6645 Final Exam Practice Questions
Psychotherapy with Multiple Modalities
180 Multiple-Choice Questions with Answers and Rationales
SECTION 1: COGNITIVE BEHAVIORAL THERAPY (CBT)
Questions 1-30
Question 1
A patient with generalized anxiety disorder states, "Everything always goes wrong
for me." Which CBT technique is most appropriate to address this thought?
A. Free association
B. Cognitive restructuring
C. Dream interpretation
D. Empty-chair technique
Correct Answer: B. Cognitive restructuring
,Rationale: Cognitive restructuring is a core CBT technique that involves
identifying, challenging, and modifying maladaptive thoughts and cognitive
distortions. The patient's statement reflects an automatic negative thought
(overgeneralization) that needs to be evaluated for accuracy and replaced with
more balanced thinking.
Question 2
Which of the following is considered a core principle of CBT?
A. Unconscious conflicts drive behavior
B. Insight alone produces change
C. Thoughts influence emotions and behaviors
D. Childhood experiences are always the primary cause of symptoms
Correct Answer: C. Thoughts influence emotions and behaviors
Rationale: CBT is built on the cognitive model, which posits that thoughts,
feelings, and behaviors are interconnected. Maladaptive thinking patterns lead to
emotional distress and problematic behaviors, and changing these thoughts can
improve emotional and behavioral outcomes.
,Question 3
A therapist asks a patient to monitor negative thoughts throughout the week
using a structured worksheet. This intervention is known as:
A. Exposure therapy
B. Behavioral activation
C. Thought recording
D. Interpretation
Correct Answer: C. Thought recording
Rationale: Thought records or thought monitoring are foundational CBT
interventions that help patients identify automatic negative thoughts, associated
emotions, and situational triggers. This increases awareness of cognitive patterns
before restructuring can occur.
Question 4
A PMHNP using CBT asks a patient, "On a scale of 0-10, how would you rate your
depression today, and how does that compare to 2 months ago?" This is an
example of:
, A. Socratic questioning about evidence
B. A translation question
C. An application question
D. Not consistent with Socratic dialogue
Correct Answer: D. Not consistent with Socratic dialogue
Rationale: Socratic dialogue involves specific question types such as memory
questions, translation questions, interpretation questions, application questions,
analysis questions, synthesis questions, and evaluation questions. Rating scales
are assessment tools, not Socratic questioning techniques.
Question 5
The CBT therapist encourages the patient to investigate whether their thoughts
are based on facts or assumptions. This technique is known as:
A. Cognitive rehearsal
B. Questioning the evidence
C. Behavioral experimentation
D. Decatastrophizing
multiple modalities walden university pmhnp pass guaranteed ..
NRNP 6645 Final Exam Practice Questions
Psychotherapy with Multiple Modalities
180 Multiple-Choice Questions with Answers and Rationales
SECTION 1: COGNITIVE BEHAVIORAL THERAPY (CBT)
Questions 1-30
Question 1
A patient with generalized anxiety disorder states, "Everything always goes wrong
for me." Which CBT technique is most appropriate to address this thought?
A. Free association
B. Cognitive restructuring
C. Dream interpretation
D. Empty-chair technique
Correct Answer: B. Cognitive restructuring
,Rationale: Cognitive restructuring is a core CBT technique that involves
identifying, challenging, and modifying maladaptive thoughts and cognitive
distortions. The patient's statement reflects an automatic negative thought
(overgeneralization) that needs to be evaluated for accuracy and replaced with
more balanced thinking.
Question 2
Which of the following is considered a core principle of CBT?
A. Unconscious conflicts drive behavior
B. Insight alone produces change
C. Thoughts influence emotions and behaviors
D. Childhood experiences are always the primary cause of symptoms
Correct Answer: C. Thoughts influence emotions and behaviors
Rationale: CBT is built on the cognitive model, which posits that thoughts,
feelings, and behaviors are interconnected. Maladaptive thinking patterns lead to
emotional distress and problematic behaviors, and changing these thoughts can
improve emotional and behavioral outcomes.
,Question 3
A therapist asks a patient to monitor negative thoughts throughout the week
using a structured worksheet. This intervention is known as:
A. Exposure therapy
B. Behavioral activation
C. Thought recording
D. Interpretation
Correct Answer: C. Thought recording
Rationale: Thought records or thought monitoring are foundational CBT
interventions that help patients identify automatic negative thoughts, associated
emotions, and situational triggers. This increases awareness of cognitive patterns
before restructuring can occur.
Question 4
A PMHNP using CBT asks a patient, "On a scale of 0-10, how would you rate your
depression today, and how does that compare to 2 months ago?" This is an
example of:
, A. Socratic questioning about evidence
B. A translation question
C. An application question
D. Not consistent with Socratic dialogue
Correct Answer: D. Not consistent with Socratic dialogue
Rationale: Socratic dialogue involves specific question types such as memory
questions, translation questions, interpretation questions, application questions,
analysis questions, synthesis questions, and evaluation questions. Rating scales
are assessment tools, not Socratic questioning techniques.
Question 5
The CBT therapist encourages the patient to investigate whether their thoughts
are based on facts or assumptions. This technique is known as:
A. Cognitive rehearsal
B. Questioning the evidence
C. Behavioral experimentation
D. Decatastrophizing
