NR 605 Psychiatric Mental Health Midterm Exam 2026-180 QUESTIONS AND
ANSWERS ALREADY GRADED A+. 100% Verified Solutions Updated Per Latest
Guidelines Graded A+..
NR 605 Psychiatric Mental Health Midterm Exam Practice Questions
200 Multiple Choice Questions with Answers and Rationales
Section 1: Psychotherapy Foundations & Therapeutic Modalities (Questions 1-30)
1. A patient with borderline personality disorder is beginning expressive
psychotherapy. Which statement best describes the primary goal of this
approach?
A. Developing insight into unconscious conflicts through free association
B. Processing relational trauma and learning emotional self-regulation
C. Identifying and changing maladaptive cognitive distortions
D. Building problem-solving skills for daily living stressors
Answer: B. Processing relational trauma and learning emotional self-regulation
Rationale: Expressive psychotherapy, particularly when combined with dialectical
behavioral therapy, is the preferred form of therapy for clients with borderline
personality disorder. The goals include processing relational trauma and learning
emotional self-regulation. This approach provides a safe environment to activate
,emotions and rework memory so learning can occur through techniques such as
transference, counterconditioning, and desensitization to past traumatic
relationships .
A - Insight development through free association is characteristic of
psychoanalysis, not expressive psychotherapy specifically. C - Identifying cognitive
distortions is the focus of CBT. D - Problem-solving is a goal of supportive therapy.
2. A PMHNP is working with a client using supportive psychotherapy. This
approach is most appropriate for which client population?
A. Clients with neurotic to healthy personality organization seeking self-
understanding
B. Clients experiencing emotional distress or problems in living
C. Clients with good reality testing and mature defenses
D. Clients motivated for intensive exploration of unconscious material
Answer: B. Clients experiencing emotional distress or problems in living
Rationale: Supportive psychotherapy is used to help clients who are experiencing
emotional distress or problems in living. It is appropriate for clients experiencing
,stressful situations, including clients with psychotic personality organization,
those with preoccupied or overly emotional attachment styles, and those with
immature defenses. The goals of supportive therapy include problem-solving .
A - Neurotic to healthy personality organization with good reality testing is more
appropriate for psychoanalysis. C - Mature defenses are characteristic of clients
suitable for psychoanalysis. D - Intensive exploration of unconscious material is
the focus of psychoanalysis and expressive therapies.
3. A client in psychoanalysis demonstrates the therapeutic technique of "working
through." Which activity best describes this process?
A. The client speaks spontaneously about anything that comes to mind
B. The client reconstructs memories of past events
C. The client integrates repressed memories into current consciousness and
changes behavior
D. The client uses transference to replay emotions in a safe environment
Answer: C. The client integrates repressed memories into current consciousness
and changes behavior
, Rationale: Working through is a therapeutic technique in psychoanalysis that
involves integrating repressed memories into current consciousness, allowing the
client to understand how these memories affect their present behavior and make
changes. The techniques used in psychoanalysis include WRRITF: Working
through, Recollection, Repetition, Interpretation, Transference, and Free
association .
A - This describes free association. B - This describes recollection. D - This
describes repetition and transference.
4. A PMHNP is conducting an initial interview with a client who has a history of
trauma. The client exhibits disorganized attachment style. Based on this
presentation, which psychotherapeutic approach would be most appropriate?
A. Psychoanalysis
B. Supportive psychotherapy
C. Expressive psychotherapy
D. Brief psychodynamic therapy
Answer: C. Expressive psychotherapy
ANSWERS ALREADY GRADED A+. 100% Verified Solutions Updated Per Latest
Guidelines Graded A+..
NR 605 Psychiatric Mental Health Midterm Exam Practice Questions
200 Multiple Choice Questions with Answers and Rationales
Section 1: Psychotherapy Foundations & Therapeutic Modalities (Questions 1-30)
1. A patient with borderline personality disorder is beginning expressive
psychotherapy. Which statement best describes the primary goal of this
approach?
A. Developing insight into unconscious conflicts through free association
B. Processing relational trauma and learning emotional self-regulation
C. Identifying and changing maladaptive cognitive distortions
D. Building problem-solving skills for daily living stressors
Answer: B. Processing relational trauma and learning emotional self-regulation
Rationale: Expressive psychotherapy, particularly when combined with dialectical
behavioral therapy, is the preferred form of therapy for clients with borderline
personality disorder. The goals include processing relational trauma and learning
emotional self-regulation. This approach provides a safe environment to activate
,emotions and rework memory so learning can occur through techniques such as
transference, counterconditioning, and desensitization to past traumatic
relationships .
A - Insight development through free association is characteristic of
psychoanalysis, not expressive psychotherapy specifically. C - Identifying cognitive
distortions is the focus of CBT. D - Problem-solving is a goal of supportive therapy.
2. A PMHNP is working with a client using supportive psychotherapy. This
approach is most appropriate for which client population?
A. Clients with neurotic to healthy personality organization seeking self-
understanding
B. Clients experiencing emotional distress or problems in living
C. Clients with good reality testing and mature defenses
D. Clients motivated for intensive exploration of unconscious material
Answer: B. Clients experiencing emotional distress or problems in living
Rationale: Supportive psychotherapy is used to help clients who are experiencing
emotional distress or problems in living. It is appropriate for clients experiencing
,stressful situations, including clients with psychotic personality organization,
those with preoccupied or overly emotional attachment styles, and those with
immature defenses. The goals of supportive therapy include problem-solving .
A - Neurotic to healthy personality organization with good reality testing is more
appropriate for psychoanalysis. C - Mature defenses are characteristic of clients
suitable for psychoanalysis. D - Intensive exploration of unconscious material is
the focus of psychoanalysis and expressive therapies.
3. A client in psychoanalysis demonstrates the therapeutic technique of "working
through." Which activity best describes this process?
A. The client speaks spontaneously about anything that comes to mind
B. The client reconstructs memories of past events
C. The client integrates repressed memories into current consciousness and
changes behavior
D. The client uses transference to replay emotions in a safe environment
Answer: C. The client integrates repressed memories into current consciousness
and changes behavior
, Rationale: Working through is a therapeutic technique in psychoanalysis that
involves integrating repressed memories into current consciousness, allowing the
client to understand how these memories affect their present behavior and make
changes. The techniques used in psychoanalysis include WRRITF: Working
through, Recollection, Repetition, Interpretation, Transference, and Free
association .
A - This describes free association. B - This describes recollection. D - This
describes repetition and transference.
4. A PMHNP is conducting an initial interview with a client who has a history of
trauma. The client exhibits disorganized attachment style. Based on this
presentation, which psychotherapeutic approach would be most appropriate?
A. Psychoanalysis
B. Supportive psychotherapy
C. Expressive psychotherapy
D. Brief psychodynamic therapy
Answer: C. Expressive psychotherapy
