NRNP 6645 PSYCHOTHERAPY WITH
MULTIPLE MODALITIES - ADVANCED
PRACTICE EXAM
1. According to Irvin Yalom, which therapeutic factor involves the recognition that others
have similar problems and experiences?
A. Altruism
B. Catharsis
C. Universality
D. Existential factors
Answer: C
Conceptual Explanation: Universality is the curative factor where group members realize
they are not alone in their suffering or experiences.
2. In Bowenian Family Systems Theory, what is the term for the process of managing anxiety
by involving a third person to stabilize a two-person relationship?
A. Differentiation
B. Triangulation
,C. Emotional Cutoff
D. Sibling Position
Answer: B
Conceptual Explanation: Triangulation occurs when a two-person system is under stress
and brings in a third party to decrease the tension.
3. Which module of Dialectical Behavior Therapy (DBT) focuses on the ability to accept, in a
non-evaluative and nonjudgmental way, oneself and the current situation?
A. Interpersonal Effectiveness
B. Core Mindfulness
C. Distress Tolerance
D. Emotion Regulation
Answer: B
Conceptual Explanation: Core Mindfulness is the foundation of DBT, emphasizing non-
judgmental awareness of the present moment.
4. A client states, ‘If I don’t get an A in this class, I’m a total failure as a human being.’ Which
cognitive distortion is this?
A. Catastrophizing
B. Personalization
C. Emotional reasoning
, D. Dichotomous thinking
Answer: D
Conceptual Explanation: Dichotomous thinking (all-or-nothing thinking) involves seeing
things in black-and-white categories with no middle ground.
5. In the context of the Therapeutic Alliance, Bordin (1979) identified three components.
Which of the following is NOT one of them?
A. Agreement on goals
B. Assignment of tasks
C. Development of a bond
D. Financial contract
Answer: D
Conceptual Explanation: Bordin’s model of the therapeutic alliance consists of goals,
tasks, and the bond; financial contracts are administrative, not part of the therapeutic bond
model.
6. Which stage of group development in Tuckman’s model is characterized by conflict,
competition for status, and disagreement over group goals?
A. Storming
B. Forming
C. Norming
MULTIPLE MODALITIES - ADVANCED
PRACTICE EXAM
1. According to Irvin Yalom, which therapeutic factor involves the recognition that others
have similar problems and experiences?
A. Altruism
B. Catharsis
C. Universality
D. Existential factors
Answer: C
Conceptual Explanation: Universality is the curative factor where group members realize
they are not alone in their suffering or experiences.
2. In Bowenian Family Systems Theory, what is the term for the process of managing anxiety
by involving a third person to stabilize a two-person relationship?
A. Differentiation
B. Triangulation
,C. Emotional Cutoff
D. Sibling Position
Answer: B
Conceptual Explanation: Triangulation occurs when a two-person system is under stress
and brings in a third party to decrease the tension.
3. Which module of Dialectical Behavior Therapy (DBT) focuses on the ability to accept, in a
non-evaluative and nonjudgmental way, oneself and the current situation?
A. Interpersonal Effectiveness
B. Core Mindfulness
C. Distress Tolerance
D. Emotion Regulation
Answer: B
Conceptual Explanation: Core Mindfulness is the foundation of DBT, emphasizing non-
judgmental awareness of the present moment.
4. A client states, ‘If I don’t get an A in this class, I’m a total failure as a human being.’ Which
cognitive distortion is this?
A. Catastrophizing
B. Personalization
C. Emotional reasoning
, D. Dichotomous thinking
Answer: D
Conceptual Explanation: Dichotomous thinking (all-or-nothing thinking) involves seeing
things in black-and-white categories with no middle ground.
5. In the context of the Therapeutic Alliance, Bordin (1979) identified three components.
Which of the following is NOT one of them?
A. Agreement on goals
B. Assignment of tasks
C. Development of a bond
D. Financial contract
Answer: D
Conceptual Explanation: Bordin’s model of the therapeutic alliance consists of goals,
tasks, and the bond; financial contracts are administrative, not part of the therapeutic bond
model.
6. Which stage of group development in Tuckman’s model is characterized by conflict,
competition for status, and disagreement over group goals?
A. Storming
B. Forming
C. Norming
