NR605/NR 605 Final Exam Questions with Verified Answers
(Correct Update)
Question 1: Valerie is a 34-year-old who presents for therapy with symptoms of anxiety and
depressive disorder. She has been in a relationship with her partner for the past 12 years. She feels
like her partner makes all the decisions in the relationship, and when Valerie's opinions differ, she
does not feel comfortable sharing her thoughts. She states, "If my partner can't figure out what my
needs are after so many years, I don't know how we can save this relationship." What can you use to
assist the client?
Answer: Assertiveness training Rationale: Assertiveness training can assist clients who are
experiencing symptoms of depression, anxiety, and low self-worth. It may help clients learn how
to express their point of view in a respectful manner. The client and therapist may use role-play
to practice verbal and nonverbal behaviors and improve assertiveness.
Question 2: Dustin is a 24-year-old who presents for therapy with symptoms of anxiety. He has a
remote position with a large company and rarely meets with colleagues or clients in person. When he
does have an inperson meeting, he states "I feel like an idiot whenever I open my mouth. I'm always
tripping over my words, and I feel so awkward." What can you use to assist the client?
Answer: Behavioral rehearsal Rationale: Behavioral rehearsal can assist clients who experience
anxiety with social skills or interactions with others. Rehearsal may be conducted using guided
imagery where the client pictures themselves responding appropriately, or the client and therapist
may choose to explore a behavioral rehearsal using role-play.
Question 3: Corinne is a 46-year-old who presents for therapy with symptoms of depression. The
therapist recommends that Corinne read Cognitive Behavioral Therapy in 7 Weeks by Dr. Seth J.
Gillihan between sessions. What can you use to assist the client?
Answer: Bibliotherapy Rationale: CBT therapists may prescribe specific readings or self-help
books related to the client's condition as an adjunct to in-session work.
Question 4: Tina is a 52-year-old who presents with depression and obesity. She has struggled with
her weight for the last several years. The therapist implements a series of rewards when Tina
adheres to treatment goals. What can you use to assist the client?
Answer: Contingency management Rationale: Contingency management reinforces or rewards
positive behavioral changes. The client and therapist can work together to identify appropriate
rewards; for instance, Tina may choose to reward herself for maintaining an exercise regimen by
scheduling a relaxation massage.
Question 5: group therapy first appeared in the _______
Answer: 1940s -grew out of the need to efficiently treat large groups of psychiatrically disturbed
soldiers following World War II
Page 1
, Question 6: Mindfulnessand cognitive-based group therapy has shown efficacy for
____________________________
Answer: schizophrenia spectrum disorders
Question 7: Group therapy has also shown efficacy in helping clients with physical diagnoses such as
____________________________________
Answer: neurological conditions, chronic pain, and cancer
Question 8: Nikki typically pouted through group meetings. When asked about her silence, she said
she felt other members were favored and that she wanted to quit the group and do therapy on her
own. Over time, she saw that her feelings stemmed from her jealousy of her sister and was able to
address her feelings. Which principle of group therapy is this an example of?
Answer: Corrective recapitulation of the primary family group Rationale: Corrective
recapitulation of the primary family group helps group members work through unresolved family
issues, such as sibling rivalry. Group therapy helps members process unresolved family conflicts.
Question 9: Kesha told the group that the most important aspect of therapy was just having a group
of people she could talk to, that wouldn't walk out on her. Which principle of group therapy is this
an example of?
Answer: Group cohesiveness Rationale: Group cohesiveness occurs when members feel they
belong and are unconditionally accepted by the other members. Group cohesion correlates with
positive outcomes.
Question 10: At home, Tuan used communication strategies he observed in group therapy to try to
improve his relationship with his daughter. Which principle of group therapy is this an example of?
Answer: Imitative behavior Rationale: Learning from the therapy of others helps members
experiment or try on new behaviors.
Question 11: Van recently joined group therapy for sexual abuse survivors and listened to others
talk about their feelings of shame, guilt, rage, and uncleanliness which mirror his feelings. Which
principle of group therapy is this an example of?
Answer: Universality Rationale: Being part of a group of people who have the same experiences
helps members feel that they are not alone and what they are going through is universal. A
feeling of universality is a fundamental step in healing for clients burdened by shame, stigma,
and self-blame.
Page 2
(Correct Update)
Question 1: Valerie is a 34-year-old who presents for therapy with symptoms of anxiety and
depressive disorder. She has been in a relationship with her partner for the past 12 years. She feels
like her partner makes all the decisions in the relationship, and when Valerie's opinions differ, she
does not feel comfortable sharing her thoughts. She states, "If my partner can't figure out what my
needs are after so many years, I don't know how we can save this relationship." What can you use to
assist the client?
Answer: Assertiveness training Rationale: Assertiveness training can assist clients who are
experiencing symptoms of depression, anxiety, and low self-worth. It may help clients learn how
to express their point of view in a respectful manner. The client and therapist may use role-play
to practice verbal and nonverbal behaviors and improve assertiveness.
Question 2: Dustin is a 24-year-old who presents for therapy with symptoms of anxiety. He has a
remote position with a large company and rarely meets with colleagues or clients in person. When he
does have an inperson meeting, he states "I feel like an idiot whenever I open my mouth. I'm always
tripping over my words, and I feel so awkward." What can you use to assist the client?
Answer: Behavioral rehearsal Rationale: Behavioral rehearsal can assist clients who experience
anxiety with social skills or interactions with others. Rehearsal may be conducted using guided
imagery where the client pictures themselves responding appropriately, or the client and therapist
may choose to explore a behavioral rehearsal using role-play.
Question 3: Corinne is a 46-year-old who presents for therapy with symptoms of depression. The
therapist recommends that Corinne read Cognitive Behavioral Therapy in 7 Weeks by Dr. Seth J.
Gillihan between sessions. What can you use to assist the client?
Answer: Bibliotherapy Rationale: CBT therapists may prescribe specific readings or self-help
books related to the client's condition as an adjunct to in-session work.
Question 4: Tina is a 52-year-old who presents with depression and obesity. She has struggled with
her weight for the last several years. The therapist implements a series of rewards when Tina
adheres to treatment goals. What can you use to assist the client?
Answer: Contingency management Rationale: Contingency management reinforces or rewards
positive behavioral changes. The client and therapist can work together to identify appropriate
rewards; for instance, Tina may choose to reward herself for maintaining an exercise regimen by
scheduling a relaxation massage.
Question 5: group therapy first appeared in the _______
Answer: 1940s -grew out of the need to efficiently treat large groups of psychiatrically disturbed
soldiers following World War II
Page 1
, Question 6: Mindfulnessand cognitive-based group therapy has shown efficacy for
____________________________
Answer: schizophrenia spectrum disorders
Question 7: Group therapy has also shown efficacy in helping clients with physical diagnoses such as
____________________________________
Answer: neurological conditions, chronic pain, and cancer
Question 8: Nikki typically pouted through group meetings. When asked about her silence, she said
she felt other members were favored and that she wanted to quit the group and do therapy on her
own. Over time, she saw that her feelings stemmed from her jealousy of her sister and was able to
address her feelings. Which principle of group therapy is this an example of?
Answer: Corrective recapitulation of the primary family group Rationale: Corrective
recapitulation of the primary family group helps group members work through unresolved family
issues, such as sibling rivalry. Group therapy helps members process unresolved family conflicts.
Question 9: Kesha told the group that the most important aspect of therapy was just having a group
of people she could talk to, that wouldn't walk out on her. Which principle of group therapy is this
an example of?
Answer: Group cohesiveness Rationale: Group cohesiveness occurs when members feel they
belong and are unconditionally accepted by the other members. Group cohesion correlates with
positive outcomes.
Question 10: At home, Tuan used communication strategies he observed in group therapy to try to
improve his relationship with his daughter. Which principle of group therapy is this an example of?
Answer: Imitative behavior Rationale: Learning from the therapy of others helps members
experiment or try on new behaviors.
Question 11: Van recently joined group therapy for sexual abuse survivors and listened to others
talk about their feelings of shame, guilt, rage, and uncleanliness which mirror his feelings. Which
principle of group therapy is this an example of?
Answer: Universality Rationale: Being part of a group of people who have the same experiences
helps members feel that they are not alone and what they are going through is universal. A
feeling of universality is a fundamental step in healing for clients burdened by shame, stigma,
and self-blame.
Page 2
