NRNP 6645/NRNP6645 Psychotherapy with Multiple Modalities
Midterm Exam (Grade A)
Questions and Answers 2025/2026 | Verified Answers
1 Introduction
This document includes Grade A, fully verified questions and answers from the NRNP 6645
Midterm Exam, updated for the 2025/2026 academic year and aligned with Walden University’s
course content. It is intended for Psychiatric-Mental Health Nurse Practitioner (PMHNP) stu-
dents focusing on psychotherapeutic techniques across multiple theoretical frameworks, includ-
ing Cognitive Behavioral Therapy (CBT), Psychodynamic Theory, Humanistic and Solution-
Focused Models, Ethical Issues and Cultural Considerations, and Group and Family Therapy
Principles. The questions are designed to reflect the exam’s scope and prepare students for
clinical application.
2 Exam Questions and Answers
The following 50 questions are formatted to mirror the NRNP 6645 Midterm Exam. Each
question includes four answer options, with the correct answer highlighted in bold green. A
brief clinical rationale or theoretical justification is provided to enhance understanding.
1. What is the primary goal of Cognitive Behavioral Therapy (CBT)?
A. Explore unconscious conflicts C. Focus on past trauma
B. Modify dysfunctional thoughts and be-
haviors D. Enhance self-actualization
Rationale: CBT aims to identify and change maladaptive thought patterns and behaviors
to improve emotional regulation.
2. Which CBT technique involves questioning irrational beliefs?
A. Free association C. Dream analysis
B. Socratic questioning D. Empty chair technique
Rationale: Socratic questioning challenges cognitive distortions by encouraging critical
thinking.
3. A patient with anxiety uses automatic negative thoughts. What CBT strategy is most
appropriate?
A. Cognitive restructuring C. Person-centered reflection
B. Transference interpretation D. Solution-focused scaling
Rationale: Cognitive restructuring replaces negative thoughts with balanced ones.
NRNP 6645 Midterm Exam | Verified A+ Content | 2025/2026 | Walden University
, 4. What is a core component of exposure therapy in CBT?
A. Avoiding triggers C. Suppressing emotions
B. Gradual confrontation of feared stim-
uli D. Analyzing childhood events
Rationale: Exposure therapy reduces fear through controlled exposure to stimuli.
5. Which disorder is most commonly treated with CBT?
A. Schizophrenia C. Dissociative identity disorder
B. Generalized anxiety disorder D. Bipolar disorder
Rationale: CBT is evidence-based for anxiety disorders, targeting cognitive and behavioral
patterns.
6. In CBT, what is a ”schema”?
A. A coping mechanism C. A behavioral response
B. A core belief influencing perception D. A therapeutic goal
Rationale: Schemas are deeply held beliefs that shape how individuals interpret experi-
ences.
7. What is the purpose of homework in CBT?
A. Increase dependency C. Reduce session time
B. Reinforce skills outside sessions D. Explore unconscious motives
Rationale: Homework helps patients practice CBT techniques in real-world settings.
8. Which CBT technique addresses catastrophic thinking?
A. Decatastrophizing C. Reframing
B. Mirroring D. Free association
Rationale: Decatastrophizing challenges exaggerated worst-case scenarios.
9. What is the role of the therapist in CBT?
A. Passive listener C. Authority figure
B. Active collaborator D. Non-directive guide
Rationale: CBT therapists actively guide patients to develop skills collaboratively.
10. A patient with depression avoids social events. What CBT intervention is best?
A. Behavioral activation C. Transference analysis
B. Dream interpretation D. Empty chair dialogue
NRNP 6645 Midterm Exam | Verified A+ Content | 2025/2026 | Walden University
Midterm Exam (Grade A)
Questions and Answers 2025/2026 | Verified Answers
1 Introduction
This document includes Grade A, fully verified questions and answers from the NRNP 6645
Midterm Exam, updated for the 2025/2026 academic year and aligned with Walden University’s
course content. It is intended for Psychiatric-Mental Health Nurse Practitioner (PMHNP) stu-
dents focusing on psychotherapeutic techniques across multiple theoretical frameworks, includ-
ing Cognitive Behavioral Therapy (CBT), Psychodynamic Theory, Humanistic and Solution-
Focused Models, Ethical Issues and Cultural Considerations, and Group and Family Therapy
Principles. The questions are designed to reflect the exam’s scope and prepare students for
clinical application.
2 Exam Questions and Answers
The following 50 questions are formatted to mirror the NRNP 6645 Midterm Exam. Each
question includes four answer options, with the correct answer highlighted in bold green. A
brief clinical rationale or theoretical justification is provided to enhance understanding.
1. What is the primary goal of Cognitive Behavioral Therapy (CBT)?
A. Explore unconscious conflicts C. Focus on past trauma
B. Modify dysfunctional thoughts and be-
haviors D. Enhance self-actualization
Rationale: CBT aims to identify and change maladaptive thought patterns and behaviors
to improve emotional regulation.
2. Which CBT technique involves questioning irrational beliefs?
A. Free association C. Dream analysis
B. Socratic questioning D. Empty chair technique
Rationale: Socratic questioning challenges cognitive distortions by encouraging critical
thinking.
3. A patient with anxiety uses automatic negative thoughts. What CBT strategy is most
appropriate?
A. Cognitive restructuring C. Person-centered reflection
B. Transference interpretation D. Solution-focused scaling
Rationale: Cognitive restructuring replaces negative thoughts with balanced ones.
NRNP 6645 Midterm Exam | Verified A+ Content | 2025/2026 | Walden University
, 4. What is a core component of exposure therapy in CBT?
A. Avoiding triggers C. Suppressing emotions
B. Gradual confrontation of feared stim-
uli D. Analyzing childhood events
Rationale: Exposure therapy reduces fear through controlled exposure to stimuli.
5. Which disorder is most commonly treated with CBT?
A. Schizophrenia C. Dissociative identity disorder
B. Generalized anxiety disorder D. Bipolar disorder
Rationale: CBT is evidence-based for anxiety disorders, targeting cognitive and behavioral
patterns.
6. In CBT, what is a ”schema”?
A. A coping mechanism C. A behavioral response
B. A core belief influencing perception D. A therapeutic goal
Rationale: Schemas are deeply held beliefs that shape how individuals interpret experi-
ences.
7. What is the purpose of homework in CBT?
A. Increase dependency C. Reduce session time
B. Reinforce skills outside sessions D. Explore unconscious motives
Rationale: Homework helps patients practice CBT techniques in real-world settings.
8. Which CBT technique addresses catastrophic thinking?
A. Decatastrophizing C. Reframing
B. Mirroring D. Free association
Rationale: Decatastrophizing challenges exaggerated worst-case scenarios.
9. What is the role of the therapist in CBT?
A. Passive listener C. Authority figure
B. Active collaborator D. Non-directive guide
Rationale: CBT therapists actively guide patients to develop skills collaboratively.
10. A patient with depression avoids social events. What CBT intervention is best?
A. Behavioral activation C. Transference analysis
B. Dream interpretation D. Empty chair dialogue
NRNP 6645 Midterm Exam | Verified A+ Content | 2025/2026 | Walden University
