,Contents
Chapter 1 – The Nurse Psychotherapist and a Framework for Practice ................................. 3
Chapter 2: The Neurophysiology of Trauma and Psychotherapy — Test Bank .................... 15
Chapter 3: Assessment and Diagnosis — ............................................................................. 28
Chapter 4: The Initial Contact and Maintaining the Frame .................................................. 39
Chapter 5: Supportive and Psychodynamic Psychotherapy ................................................. 51
Chapter 6: Humanistic–Existential and Solution-Focused Approaches to Psychotherapy .. 63
Chapter 7: Eye Movement Desensitization and Reprocessing Therapy — Test Bank .......... 74
Chapter 8: Cognitive Behavior Therapy — Test Bank ........................................................... 85
Chapter 9: Motivational Interviewing .................................................................................. 97
Chapter 10: Interpersonal Psychotherapy .......................................................................... 107
Chapter 11: Trauma Resiliency Model® Therapy — ........................................................... 118
Chapter 12: Group Therapy — Test Bank ............................................................................ 129
Chapter 13: Family Therapy — Test Bank ........................................................................... 140
Chapter 14: Psychotherapeutics: Reuniting Psychotherapy and Pharmacotherapy ......... 151
Chapter 15: Trauma-Informed Medication Management — Test Bank ............................. 162
Chapter 16: Integrative Medicine and Psychotherapy — Test Bank .................................. 174
Chapter 17: Stabilization for Trauma and Dissociation — Test Bank.................................. 186
Chapter 18: Dialectical Behavior Therapy for Complex Trauma — Test Bank .................... 197
Chapter 19: Psychotherapeutic Approaches for Addictions and Related Disorders — ..... 208
Chapter 20: Psychotherapy With Children — Test Bank ..................................................... 220
Chapter 21: Psychotherapeutic Approaches With Children and Adolescents — Test Bank231
Chapter 22: Psychotherapy With Older Adults — Test Bank .............................................. 242
Chapter 23: Reimbursement and Documentation — Test Bank ......................................... 253
Chapter 24: Termination and Outcome Evaluation — Test Bank ....................................... 265
,Chapter 1 – The Nurse Psychotherapist and a Framework for Practice
1. Which of the following most accurately reflects the scope of practice
for a nurse psychotherapist at the advanced level?
A. Administering psychotropic medications and conducting physical
health assessments
B. Delivering evidence-based psychotherapy within a holistic, nursing
framework
C. Providing psychoeducation and counseling at the community health
level
D. Coordinating interdisciplinary care and managing psychiatric
emergencies
✅ Correct Answer: B
Rationale: The role of the advanced practice psychiatric nurse includes
providing evidence-based psychotherapy using a nursing theoretical
foundation. While medication administration and physical health
assessments (A) are within scope, the defining feature of the nurse
psychotherapist is the integration of psychotherapeutic skills with
nursing values.
2. The integration of which two paradigms is central to the conceptual
framework presented in Wheeler’s psychotherapy model?
A. Biomedical model and family systems theory
B. Medical model and nursing process
C. Attachment theory and neurophysiological regulation
D. Public health and trauma-informed care
,✅ Correct Answer: C
Rationale: Wheeler’s model places strong emphasis on the integration
of attachment theory and neurophysiology, acknowledging the impact of
early relational experiences on the brain and emotional regulation—
central concepts in psychotherapeutic engagement.
3. According to Wheeler, what is the cornerstone of the
psychotherapeutic relationship?
A. Symptom reduction
B. Therapeutic neutrality
C. Use of self
D. Structured treatment plans
✅ Correct Answer: C
Rationale: The use of self is fundamental in Wheeler’s framework. It
reflects the nurse’s capacity for authenticity, empathy, and presence in
the therapeutic relationship, promoting emotional safety and client
growth.
4. How does Wheeler describe the “frame” of psychotherapy?
A. A rigid structure for guiding each session
B. A mutual contract emphasizing pharmacologic compliance
C. A flexible but consistent structure that maintains therapeutic
boundaries
D. A diagnostic template for matching symptoms to therapies
✅ Correct Answer: C
Rationale: The “frame” refers to the consistent structure (time, place,
confidentiality) that supports a secure therapeutic space. Flexibility may
,exist, but maintaining boundaries is essential for client safety and
engagement.
5. What differentiates the nurse psychotherapist’s approach from that of
other disciplines?
A. Greater emphasis on cognitive interventions
B. Superior diagnostic authority under state law
C. Integration of medical and psychiatric models
D. A holistic, person-centered perspective informed by nursing theory
✅ Correct Answer: D
Rationale: The nurse psychotherapist incorporates a holistic nursing
lens, including spiritual, social, physical, and emotional dimensions.
This distinguishes nursing psychotherapy from psychology or
psychiatry, which may emphasize narrower constructs.
6. Which concept is most aligned with Hildegard Peplau’s influence on
psychiatric nursing psychotherapy?
A. Behavioral modification
B. The therapeutic milieu
C. The interpersonal process
D. Pharmacologic support
✅ Correct Answer: C
Rationale: Peplau’s theory emphasizes the interpersonal process
between nurse and client as a healing force. Wheeler builds upon this by
framing the therapeutic relationship as a vehicle for emotional regulation
and transformation.
, 7. In Wheeler’s framework, what is the primary ethical responsibility of
the nurse psychotherapist?
A. Enforcing treatment adherence
B. Maintaining neutrality during sessions
C. Promoting autonomy and nonmaleficence
D. Focusing solely on measurable outcomes
✅ Correct Answer: C
Rationale: Ethical principles such as autonomy, nonmaleficence, and
beneficence are central to psychotherapy. Promoting client agency while
minimizing harm is a foundational expectation.
8. What function does the therapeutic alliance serve, according to
Wheeler’s conceptualization?
A. It predicts short-term compliance
B. It supports diagnostic clarity
C. It becomes the agent of change
D. It acts as a barrier against transference
✅ Correct Answer: C
Rationale: Wheeler, supported by psychotherapy research, asserts that
the therapeutic alliance is a core element that facilitates change. The
relationship itself provides corrective emotional experiences.
9. The term “self-as-instrument” in psychotherapy refers to:
A. The clinician’s ability to detach from client suffering
B. The use of advanced assessment tools in diagnostics
C. The intentional use of the nurse’s personality and presence in
Chapter 1 – The Nurse Psychotherapist and a Framework for Practice ................................. 3
Chapter 2: The Neurophysiology of Trauma and Psychotherapy — Test Bank .................... 15
Chapter 3: Assessment and Diagnosis — ............................................................................. 28
Chapter 4: The Initial Contact and Maintaining the Frame .................................................. 39
Chapter 5: Supportive and Psychodynamic Psychotherapy ................................................. 51
Chapter 6: Humanistic–Existential and Solution-Focused Approaches to Psychotherapy .. 63
Chapter 7: Eye Movement Desensitization and Reprocessing Therapy — Test Bank .......... 74
Chapter 8: Cognitive Behavior Therapy — Test Bank ........................................................... 85
Chapter 9: Motivational Interviewing .................................................................................. 97
Chapter 10: Interpersonal Psychotherapy .......................................................................... 107
Chapter 11: Trauma Resiliency Model® Therapy — ........................................................... 118
Chapter 12: Group Therapy — Test Bank ............................................................................ 129
Chapter 13: Family Therapy — Test Bank ........................................................................... 140
Chapter 14: Psychotherapeutics: Reuniting Psychotherapy and Pharmacotherapy ......... 151
Chapter 15: Trauma-Informed Medication Management — Test Bank ............................. 162
Chapter 16: Integrative Medicine and Psychotherapy — Test Bank .................................. 174
Chapter 17: Stabilization for Trauma and Dissociation — Test Bank.................................. 186
Chapter 18: Dialectical Behavior Therapy for Complex Trauma — Test Bank .................... 197
Chapter 19: Psychotherapeutic Approaches for Addictions and Related Disorders — ..... 208
Chapter 20: Psychotherapy With Children — Test Bank ..................................................... 220
Chapter 21: Psychotherapeutic Approaches With Children and Adolescents — Test Bank231
Chapter 22: Psychotherapy With Older Adults — Test Bank .............................................. 242
Chapter 23: Reimbursement and Documentation — Test Bank ......................................... 253
Chapter 24: Termination and Outcome Evaluation — Test Bank ....................................... 265
,Chapter 1 – The Nurse Psychotherapist and a Framework for Practice
1. Which of the following most accurately reflects the scope of practice
for a nurse psychotherapist at the advanced level?
A. Administering psychotropic medications and conducting physical
health assessments
B. Delivering evidence-based psychotherapy within a holistic, nursing
framework
C. Providing psychoeducation and counseling at the community health
level
D. Coordinating interdisciplinary care and managing psychiatric
emergencies
✅ Correct Answer: B
Rationale: The role of the advanced practice psychiatric nurse includes
providing evidence-based psychotherapy using a nursing theoretical
foundation. While medication administration and physical health
assessments (A) are within scope, the defining feature of the nurse
psychotherapist is the integration of psychotherapeutic skills with
nursing values.
2. The integration of which two paradigms is central to the conceptual
framework presented in Wheeler’s psychotherapy model?
A. Biomedical model and family systems theory
B. Medical model and nursing process
C. Attachment theory and neurophysiological regulation
D. Public health and trauma-informed care
,✅ Correct Answer: C
Rationale: Wheeler’s model places strong emphasis on the integration
of attachment theory and neurophysiology, acknowledging the impact of
early relational experiences on the brain and emotional regulation—
central concepts in psychotherapeutic engagement.
3. According to Wheeler, what is the cornerstone of the
psychotherapeutic relationship?
A. Symptom reduction
B. Therapeutic neutrality
C. Use of self
D. Structured treatment plans
✅ Correct Answer: C
Rationale: The use of self is fundamental in Wheeler’s framework. It
reflects the nurse’s capacity for authenticity, empathy, and presence in
the therapeutic relationship, promoting emotional safety and client
growth.
4. How does Wheeler describe the “frame” of psychotherapy?
A. A rigid structure for guiding each session
B. A mutual contract emphasizing pharmacologic compliance
C. A flexible but consistent structure that maintains therapeutic
boundaries
D. A diagnostic template for matching symptoms to therapies
✅ Correct Answer: C
Rationale: The “frame” refers to the consistent structure (time, place,
confidentiality) that supports a secure therapeutic space. Flexibility may
,exist, but maintaining boundaries is essential for client safety and
engagement.
5. What differentiates the nurse psychotherapist’s approach from that of
other disciplines?
A. Greater emphasis on cognitive interventions
B. Superior diagnostic authority under state law
C. Integration of medical and psychiatric models
D. A holistic, person-centered perspective informed by nursing theory
✅ Correct Answer: D
Rationale: The nurse psychotherapist incorporates a holistic nursing
lens, including spiritual, social, physical, and emotional dimensions.
This distinguishes nursing psychotherapy from psychology or
psychiatry, which may emphasize narrower constructs.
6. Which concept is most aligned with Hildegard Peplau’s influence on
psychiatric nursing psychotherapy?
A. Behavioral modification
B. The therapeutic milieu
C. The interpersonal process
D. Pharmacologic support
✅ Correct Answer: C
Rationale: Peplau’s theory emphasizes the interpersonal process
between nurse and client as a healing force. Wheeler builds upon this by
framing the therapeutic relationship as a vehicle for emotional regulation
and transformation.
, 7. In Wheeler’s framework, what is the primary ethical responsibility of
the nurse psychotherapist?
A. Enforcing treatment adherence
B. Maintaining neutrality during sessions
C. Promoting autonomy and nonmaleficence
D. Focusing solely on measurable outcomes
✅ Correct Answer: C
Rationale: Ethical principles such as autonomy, nonmaleficence, and
beneficence are central to psychotherapy. Promoting client agency while
minimizing harm is a foundational expectation.
8. What function does the therapeutic alliance serve, according to
Wheeler’s conceptualization?
A. It predicts short-term compliance
B. It supports diagnostic clarity
C. It becomes the agent of change
D. It acts as a barrier against transference
✅ Correct Answer: C
Rationale: Wheeler, supported by psychotherapy research, asserts that
the therapeutic alliance is a core element that facilitates change. The
relationship itself provides corrective emotional experiences.
9. The term “self-as-instrument” in psychotherapy refers to:
A. The clinician’s ability to detach from client suffering
B. The use of advanced assessment tools in diagnostics
C. The intentional use of the nurse’s personality and presence in
