1
NRNP 6645 Midterm Exam (Latest-2026/2027, 100 Q &
A) / NRNP 6645N Midterm Exam / NRNP6645 Midterm
Exam / NRNP-6645N Midterm Exam: Walden University
| 100% Verified Q & A |
Core Exam Questions & Answers
1. According to the Stages of Learning model, the advanced practice psychiatric nurse who is aware of
being incompetent as progress is made is in which stage?
• A. Unconscious incompetency
• B. Conscious incompetency ✅
• C. Conscious competency
• D. Unconscious competency
A nurse who recognizes their own lack of skill or knowledge is in the conscious incompetence stage of
learning.
2. According to Freud, failure to successfully accomplish the tasks of learning independence and
control is associated with which problematic trait?
• A. Excessive dependency ✅
• B. Orderliness
• C. Sexual identity issues
• D. Excessive guilt
Freud’s theory links the anal stage (learning independence and control) with potential development of
excessive dependency if tasks are not mastered.
3. Which best describes the difference between standards of care and practice guidelines?
• A. Practice guidelines are legally binding while standards of care are not.
• B. Standards of care are legally binding while practice guidelines are not. ✅
• C. There is no difference between standards of care and practice guidelines.
• D. Practice guidelines should be followed as written while standards of care are more flexible.
Standards of care dictate minimum acceptable, legally required care; practice guidelines are flexible
recommendations.
,2
4. What is true about CBT cognitive processes of primary and secondary thinking?
• A. Primary thinking recognizes indeterminate, negative, irrational thinking as part of human
action. ✅
• B. Secondary thinking recognizes indeterminate, negative, irrational thinking as foremost.
• C. Primary thinking views the world in determinate, positive, rational terms.
• D. B and C
Primary thinking acknowledges automatic negative thoughts; secondary thinking is more rational and
logical.
5. According to Yalom, which is consistent with the therapeutic benefit of imitative behavior?
• A. Imitative behavior plays a more important role in early stages of a group.
• B. Imitative behavior may allow an individual to experiment with a new behavior.
• C. Finding out what we are not is progress toward finding out what we are.
• D. All of the above ✅
Yalom’s therapeutic factors include imitative behavior allowing members to try new behaviors.
6. Patients who would NOT be considered ideal candidates for psychoanalytic psychotherapy are
those with:
• A. Primarily primitive defenses ✅
• B. Primarily mature defense mechanisms
• C. Neurotic to healthy personality organization
• D. Capability to engage in a therapeutic alliance
Psychoanalytic therapy requires capacity for insight; primitive defenses often indicate lack of this
capacity.
7. During the initial contact for family therapy, the family therapist should:
• A. Identify the presenting problem and arrange a consultation with everyone living in the
family household. ✅
• B. Identify the problem and arrange consultation with the caller only.
• C. Meet with the caller and the family member creating the problem.
• D. Meet with parents only to develop a strategy.
Including all household members is crucial for systemic assessment.
8. According to Peplau’s Interpersonal Relations Model, a cornerstone for the psychotherapeutic
process is:
,3
• A. Empathy
• B. Understanding, assessing, and managing anxiety ✅
• C. Transference
• D. Countertransference
Anxiety is central in Peplau’s model; understanding and managing it is fundamental.
9. Didactic instruction about mental health, mental illness, and general psychodynamics supports
which therapeutic group factor?
• A. Imitative behavior
• B. Interpersonal learning
• C. Imparting of information ✅
• D. Development of socializing techniques
Yalom identified imparting information (didactic instruction) as a primary therapeutic factor in groups.
10. Recognizing that many factors contribute to a patient’s current situation is an example of:
• A. Biomedical model
• B. Psychosocial framework
• C. Overdeterminism ✅
• D. Resiliency
Overdeterminism acknowledges multiple causative factors.
11. A patient in supportive psychodynamic therapy is missing sessions and coming late. The nurse
recognizes this as:
• A. Avoidance ✅
• B. A sign the patient has met goals
• C. Readiness to discuss termination
• D. Boredom
Lateness and missed sessions often indicate avoidance of difficult material.
12. According to Yalom, which statement is NOT consistent with his therapeutic factors?
• A. Therapeutic change is an intricate interplay of human experiences.
• B. The distinctions among these factors are well delineated. ✅
• C. The distinctions among these factors are arbitrary.
, 4
• D. The factors are interdependent.
Yalom noted that the 11 factors overlap and are not sharply delineated.
13. The key emotional process of transition for single young adults in the Family Life Cycle is:
• A. Commitment to a new system
• B. Accepting shifting generational roles
• C. Accepting new members into the system
• D. Accepting emotional and financial responsibility for self ✅
Single young adults must transition to accepting responsibility for themselves.
14. The new nurse psychotherapist must become comfortable with:
• B. Letting the psychotherapeutic process unfold without being overly directive. ✅
Allowing the process to unfold naturally is key for novice therapists.
15. The advanced practice psychiatric nurse may intervene with agencies to advocate for the patient,
doing for the patient what they cannot do for themselves, with an aim toward maximum
independence and growth. This is consistent with which basic strategy of dynamic supportive
therapy?
• A. Decreasing maladaptive defenses
• B. Strengthening adaptive defenses
• C. Exploring transference
• D. Maximizing adaptive coping mechanisms ✅
Advocacy and appropriate “doing for” support adaptive coping.
16. Which statements are consistent with literature regarding suicide? (Select all that apply)
• A. Assessing patient is of paramount importance during initial patient contact. ✅
• B. Suicide risk cannot be assessed with questionnaires.
• C. Once a patient denies suicidal ideation, no further assessment is needed.
• D. Suicidality can be assessed by using reliable and valid self-report questionnaires. ✅
Suicide assessment is critical at every contact; validated tools aid assessment.
17. Common ancestry through which individuals share values and customs is known as:
• A. Race
• B. Ethnicity ✅
NRNP 6645 Midterm Exam (Latest-2026/2027, 100 Q &
A) / NRNP 6645N Midterm Exam / NRNP6645 Midterm
Exam / NRNP-6645N Midterm Exam: Walden University
| 100% Verified Q & A |
Core Exam Questions & Answers
1. According to the Stages of Learning model, the advanced practice psychiatric nurse who is aware of
being incompetent as progress is made is in which stage?
• A. Unconscious incompetency
• B. Conscious incompetency ✅
• C. Conscious competency
• D. Unconscious competency
A nurse who recognizes their own lack of skill or knowledge is in the conscious incompetence stage of
learning.
2. According to Freud, failure to successfully accomplish the tasks of learning independence and
control is associated with which problematic trait?
• A. Excessive dependency ✅
• B. Orderliness
• C. Sexual identity issues
• D. Excessive guilt
Freud’s theory links the anal stage (learning independence and control) with potential development of
excessive dependency if tasks are not mastered.
3. Which best describes the difference between standards of care and practice guidelines?
• A. Practice guidelines are legally binding while standards of care are not.
• B. Standards of care are legally binding while practice guidelines are not. ✅
• C. There is no difference between standards of care and practice guidelines.
• D. Practice guidelines should be followed as written while standards of care are more flexible.
Standards of care dictate minimum acceptable, legally required care; practice guidelines are flexible
recommendations.
,2
4. What is true about CBT cognitive processes of primary and secondary thinking?
• A. Primary thinking recognizes indeterminate, negative, irrational thinking as part of human
action. ✅
• B. Secondary thinking recognizes indeterminate, negative, irrational thinking as foremost.
• C. Primary thinking views the world in determinate, positive, rational terms.
• D. B and C
Primary thinking acknowledges automatic negative thoughts; secondary thinking is more rational and
logical.
5. According to Yalom, which is consistent with the therapeutic benefit of imitative behavior?
• A. Imitative behavior plays a more important role in early stages of a group.
• B. Imitative behavior may allow an individual to experiment with a new behavior.
• C. Finding out what we are not is progress toward finding out what we are.
• D. All of the above ✅
Yalom’s therapeutic factors include imitative behavior allowing members to try new behaviors.
6. Patients who would NOT be considered ideal candidates for psychoanalytic psychotherapy are
those with:
• A. Primarily primitive defenses ✅
• B. Primarily mature defense mechanisms
• C. Neurotic to healthy personality organization
• D. Capability to engage in a therapeutic alliance
Psychoanalytic therapy requires capacity for insight; primitive defenses often indicate lack of this
capacity.
7. During the initial contact for family therapy, the family therapist should:
• A. Identify the presenting problem and arrange a consultation with everyone living in the
family household. ✅
• B. Identify the problem and arrange consultation with the caller only.
• C. Meet with the caller and the family member creating the problem.
• D. Meet with parents only to develop a strategy.
Including all household members is crucial for systemic assessment.
8. According to Peplau’s Interpersonal Relations Model, a cornerstone for the psychotherapeutic
process is:
,3
• A. Empathy
• B. Understanding, assessing, and managing anxiety ✅
• C. Transference
• D. Countertransference
Anxiety is central in Peplau’s model; understanding and managing it is fundamental.
9. Didactic instruction about mental health, mental illness, and general psychodynamics supports
which therapeutic group factor?
• A. Imitative behavior
• B. Interpersonal learning
• C. Imparting of information ✅
• D. Development of socializing techniques
Yalom identified imparting information (didactic instruction) as a primary therapeutic factor in groups.
10. Recognizing that many factors contribute to a patient’s current situation is an example of:
• A. Biomedical model
• B. Psychosocial framework
• C. Overdeterminism ✅
• D. Resiliency
Overdeterminism acknowledges multiple causative factors.
11. A patient in supportive psychodynamic therapy is missing sessions and coming late. The nurse
recognizes this as:
• A. Avoidance ✅
• B. A sign the patient has met goals
• C. Readiness to discuss termination
• D. Boredom
Lateness and missed sessions often indicate avoidance of difficult material.
12. According to Yalom, which statement is NOT consistent with his therapeutic factors?
• A. Therapeutic change is an intricate interplay of human experiences.
• B. The distinctions among these factors are well delineated. ✅
• C. The distinctions among these factors are arbitrary.
, 4
• D. The factors are interdependent.
Yalom noted that the 11 factors overlap and are not sharply delineated.
13. The key emotional process of transition for single young adults in the Family Life Cycle is:
• A. Commitment to a new system
• B. Accepting shifting generational roles
• C. Accepting new members into the system
• D. Accepting emotional and financial responsibility for self ✅
Single young adults must transition to accepting responsibility for themselves.
14. The new nurse psychotherapist must become comfortable with:
• B. Letting the psychotherapeutic process unfold without being overly directive. ✅
Allowing the process to unfold naturally is key for novice therapists.
15. The advanced practice psychiatric nurse may intervene with agencies to advocate for the patient,
doing for the patient what they cannot do for themselves, with an aim toward maximum
independence and growth. This is consistent with which basic strategy of dynamic supportive
therapy?
• A. Decreasing maladaptive defenses
• B. Strengthening adaptive defenses
• C. Exploring transference
• D. Maximizing adaptive coping mechanisms ✅
Advocacy and appropriate “doing for” support adaptive coping.
16. Which statements are consistent with literature regarding suicide? (Select all that apply)
• A. Assessing patient is of paramount importance during initial patient contact. ✅
• B. Suicide risk cannot be assessed with questionnaires.
• C. Once a patient denies suicidal ideation, no further assessment is needed.
• D. Suicidality can be assessed by using reliable and valid self-report questionnaires. ✅
Suicide assessment is critical at every contact; validated tools aid assessment.
17. Common ancestry through which individuals share values and customs is known as:
• A. Race
• B. Ethnicity ✅
