NRNP 6645 MIDTERM EXAM LATEST UPDATE |WALDEN UNIVERSITY PSYCHOTHERAPY WITH MULTIPLE
MODALITIES (WALDEN UNIVERSITY) QUESTIONS AND ANSWERS ALREADY GRADED A+. 100% VERIFIED
SOLUTIONS | UPDATED PER LATEST GUIDELINES | GRADED A+...
Question 1
A PMHNP is using cognitive-behavioral therapy with a client who has depression. Which intervention is most
consistent with this approach?
A. Exploring unconscious conflicts from childhood
B. Identifying and challenging automatic negative thoughts
C. Providing unconditional positive regard without structure
D. Using free association to uncover repressed memories
🟢 Correct Answer:
B. Identifying and challenging automatic negative thoughts
🔴 RATIONALE:
Cognitive-behavioral therapy focuses on identifying and modifying maladaptive thoughts and behaviors.
Challenging automatic negative thoughts is a core CBT technique. Exploring unconscious conflicts and free
association are psychodynamic techniques; unconditional positive regard is associated with person-centered
therapy.
Question 2
A client in psychodynamic psychotherapy begins to treat the therapist as if they were the client's critical parent.
Which phenomenon is occurring?
A. Resistance
B. Transference
,C. Countertransference
D. Catharsis
🟢 Correct Answer:
B. Transference
🔴 RATIONALE:
Transference occurs when a client unconsciously redirects feelings and attitudes from past relationships onto
the therapist. Treating the therapist as a critical parent is a classic example. Countertransference is the
therapist's emotional reaction to the client; resistance is avoidance of therapeutic progress; catharsis is
emotional release.
Question 3
Which of the following is a primary goal of motivational interviewing?
A. Confronting the client's resistance directly
B. Resolving ambivalence and increasing intrinsic motivation for change
C. Providing advice and solutions to problems
D. Interpreting unconscious conflicts
🟢 Correct Answer:
B. Resolving ambivalence and increasing intrinsic motivation for change
🔴 RATIONALE:
Motivational interviewing aims to help clients resolve ambivalence and strengthen their own motivation for
change. It emphasizes empathy, collaboration, and evoking the client's own reasons for change. Confrontation,
advice-giving, and interpretation are not consistent with the MI spirit.
,Question 4
A PMHNP is using dialectical behavior therapy with a client who has borderline personality disorder. Which skill
is most emphasized?
A. Free association
B. Mindfulness and distress tolerance
C. Dream analysis
D. Systematic desensitization
🟢 Correct Answer:
B. Mindfulness and distress tolerance
🔴 RATIONALE:
DBT emphasizes skills in mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.
Free association and dream analysis are psychodynamic; systematic desensitization is used for phobias.
Question 5
Which of the following is a key principle of person-centered therapy?
A. The therapist is the expert and directs the session
B. Unconditional positive regard and empathic understanding
C. Behavioral reinforcement schedules
D. Cognitive restructuring exercises
🟢 Correct Answer:
B. Unconditional positive regard and empathic understanding
🔴 RATIONALE:
Person-centered therapy, developed by Carl Rogers, emphasizes unconditional positive regard, empathic
, understanding, and congruence. The therapist takes a non-directive stance, and the client is viewed as the
expert on their own experience. Behavioral and cognitive techniques are associated with other modalities.
Question 6
A client with panic disorder is being treated with cognitive-behavioral therapy. Which technique is most
specifically aimed at reducing avoidance behavior?
A. Psychoeducation about genetics
B. Interoceptive exposure
C. Free association
D. Dream analysis
🟢 Correct Answer:
B. Interoceptive exposure
🔴 RATIONALE:
Interoceptive exposure involves deliberately inducing physical sensations associated with panic to reduce fear
and avoidance. Psychoeducation, free association, and dream analysis are not specific to reducing avoidance in
panic disorder.
Question 7
Which of the following best describes the concept of "therapeutic alliance"?
A. A legal contract between client and therapist
B. The collaborative relationship and bond between therapist and client
C. The therapist's use of self-disclosure
D. A structured treatment manual
MODALITIES (WALDEN UNIVERSITY) QUESTIONS AND ANSWERS ALREADY GRADED A+. 100% VERIFIED
SOLUTIONS | UPDATED PER LATEST GUIDELINES | GRADED A+...
Question 1
A PMHNP is using cognitive-behavioral therapy with a client who has depression. Which intervention is most
consistent with this approach?
A. Exploring unconscious conflicts from childhood
B. Identifying and challenging automatic negative thoughts
C. Providing unconditional positive regard without structure
D. Using free association to uncover repressed memories
🟢 Correct Answer:
B. Identifying and challenging automatic negative thoughts
🔴 RATIONALE:
Cognitive-behavioral therapy focuses on identifying and modifying maladaptive thoughts and behaviors.
Challenging automatic negative thoughts is a core CBT technique. Exploring unconscious conflicts and free
association are psychodynamic techniques; unconditional positive regard is associated with person-centered
therapy.
Question 2
A client in psychodynamic psychotherapy begins to treat the therapist as if they were the client's critical parent.
Which phenomenon is occurring?
A. Resistance
B. Transference
,C. Countertransference
D. Catharsis
🟢 Correct Answer:
B. Transference
🔴 RATIONALE:
Transference occurs when a client unconsciously redirects feelings and attitudes from past relationships onto
the therapist. Treating the therapist as a critical parent is a classic example. Countertransference is the
therapist's emotional reaction to the client; resistance is avoidance of therapeutic progress; catharsis is
emotional release.
Question 3
Which of the following is a primary goal of motivational interviewing?
A. Confronting the client's resistance directly
B. Resolving ambivalence and increasing intrinsic motivation for change
C. Providing advice and solutions to problems
D. Interpreting unconscious conflicts
🟢 Correct Answer:
B. Resolving ambivalence and increasing intrinsic motivation for change
🔴 RATIONALE:
Motivational interviewing aims to help clients resolve ambivalence and strengthen their own motivation for
change. It emphasizes empathy, collaboration, and evoking the client's own reasons for change. Confrontation,
advice-giving, and interpretation are not consistent with the MI spirit.
,Question 4
A PMHNP is using dialectical behavior therapy with a client who has borderline personality disorder. Which skill
is most emphasized?
A. Free association
B. Mindfulness and distress tolerance
C. Dream analysis
D. Systematic desensitization
🟢 Correct Answer:
B. Mindfulness and distress tolerance
🔴 RATIONALE:
DBT emphasizes skills in mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.
Free association and dream analysis are psychodynamic; systematic desensitization is used for phobias.
Question 5
Which of the following is a key principle of person-centered therapy?
A. The therapist is the expert and directs the session
B. Unconditional positive regard and empathic understanding
C. Behavioral reinforcement schedules
D. Cognitive restructuring exercises
🟢 Correct Answer:
B. Unconditional positive regard and empathic understanding
🔴 RATIONALE:
Person-centered therapy, developed by Carl Rogers, emphasizes unconditional positive regard, empathic
, understanding, and congruence. The therapist takes a non-directive stance, and the client is viewed as the
expert on their own experience. Behavioral and cognitive techniques are associated with other modalities.
Question 6
A client with panic disorder is being treated with cognitive-behavioral therapy. Which technique is most
specifically aimed at reducing avoidance behavior?
A. Psychoeducation about genetics
B. Interoceptive exposure
C. Free association
D. Dream analysis
🟢 Correct Answer:
B. Interoceptive exposure
🔴 RATIONALE:
Interoceptive exposure involves deliberately inducing physical sensations associated with panic to reduce fear
and avoidance. Psychoeducation, free association, and dream analysis are not specific to reducing avoidance in
panic disorder.
Question 7
Which of the following best describes the concept of "therapeutic alliance"?
A. A legal contract between client and therapist
B. The collaborative relationship and bond between therapist and client
C. The therapist's use of self-disclosure
D. A structured treatment manual
