NR605 MIDTERM E ADVANCED
FREQUENTLY TESTED ACTUAL EXAM QUESTIONS
WITH CORRECT ANSWERS
Question 1.
IPT Therapeutic Techniques
ANSWER
clarification, communication analysis, interpersonal incidents, role-playing, and problem-
solving.
Question 2.
Josefina is a 24-year-old who presents for therapy. She reports she had been working as an exotic
dancer to earn money. She endorses a long history of sexual promiscuity that started around age 13
when she experimented with sex with neighborhood boys. Since then, she has had serial relationships
that leave her feeling abandoned. She recently got a job as a waitress and wants a "clean" start on her
life. The psychiatric mental health nurse practitioner (PMHNP) selects a Gestalt approach to help J
ANSWER
"As you tell me your story, what are you experiencing?"
"I noticed when you told me the story of your childhood sexual activity, your eyes began
blinking. Can you give a voice to your blinking eyes?"
"Would you agree to an experiment where you imagine each part of yourself in an empty
chair?"
"Would you be willing to say, 'I am finding it so difficult to find a partner?'"
Rationale: Gestalt psychotherapy promotes understanding of the present experience rather
than discussing situations in the abstract or focusing on the content of what the client reveals.
Gestalt techniques are used to increase client awareness of what they are doing and how they
are doing it. The statements: "What needs to happen today so that when you leave, you'll think
this was a good session?" and "Was there ever a time when you felt happy in a relationship?"
focus on content and finding solutions rather than the present experience.
,Question 3.
Ego:
ANSWER
Rational
logical
mostly conscious
allows the mind to satisfy id's urges appropriately and safely
moderates between id and superego
Question 4.
Person- or Client-centered therapy indications
ANSWER
-useful modality for individuals, groups, and families
-effective in addressing a range of client problems
• anxiety disorders, substance abuse disorders, psychosomatic problems, agoraphobia,
interpersonal difficulties, personality disorders
• often used in crisis interventions such as illness or the death of a loved one
• recently demonstrated (+) outcomes with autism, transgender & gender diverse clients
Question 5.
Self-Disclosure
ANSWER
when the psychotherapist shares personal rather than professional information with the client
-used sparingly with care for the benefit of the client
• can contribute to the building of trust & empathy & can strengthen the therapeutic alliance
-overuse can remove the focus from the client
-Inappropriate self-disclosure can lead to a role reversal between the psychotherapist and the
client
• client feels the need to take care of the provider
• boundary violation
,Question 6.
Psychodynamic Continuum
ANSWER
continuum from supportive and stabilization therapy to expressive and psychoanalytic therapy
-supportive end of the continuum, therapy is focused on stabilization through anxiety
reduction, defense stabilization, and improved problem-solving
-the psychoanalytic end, therapy is directed at interpreting unconscious conflict and gaining
insight
-Expressive therapies are focused on emotional processing
Question 7.
Erikson's psychosocial stages:
ANSWER
-Infancy: Trust vs. Mistrust (birth-18 months)
-Early Childhood: Autonomy vs. Shame and Doubt (ages 18 months-2 to 3 years)
-Preschool: Initiative vs. Guilt (ages 3-5)
-School Age: Industry vs. Inferiority (ages 6-11)
-Adolescence: Identity vs. Role Confusion (ages 12-18)
-Young Adulthood: Intimacy vs. Isolation (ages 19-40)
-Middle Adulthood: Generativity vs. Stagnation (ages 40-65) -Maturity: Integrity vs. Despair
(ages 65-death)
Question 8.
Peg is a 46-year-old teacher and mother of one. She presents with symptoms of sadness and anger
after learning that her husband of 15 years is gay and is planning to move across the country to live
with a partner, leaving her to raise their daughter alone.
Which interpersonal problem area best fits this situation?
Grief
Role dispute
Interpersonal deficit
Role transition
ANSWER
Role transition
Rationale: Role transitions require an adaptation in life circumstances, often from adjustments
in work, social settings, or after major life events such as parenthood, marriage, or divorce. The
transitions are experienced as a form of loss for those who develop depression.
, Question 9.
Frieda drinks 5-6 alcoholic beverages each night when she comes home from work. She typically drinks
until she passes out; however, she never drinks during the day and never misses work due to her
drinking, though her drinking has impacted her relationship with her spouse. She does not believe
that her drinking is a problem because she goes to work and pays bills on time.
-Displacement
-Denial
-Sublimation
-Projection
-Regression
-Repression
-Rationalization
-Intellectualization
ANSWER
Denial
Denial occurs when a person refuses to admit to reality or an obvious fact.
Question 10.
A psychotherapist holds the client's hand during the client's retelling of a traumatic event after the
client reaches out.
May or may not be a boundary violation
Boundary violation
Not a boundary violation
ANSWER
Not a boundary violation
Rationale: This is not a boundary violation. Touch may be therapeutic in certain situations.
FREQUENTLY TESTED ACTUAL EXAM QUESTIONS
WITH CORRECT ANSWERS
Question 1.
IPT Therapeutic Techniques
ANSWER
clarification, communication analysis, interpersonal incidents, role-playing, and problem-
solving.
Question 2.
Josefina is a 24-year-old who presents for therapy. She reports she had been working as an exotic
dancer to earn money. She endorses a long history of sexual promiscuity that started around age 13
when she experimented with sex with neighborhood boys. Since then, she has had serial relationships
that leave her feeling abandoned. She recently got a job as a waitress and wants a "clean" start on her
life. The psychiatric mental health nurse practitioner (PMHNP) selects a Gestalt approach to help J
ANSWER
"As you tell me your story, what are you experiencing?"
"I noticed when you told me the story of your childhood sexual activity, your eyes began
blinking. Can you give a voice to your blinking eyes?"
"Would you agree to an experiment where you imagine each part of yourself in an empty
chair?"
"Would you be willing to say, 'I am finding it so difficult to find a partner?'"
Rationale: Gestalt psychotherapy promotes understanding of the present experience rather
than discussing situations in the abstract or focusing on the content of what the client reveals.
Gestalt techniques are used to increase client awareness of what they are doing and how they
are doing it. The statements: "What needs to happen today so that when you leave, you'll think
this was a good session?" and "Was there ever a time when you felt happy in a relationship?"
focus on content and finding solutions rather than the present experience.
,Question 3.
Ego:
ANSWER
Rational
logical
mostly conscious
allows the mind to satisfy id's urges appropriately and safely
moderates between id and superego
Question 4.
Person- or Client-centered therapy indications
ANSWER
-useful modality for individuals, groups, and families
-effective in addressing a range of client problems
• anxiety disorders, substance abuse disorders, psychosomatic problems, agoraphobia,
interpersonal difficulties, personality disorders
• often used in crisis interventions such as illness or the death of a loved one
• recently demonstrated (+) outcomes with autism, transgender & gender diverse clients
Question 5.
Self-Disclosure
ANSWER
when the psychotherapist shares personal rather than professional information with the client
-used sparingly with care for the benefit of the client
• can contribute to the building of trust & empathy & can strengthen the therapeutic alliance
-overuse can remove the focus from the client
-Inappropriate self-disclosure can lead to a role reversal between the psychotherapist and the
client
• client feels the need to take care of the provider
• boundary violation
,Question 6.
Psychodynamic Continuum
ANSWER
continuum from supportive and stabilization therapy to expressive and psychoanalytic therapy
-supportive end of the continuum, therapy is focused on stabilization through anxiety
reduction, defense stabilization, and improved problem-solving
-the psychoanalytic end, therapy is directed at interpreting unconscious conflict and gaining
insight
-Expressive therapies are focused on emotional processing
Question 7.
Erikson's psychosocial stages:
ANSWER
-Infancy: Trust vs. Mistrust (birth-18 months)
-Early Childhood: Autonomy vs. Shame and Doubt (ages 18 months-2 to 3 years)
-Preschool: Initiative vs. Guilt (ages 3-5)
-School Age: Industry vs. Inferiority (ages 6-11)
-Adolescence: Identity vs. Role Confusion (ages 12-18)
-Young Adulthood: Intimacy vs. Isolation (ages 19-40)
-Middle Adulthood: Generativity vs. Stagnation (ages 40-65) -Maturity: Integrity vs. Despair
(ages 65-death)
Question 8.
Peg is a 46-year-old teacher and mother of one. She presents with symptoms of sadness and anger
after learning that her husband of 15 years is gay and is planning to move across the country to live
with a partner, leaving her to raise their daughter alone.
Which interpersonal problem area best fits this situation?
Grief
Role dispute
Interpersonal deficit
Role transition
ANSWER
Role transition
Rationale: Role transitions require an adaptation in life circumstances, often from adjustments
in work, social settings, or after major life events such as parenthood, marriage, or divorce. The
transitions are experienced as a form of loss for those who develop depression.
, Question 9.
Frieda drinks 5-6 alcoholic beverages each night when she comes home from work. She typically drinks
until she passes out; however, she never drinks during the day and never misses work due to her
drinking, though her drinking has impacted her relationship with her spouse. She does not believe
that her drinking is a problem because she goes to work and pays bills on time.
-Displacement
-Denial
-Sublimation
-Projection
-Regression
-Repression
-Rationalization
-Intellectualization
ANSWER
Denial
Denial occurs when a person refuses to admit to reality or an obvious fact.
Question 10.
A psychotherapist holds the client's hand during the client's retelling of a traumatic event after the
client reaches out.
May or may not be a boundary violation
Boundary violation
Not a boundary violation
ANSWER
Not a boundary violation
Rationale: This is not a boundary violation. Touch may be therapeutic in certain situations.
