1 | Page
NRNP 6675 MIDTERM EXAM TEST BANK 2026–2027 | WALDEN PMHNP
STUDY GUIDE WITH 220+ VERIFIED QUESTIONS & ANSWERS,100%
CORRECT ALREADY GRADED A+
Q1. A 32-year-old woman presents with persistent sadness, guilt, poor sleep, and
passive suicidal thoughts. She has failed two SSRI trials. As her PMHNP, what is
the most evidence-based next psychotherapy approach?
A. Interpersonal therapy (IPT)
B. Dialectical behavior therapy (DBT)
C. Eye movement desensitization reprocessing (EMDR)
D. Motivational interviewing (MI)
Answer: A. Interpersonal therapy (IPT)
Rationale: IPT is strongly evidence-based for treatment-resistant depression when
combined with medication.
Q2. A 10-year-old boy presents with severe separation anxiety, school refusal, and
stomachaches when away from his parents. Which first-line intervention is
recommended?
A. Cognitive-behavioral therapy (CBT)
B. Psychoanalysis
C. Supportive counseling only
D. Benzodiazepine PRN
Answer: A. Cognitive-behavioral therapy (CBT)
Rationale: CBT with exposure is first-line for pediatric anxiety; meds are adjuncts
if severe.
Q3. A 50-year-old man with alcohol use disorder is ambivalent about quitting.
Which psychotherapeutic strategy is best to use initially?
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A. Motivational interviewing
B. CBT relapse prevention
C. Psychodynamic therapy
D. Family systems therapy
Answer: A. Motivational interviewing
Rationale: MI addresses ambivalence and enhances readiness for change in
substance use.
Q4. A 16-year-old female with borderline personality disorder engages in self-
harm during emotional crises. Which evidence-based psychotherapy is most
effective?
A. CBT
B. DBT
C. IPT
D. EMDR
Answer: B. DBT
Rationale: DBT is gold standard for reducing self-harm and improving emotion
regulation in BPD.
Q5. A 42-year-old male veteran reports nightmares, flashbacks, and hypervigilance
after combat trauma. He declines medication. Which therapy is best supported by
evidence?
A. Supportive counseling
B. EMDR
C. Psychoanalysis
D. Play therapy
Answer: B. EMDR
Rationale: EMDR and trauma-focused CBT are first-line for PTSD when meds
are declined.
Q6. A 70-year-old female reports depressed mood, loss of interest, weight loss, and
poor sleep. She also has mild cognitive decline. Which psychotherapy is most
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suitable?
A. CBT adapted for older adults
B. DBT group therapy
C. Play therapy
D. EMDR trauma processing
Answer: A. CBT adapted for older adults
Rationale: Modified CBT (slower pacing, memory aids) is effective for geriatric
depression.
Q7. A 24-year-old male with schizophrenia is non-adherent to antipsychotics due
to side effects. Which psychotherapy best addresses his concerns?
A. Psychoeducation with CBT for psychosis
B. Play therapy
C. Hypnotherapy
D. Gestalt therapy
Answer: A. Psychoeducation with CBT for psychosis
Rationale: CBTp plus education improves adherence and addresses delusional
thought patterns.
Q8. A 38-year-old woman with panic disorder fears leaving home after multiple
panic attacks. Which first-line psychotherapy should be initiated?
A. Exposure-based CBT
B. EMDR
C. Supportive counseling only
D. Jungian analysis
Answer: A. Exposure-based CBT
Rationale: CBT with gradual exposure reduces avoidance behaviors and panic
symptoms.
Q9. A 12-year-old boy with ADHD struggles with impulse control and aggression
in school. Which psychotherapy is most evidence-based?
A. Behavioral parent training
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B. DBT
C. EMDR
D. Play therapy only
Answer: A. Behavioral parent training
Rationale: Parent management training is the gold standard for ADHD-related
behavioral issues.
Q10. A 55-year-old woman with generalized anxiety disorder reports constant
worrying, muscle tension, and sleep disturbance. Which psychotherapy is best?
A. CBT with worry exposure
B. DBT
C. Supportive therapy only
D. Play therapy
Answer: A. CBT with worry exposure
Rationale: CBT with cognitive restructuring and worry exposure is first-line for
GAD.
Q11. A 25-year-old postpartum mother reports depressed mood, anhedonia, and
guilt over inability to care for her baby. Which psychotherapy is first-line?
A. Interpersonal therapy (IPT)
B. Psychoanalysis
C. DBT
D. EMDR
Answer: A. Interpersonal therapy (IPT)
Rationale: IPT is strongly supported for postpartum depression by addressing role
transitions.
Q12. A 15-year-old girl presents with social anxiety disorder, avoiding peers and
fearing embarrassment. Which psychotherapy is most effective?
A. CBT with social exposure
B. Play therapy
C. Supportive therapy only
NRNP 6675 MIDTERM EXAM TEST BANK 2026–2027 | WALDEN PMHNP
STUDY GUIDE WITH 220+ VERIFIED QUESTIONS & ANSWERS,100%
CORRECT ALREADY GRADED A+
Q1. A 32-year-old woman presents with persistent sadness, guilt, poor sleep, and
passive suicidal thoughts. She has failed two SSRI trials. As her PMHNP, what is
the most evidence-based next psychotherapy approach?
A. Interpersonal therapy (IPT)
B. Dialectical behavior therapy (DBT)
C. Eye movement desensitization reprocessing (EMDR)
D. Motivational interviewing (MI)
Answer: A. Interpersonal therapy (IPT)
Rationale: IPT is strongly evidence-based for treatment-resistant depression when
combined with medication.
Q2. A 10-year-old boy presents with severe separation anxiety, school refusal, and
stomachaches when away from his parents. Which first-line intervention is
recommended?
A. Cognitive-behavioral therapy (CBT)
B. Psychoanalysis
C. Supportive counseling only
D. Benzodiazepine PRN
Answer: A. Cognitive-behavioral therapy (CBT)
Rationale: CBT with exposure is first-line for pediatric anxiety; meds are adjuncts
if severe.
Q3. A 50-year-old man with alcohol use disorder is ambivalent about quitting.
Which psychotherapeutic strategy is best to use initially?
,2 | Page
A. Motivational interviewing
B. CBT relapse prevention
C. Psychodynamic therapy
D. Family systems therapy
Answer: A. Motivational interviewing
Rationale: MI addresses ambivalence and enhances readiness for change in
substance use.
Q4. A 16-year-old female with borderline personality disorder engages in self-
harm during emotional crises. Which evidence-based psychotherapy is most
effective?
A. CBT
B. DBT
C. IPT
D. EMDR
Answer: B. DBT
Rationale: DBT is gold standard for reducing self-harm and improving emotion
regulation in BPD.
Q5. A 42-year-old male veteran reports nightmares, flashbacks, and hypervigilance
after combat trauma. He declines medication. Which therapy is best supported by
evidence?
A. Supportive counseling
B. EMDR
C. Psychoanalysis
D. Play therapy
Answer: B. EMDR
Rationale: EMDR and trauma-focused CBT are first-line for PTSD when meds
are declined.
Q6. A 70-year-old female reports depressed mood, loss of interest, weight loss, and
poor sleep. She also has mild cognitive decline. Which psychotherapy is most
,3 | Page
suitable?
A. CBT adapted for older adults
B. DBT group therapy
C. Play therapy
D. EMDR trauma processing
Answer: A. CBT adapted for older adults
Rationale: Modified CBT (slower pacing, memory aids) is effective for geriatric
depression.
Q7. A 24-year-old male with schizophrenia is non-adherent to antipsychotics due
to side effects. Which psychotherapy best addresses his concerns?
A. Psychoeducation with CBT for psychosis
B. Play therapy
C. Hypnotherapy
D. Gestalt therapy
Answer: A. Psychoeducation with CBT for psychosis
Rationale: CBTp plus education improves adherence and addresses delusional
thought patterns.
Q8. A 38-year-old woman with panic disorder fears leaving home after multiple
panic attacks. Which first-line psychotherapy should be initiated?
A. Exposure-based CBT
B. EMDR
C. Supportive counseling only
D. Jungian analysis
Answer: A. Exposure-based CBT
Rationale: CBT with gradual exposure reduces avoidance behaviors and panic
symptoms.
Q9. A 12-year-old boy with ADHD struggles with impulse control and aggression
in school. Which psychotherapy is most evidence-based?
A. Behavioral parent training
, 4 | Page
B. DBT
C. EMDR
D. Play therapy only
Answer: A. Behavioral parent training
Rationale: Parent management training is the gold standard for ADHD-related
behavioral issues.
Q10. A 55-year-old woman with generalized anxiety disorder reports constant
worrying, muscle tension, and sleep disturbance. Which psychotherapy is best?
A. CBT with worry exposure
B. DBT
C. Supportive therapy only
D. Play therapy
Answer: A. CBT with worry exposure
Rationale: CBT with cognitive restructuring and worry exposure is first-line for
GAD.
Q11. A 25-year-old postpartum mother reports depressed mood, anhedonia, and
guilt over inability to care for her baby. Which psychotherapy is first-line?
A. Interpersonal therapy (IPT)
B. Psychoanalysis
C. DBT
D. EMDR
Answer: A. Interpersonal therapy (IPT)
Rationale: IPT is strongly supported for postpartum depression by addressing role
transitions.
Q12. A 15-year-old girl presents with social anxiety disorder, avoiding peers and
fearing embarrassment. Which psychotherapy is most effective?
A. CBT with social exposure
B. Play therapy
C. Supportive therapy only
