NRNP 6645 Exam 1 V1 | NRNP 6645
Psychotherapy with Multiple Modalities |
Actual Q&A with Rationale (NRNP6645
Exam 1) | Walden University
1. Which therapeutic factor identified by Irvin Yalom involves the realization that others
share similar thoughts, feelings, and problems?
A. Altruism
B. Imitative behavior
C. Catharsis
D. Universality
Answer: D
Rationale: Universality is the recognition that one’s experiences and suffering are not
unique. This factor helps group members feel less isolated and reduces the stigma
associated with their struggles. It is often one of the most powerful initial factors in
establishing group cohesion.
2. According to psychodynamic theory, what is the term for the unconscious redirection of
feelings from a significant person in the client’s past onto the therapist?
A. Projection
B. Countertransference
,C. Resistance
D. Transference
Answer: D
Rationale: Transference occurs when a patient displaces emotions and attitudes from past
relationships onto the clinician. This process allows the therapist to observe the patient’s
relational patterns in the ‘here and now’. Understanding transference is a core component
of psychoanalytic and psychodynamic psychotherapy.
3. In Structural Family Therapy, what term is used to describe the rules that define who
participates in a family subsystem and how?
A. Hierarchies
B. Boundaries
C. Enactments
D. Coalitions
Answer: B
Rationale: Boundaries are the physical and psychological factors that separate individuals
and subsystems within a family. Salvador Minuchin emphasized that healthy families have
clear boundaries that are neither too rigid nor too diffuse. Maladaptive boundaries lead to
either enmeshment or disengagement between family members.
, 4. Which phase of Interpersonal Psychotherapy (IPT) focuses specifically on addressing the
identified problem area, such as role disputes or grief?
A. The Initial Phase
B. The Middle Phase
C. The Termination Phase
D. The Pre-treatment Phase
Answer: B
Rationale: The middle phase of IPT involves active work on one of the four key
interpersonal problem areas identified in the initial phase. These areas include grief, role
disputes, role transitions, or interpersonal deficits. The therapist uses specific strategies to
help the client resolve these focal issues to improve depressive symptoms.
5. A therapist using Cognitive Behavioral Therapy (CBT) asks a client to keep a ‘Thought
Record’ to identify which of the following?
A. Automatic Thoughts
B. Defense Mechanisms
C. Archetypes
D. Free Associations
Answer: A
Psychotherapy with Multiple Modalities |
Actual Q&A with Rationale (NRNP6645
Exam 1) | Walden University
1. Which therapeutic factor identified by Irvin Yalom involves the realization that others
share similar thoughts, feelings, and problems?
A. Altruism
B. Imitative behavior
C. Catharsis
D. Universality
Answer: D
Rationale: Universality is the recognition that one’s experiences and suffering are not
unique. This factor helps group members feel less isolated and reduces the stigma
associated with their struggles. It is often one of the most powerful initial factors in
establishing group cohesion.
2. According to psychodynamic theory, what is the term for the unconscious redirection of
feelings from a significant person in the client’s past onto the therapist?
A. Projection
B. Countertransference
,C. Resistance
D. Transference
Answer: D
Rationale: Transference occurs when a patient displaces emotions and attitudes from past
relationships onto the clinician. This process allows the therapist to observe the patient’s
relational patterns in the ‘here and now’. Understanding transference is a core component
of psychoanalytic and psychodynamic psychotherapy.
3. In Structural Family Therapy, what term is used to describe the rules that define who
participates in a family subsystem and how?
A. Hierarchies
B. Boundaries
C. Enactments
D. Coalitions
Answer: B
Rationale: Boundaries are the physical and psychological factors that separate individuals
and subsystems within a family. Salvador Minuchin emphasized that healthy families have
clear boundaries that are neither too rigid nor too diffuse. Maladaptive boundaries lead to
either enmeshment or disengagement between family members.
, 4. Which phase of Interpersonal Psychotherapy (IPT) focuses specifically on addressing the
identified problem area, such as role disputes or grief?
A. The Initial Phase
B. The Middle Phase
C. The Termination Phase
D. The Pre-treatment Phase
Answer: B
Rationale: The middle phase of IPT involves active work on one of the four key
interpersonal problem areas identified in the initial phase. These areas include grief, role
disputes, role transitions, or interpersonal deficits. The therapist uses specific strategies to
help the client resolve these focal issues to improve depressive symptoms.
5. A therapist using Cognitive Behavioral Therapy (CBT) asks a client to keep a ‘Thought
Record’ to identify which of the following?
A. Automatic Thoughts
B. Defense Mechanisms
C. Archetypes
D. Free Associations
Answer: A
