NRNP 6645 Final Exam (Latest 2025/2026) | Questions and Answers – Psychotherapy with Multiple Modalities Introduction This document provides a comprehensive set of 75 verified multiple-choice questions and answers for the NRNP 6645 Final Exam, fully updated for the 2025/2026 academic year.Aligned with Walden University’s Psychotherapy with Multiple Modalities course, it is designed for Psychiatric-Mental Health Nurse Practitioner (PMHNP) students to master various therapeutic approaches, including cognitive, psychodynamic, humanistic, and group/family therapies. The content supports exam preparation and enhances clinical decision-making in psychotherapy practice.Final Exam Questions and Answers 1.[Cognitive Behavioral Therapy]A PMHNP uses cognitive restructuring to help
a patient with depression. This technique primarily involves:
A.Identifying and modifying negative thought patterns B.Exploring childhood traumas C.Encouraging free association D.Setting long-term life goals Clinical/Theoretical Rationale:Cognitive restructuring, a core CBT technique, focuses on challenging and altering distorted thoughts to improve emotional outcomes.
2.[Psychodynamic Therapy]In psychodynamic therapy, a patient’s resistance to
discussing a topic is interpreted as:
A.Unconscious defense against anxiety B.Lack of motivation C.Poor therapeutic alliance D.Cultural misunderstanding Clinical/Theoretical Rationale:Resistance in psychodynamic therapy reflects uncon- scious defenses that protect against anxiety-provoking material.
3.[Solution-Focused and Humanistic Models]A PMHNP using solution-focused
brief therapy asks a patient the “miracle question.” The purpose is to:
A.Elicit the patient’s vision of a problem-free future NRNP 6645 Final Exam | Verified Q&A | Psychotherapy Modalities | 2025/2026 1 / 2
B.Uncover repressed memories C.Assess cognitive distortions D.Evaluate family dynamics Clinical/Theoretical Rationale:The miracle question helps patients articulate goals and visualize solutions, a hallmark of solution-focused therapy.
4.[Group and Family Therapy]In family therapy, a PMHNP notices one member
is scapegoated. The therapist’s best approach is to:
A.Redirect focus to family dynamics and communication B.Confront the scapegoated member C.Exclude the scapegoated member from sessions D.Assign individual therapy only Clinical/Theoretical Rationale:Addressing scapegoating involves exploring family roles and communication to foster healthier interactions.
5.[Ethical and Cultural Considerations]A PMHNP works with a patient whose
cultural beliefs conflict with therapy goals. The therapist should:
A.Explore the patient’s beliefs and adapt the approach B.Insist on evidence-based methods C.Refer the patient to another provider D.Avoid discussing cultural differences Clinical/Theoretical Rationale:Cultural competence requires integrating the patient’s beliefs into therapy to build trust and effectiveness.
6.[Cognitive Behavioral Therapy]A patient with anxiety is taught diaphragmatic
breathing. This CBT technique aims to:
A.Reduce physiological arousal B.Uncover unconscious conflicts C.Enhance dream recall D.Improve family communication Clinical/Theoretical Rationale:Diaphragmatic breathing reduces sympathetic activa- tion, helping manage anxiety symptoms in CBT.
7.[Psychodynamic Therapy]A PMHNP notices a patient projects anger onto the
therapist. This is an example of:
A.Transference B.Countertransference C.Resistance D.Splitting NRNP 6645 Final Exam | Verified Q&A | Psychotherapy Modalities | 2025/2026
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