NRNP 6645 Midterm Exam Questions and Answers Walden University

NRNP 6645 Midterm Exam Questions and Answers Walden University

Question 1

In cases where a child has experienced sexual abuse, the primary objectives involve which of the following goals? Please select all applicable options.
A. Prevent the recurrence of abuse
B. Mitigate the long-term impact of the trauma
C. Safeguard the family’s integrity at any cost
D. A and B

Question 2

A scenario in which an individual’s intense fear of being abandoned leads them to inadvertently create the very situation they are trying so hard to avoid is clinically referred to as which of the following?
A. Resistance
B. Transference
C. Self-fulfilling prophecy
D. Cyclical psychodynamics

Question 3

In relational psychodynamic therapy, who serves as the change agent?
A. Insight
B. Mindfulness
C. Wish/defense conflicts
D. Emotional communication and affect regulation

Question 4

During a family therapy session, a teenager, whose parents deny him a night out, angrily states, “See, they never let me do anything!” The advanced practice psychiatric nurse, using a Cognitive Behavioral Family Therapy framework, recognizes this as a cognitive distortion known as:
A. Labeling and mislabeling
B. Overgeneralization
C. Personalization
D. Magnification and minimization

Walden FG006: Specialty Standards of Practice and Professional Development

Question 5

Which of the following statements align with Cognitive-Behavioral Therapy (CBT)? Please select all applicable options.
A. CBT is a psychotherapy system based on a theoretical framework that posits an individual’s emotional and behavioral responses are largely determined by their cognitive structuring of experiences.
B. Maladaptive thoughts related to the “cognitive triad” are rooted in irrational or illogical assumptions.
C. Changing one’s thoughts can lead to changes in emotions and behaviors.
D. A and C

Question 6

According to Bowen, a lack of differentiation within a family may manifest as:
A. Emotional overinvolvement
B. Emotional distance
C. Reactive Children
D. A and C
E. A, B, and C

Question 69

What is true about Automatic Thought Records (ATR)? Please select all applicable options.
A. ATR is a crucial component of CBT.
B. It is a homework technique where troubling situations, resulting emotions, and thoughts are documented.
C. Therapist and patient collaborate to clarify and develop “rational” responses to challenge the original thoughts.
D. All of the above

Question 70

Schizoid personality is a pathological outcome associated with which of Erikson’s psychosocial stages?
A. Autonomy vs. self-doubt
B. Industry vs. inferiority
C. Identity vs. role confusion
D. Intimacy vs. isolation

Question 71

The advanced practice psychiatric nurse acknowledges which of the following regarding workbook exercises in therapy?
A. Workbook exercises are only a supplementary aspect of treatment.
B. Workbook exercises simplify the core work in therapy.
C. Treatment manuals consistently show a positive correlation with treatment outcomes.
D. Employing workbook exercises and approaches fosters creativity and flexibility in the therapeutic process.

Question 72

Which of the following statements is accurate regarding the distinction between brief and long-term psychodynamic psychotherapy?
A. Brief psychotherapy is more effective than long-term psychodynamic psychotherapy.
B. Long-term psychodynamic psychotherapy is more effective than brief psychotherapy.
C. There is no qualitative difference between brief and long-term psychodynamic psychotherapy.
D. Brief and long-term psychodynamic psychotherapy cannot be compared.

Question 73

Common ancestral origins through which individuals have developed shared values and customs are known as which of the following?
A. Culture
B. Ethnicity
C. Cybernetics
D. Constructivism

Question 74

According to Benner’s role acquisition model, an advanced practice psychiatric nurse with 2-5 years of experience, who coordinates complex care and sees situations with long-term solutions, is functioning at which level of competency?
A. Novice
B. Advanced beginner
C. Competency/proficiency
D. Expert

Question 75

What is true about working with dreams?
A. Dream interpretation primarily involves logical left-brain processes.
B. Dreams represent unresolved past conflicts, and therapeutic work is centered on addressing these conflicts.
C. Dreams are the brain’s way of processing and integrating daily information.
D. Dream symbol books are valuable tools for dream work due to the universal meanings of symbols.

Question 76

Which of the following statements is inconsistent with evidence-based research on psychodynamic therapy?
A. Research indicates that psychodynamic therapy is generally ineffective.
B. Research highlights inherent challenges in conducting controlled experiments for this approach.
C. Most psychodynamic research consists of case studies, limiting generalizability to other contexts and populations.
D. Psychodynamic techniques may not align with the precision required for clinical trials.

Question 78

The advanced practice psychiatric nurse psychotherapist is informed by the managed care company that authorization for additional treatment with a patient has been denied. The advanced practice psychiatric nurse is concerned that discontinuing treatment may jeopardize the patient’s safety. In this situation, what are ethical options? Please select all applicable options.
A. It is the therapist’s responsibility to ensure that treatment continues.
B. Stop treatment immediately.
C. Attempt to negotiate a payment plan with the patient.
D. A and C

Question 79

Which of the following statements is inconsistent with clinical practice guidelines for the use of psychodynamic therapy for various psychiatric disorders?
A. Panic-focused psychodynamic psychotherapy is recommended as an initial treatment for Panic Disorder.
B. There is no support from randomized controlled trials (RCTs) for the use of psychodynamic therapy for Obsessive-Compulsive Disorder.
C. Psychodynamic therapy is considered a first-line treatment for Schizophrenia.
D. Psychodynamic therapy is a therapeutic treatment option for Major Depressive Disorder.

Question 80

According to Erikson’s Psychosocial stages, the failure to successfully resolve the trust vs. mistrust conflict is associated with which of the following pathological outcomes?
A. Psychosis, addictions, depression
B. Paranoia, obsessions, compulsions
C. Phobias, psychosomatic disorders
D. Inertia, creative inhibition

Question 89

Which of the following best explains the difference between standards of care and practice guidelines?
A. Practice guidelines are legally binding, while standards of care are not.
B. Standards of care are legally binding, while practice guidelines are not.
C. There is no difference between standards of care and practice guidelines.
D. Practice guidelines should be followed exactly as written, whereas standards of care allow for more flexibility.

Question 90

What is true about the therapeutic benefit of group therapy in the development of socializing techniques? Please select all applicable options.
A. Social learning is a therapeutic factor that operates in all therapy groups.
B. Groups enable members to recognize the significant gap between their intentions and their actual impact on others.
C. Social skills acquired in therapy groups can prove beneficial in future social interactions beyond the group setting.
D. All of the above

Question 91

Object relations theorists work within a framework that includes which of the following elements? Please select all applicable options.
A. The primary driving force in development is the pursuit of gratification.
B. Primary maternal preoccupation leads to the development of a false self.
C. The central motivating force in development is the innate drive to seek

out other people.
D. The “good enough mother” fosters a dynamic in which individuals perpetually feel inadequate in relationships.

Question 92

What factors distinguish psychodynamic therapy from cognitive-behavioral therapy (CBT)? Please select all applicable options.
A. Emphasis on the past; Focus on the expression of emotion; Emphasis on transference
B. Focus on the here and now; Emphasis on current relationships; Exploration of intrapsychic issues.
C. Emphasis on the here and now; Exploration and addressing of resistance to treatment; Building the therapeutic alliance.
D. Identification of patterns in actions, thoughts, feelings, and experiences; Focus on current relationships.

Question 93

In a CBT approach, the therapist asks the patient, “You mentioned feeling depressed. Can you describe what that feels like to you?” This is an example of which type of question in Socratic Dialogue?
A. Memory question
B. Translation question
C. Application question
D. Interpretation question

Question 94

When working with a client from an unfamiliar cultural background, the advanced practice psychiatric nurse asks the client how they feel about working with them. What does this demonstrate?
A. Insecurity on the part of the advanced practice psychiatric nurse, potentially confusing the focus of the therapeutic relationship.
B. Respect and the potential to initiate a dialogue about the patient’s experience.
C. Ignorance on the part of the advanced practice psychiatric nurse, undermining the therapeutic relationship.
D. A novice mistake, indicating the need to transfer the patient to a provider of a similar cultural background.

Question 96

Cognitive Behavioral Therapy (CBT) interventions primarily focus on:
A. The person’s relationships and family dynamics
B. The person’s thoughts, beliefs, or behaviors
C. The person’s understanding of how past events trigger and manifest in the present
D. The person’s body, beliefs, mental imagery, and emotions for processing trauma

Question 97

Recognizing that a patient’s current situation may have multiple contributing factors is an example of which of the following?
A. Biomedical model
B. Psychosocial framework
C. Overdeterminism
D. Resiliency

Question 98

A group of co-occurring, relatively stable symptoms observed in a specific cultural group, community, or context, which may or may not be recognized as an illness within that culture but is recognizable to outsiders, is known as which of the following?
A. Cultural syndrome
B. Cultural formulation
C. Cultural idiom of distress
D. Cultural explanation or perceived cause

Question 99

Over the past 40 years, many controlled studies on psychotherapy outcomes have demonstrated which of the following?
A. The outcomes of group therapy are virtually identical to those of individual therapy.
B. The outcomes of group therapy are slightly inferior to those of individual therapy.
C. The outcomes of group therapy are significantly better than those of individual therapy.
D. The outcomes of group therapy are significantly worse than those of individual therapy.

Question 100

During the initial contact with an individual seeking family therapy, it is important for the family therapist to:
A. Identify the presenting problem and schedule a consultation involving all family members residing in the household.
B. Identify the presenting problem and schedule a consultation with the caller to assess if family therapy is necessary.
C. Identify the presenting problem and arrange to meet with the caller and the family member primarily responsible for the issue.
D. Identify the presenting problem and schedule a consultation with the parents of the family to establish a therapeutic alliance and formulate a strategy for resolving the problem.

NRNP 6645 Midterm Exam Questions and Answers Walden University