NRNP 6645 Exam 3 V1 | NRNP 6645
Psychotherapy with Multiple Modalities |
Actual Q&A with Rationale (NRNP6645
Exam 3) | Walden University
1. According to Irvin Yalom, which curative factor involves the realization that others have
similar problems and that the member is not alone?
A. Universality
B. Altruism
C. Catharsis
D. Existential factors
Answer: A
Rationale: Universality is a primary curative factor where group members realize that
their struggles are shared by others. This recognition helps to reduce feelings of isolation
and shame often associated with mental health issues. The PMHNP facilitates this by
encouraging members to share their experiences openly within the group.
2. In Minuchin’s Structural Family Therapy, which term describes boundaries that are overly
restrictive and lead to isolation?
A. Clear
B. Diffuse
,C. Rigid
D. Flexible
Answer: C
Rationale: Rigid boundaries result in disengagement between family members, making it
difficult for them to provide support to one another. Unlike diffuse boundaries that lead to
enmeshment, rigid boundaries create a sense of emotional distance. The PMHNP aims to
help the family establish clear boundaries that allow for both autonomy and connection.
3. Which module of Dialectical Behavior Therapy (DBT) focuses on helping patients tolerate
intense emotions without acting impulsively?
A. Emotional Regulation
B. Interpersonal Effectiveness
C. Mindfulness
D. Distress Tolerance
Answer: D
Rationale: Distress tolerance skills are essential for patients who struggle with self-harm
or impulsive behaviors during crises. These skills teach the individual to accept the reality
of the moment even when it is painful. The PMHNP uses these techniques to provide
patients with immediate coping strategies to manage emotional overwhelm.
, 4. A family therapist observes a mother and child teaming up against the father. According to
Bowen, this is an example of:
A. Differentiation
B. Multigenerational Transmission
C. Emotional Cutoff
D. Triangulation
Answer: D
Rationale: Triangulation occurs when a two-person system under stress pulls in a third
party to reduce anxiety. While it stabilizes the relationship temporarily, it prevents the
original dyad from resolving their conflict directly. The PMHNP works to detriangulate
members to promote healthier, direct communication.
5. Which technique in Strategic Family Therapy involves the therapist prescribing the very
symptom the family is trying to change?
A. Reframing
B. Joining
C. Enactment
D. Paradoxical Intention
Answer: D
Psychotherapy with Multiple Modalities |
Actual Q&A with Rationale (NRNP6645
Exam 3) | Walden University
1. According to Irvin Yalom, which curative factor involves the realization that others have
similar problems and that the member is not alone?
A. Universality
B. Altruism
C. Catharsis
D. Existential factors
Answer: A
Rationale: Universality is a primary curative factor where group members realize that
their struggles are shared by others. This recognition helps to reduce feelings of isolation
and shame often associated with mental health issues. The PMHNP facilitates this by
encouraging members to share their experiences openly within the group.
2. In Minuchin’s Structural Family Therapy, which term describes boundaries that are overly
restrictive and lead to isolation?
A. Clear
B. Diffuse
,C. Rigid
D. Flexible
Answer: C
Rationale: Rigid boundaries result in disengagement between family members, making it
difficult for them to provide support to one another. Unlike diffuse boundaries that lead to
enmeshment, rigid boundaries create a sense of emotional distance. The PMHNP aims to
help the family establish clear boundaries that allow for both autonomy and connection.
3. Which module of Dialectical Behavior Therapy (DBT) focuses on helping patients tolerate
intense emotions without acting impulsively?
A. Emotional Regulation
B. Interpersonal Effectiveness
C. Mindfulness
D. Distress Tolerance
Answer: D
Rationale: Distress tolerance skills are essential for patients who struggle with self-harm
or impulsive behaviors during crises. These skills teach the individual to accept the reality
of the moment even when it is painful. The PMHNP uses these techniques to provide
patients with immediate coping strategies to manage emotional overwhelm.
, 4. A family therapist observes a mother and child teaming up against the father. According to
Bowen, this is an example of:
A. Differentiation
B. Multigenerational Transmission
C. Emotional Cutoff
D. Triangulation
Answer: D
Rationale: Triangulation occurs when a two-person system under stress pulls in a third
party to reduce anxiety. While it stabilizes the relationship temporarily, it prevents the
original dyad from resolving their conflict directly. The PMHNP works to detriangulate
members to promote healthier, direct communication.
5. Which technique in Strategic Family Therapy involves the therapist prescribing the very
symptom the family is trying to change?
A. Reframing
B. Joining
C. Enactment
D. Paradoxical Intention
Answer: D
