NRNP 6645 Exam 2 V2 | NRNP 6645
Psychotherapy with Multiple Modalities |
Actual Q&A with Rationale (NRNP6645
Exam 2) | Walden University
1. A PMHNP is conducting a group therapy session when one member begins to monopolize
the conversation, preventing others from participating. According to Yalom, what is the most
appropriate initial intervention?
A. Ask the member to leave the room for a short break.
B. Directly confront the member and tell them they are talking too much.
C. Address the group by asking how they feel about the current communication dynamic.
D. Ignore the behavior and wait for another member to intervene.
Answer: C
Rationale: In group therapy, the therapist should utilize the group process to address
problematic behaviors like monopolizing. By asking the group for their feedback, the
PMHNP facilitates interpersonal learning and group cohesion. This approach allows the
member to receive feedback from peers rather than just the authority figure, which is often
more impactful for behavioral change.
2. In Murray Bowen’s Family Systems Theory, which concept describes the process of
managing anxiety by involving a third person into a two-person conflict?
A. Differentiation of Self
,B. Emotional Cutoff
C. Nuclear Family Emotional Process
D. Triangulation
Answer: D
Rationale: Triangulation is a core concept in Bowenian theory where a dyad in distress
recruits a third party to stabilize their relationship. This third person helps decrease the
immediate tension but prevents the original pair from resolving their underlying issues.
The PMHNP must identify these triangles to help family members achieve higher levels of
differentiation.
3. Which of the following therapeutic factors identified by Irvin Yalom refers to the relief
gained from expressing suppressed emotions?
A. Altruism
B. Catharsis
C. Universality
D. Existential Factors
Answer: B
Rationale: Catharsis involves the open expression of feelings and the emotional release
that follows, which is considered a curative factor in group therapy. While catharsis alone
is rarely sufficient for lasting change, it is a necessary component of the therapeutic
, process. The PMHNP facilitates this by creating a safe environment where members feel
comfortable sharing intense emotions.
4. A family presents for therapy with a 10-year-old child who is ‘acting out.’ The therapist
focuses on the boundaries between the parental subsystem and the child. This approach is
most consistent with:
A. Structural Family Therapy
B. Strategic Family Therapy
C. Solution-Focused Therapy
D. Narrative Therapy
Answer: A
Rationale: Salvador Minuchin’s Structural Family Therapy emphasizes the importance of
family organization, including subsystems and boundaries. The therapist’s goal is to
restructure the family so that the parental subsystem has appropriate authority and clear
boundaries are established. This helps resolve behavioral issues in children that are often
symptoms of a dysfunctional family structure.
5. During the ‘Storming’ stage of group development, what is the primary role of the PMHNP
group leader?
A. Facilitate the expression of conflict and help members navigate power struggles.
B. Step back and allow the group to resolve all conflicts independently.
C. Immediately implement strict rules to stop all arguments.
Psychotherapy with Multiple Modalities |
Actual Q&A with Rationale (NRNP6645
Exam 2) | Walden University
1. A PMHNP is conducting a group therapy session when one member begins to monopolize
the conversation, preventing others from participating. According to Yalom, what is the most
appropriate initial intervention?
A. Ask the member to leave the room for a short break.
B. Directly confront the member and tell them they are talking too much.
C. Address the group by asking how they feel about the current communication dynamic.
D. Ignore the behavior and wait for another member to intervene.
Answer: C
Rationale: In group therapy, the therapist should utilize the group process to address
problematic behaviors like monopolizing. By asking the group for their feedback, the
PMHNP facilitates interpersonal learning and group cohesion. This approach allows the
member to receive feedback from peers rather than just the authority figure, which is often
more impactful for behavioral change.
2. In Murray Bowen’s Family Systems Theory, which concept describes the process of
managing anxiety by involving a third person into a two-person conflict?
A. Differentiation of Self
,B. Emotional Cutoff
C. Nuclear Family Emotional Process
D. Triangulation
Answer: D
Rationale: Triangulation is a core concept in Bowenian theory where a dyad in distress
recruits a third party to stabilize their relationship. This third person helps decrease the
immediate tension but prevents the original pair from resolving their underlying issues.
The PMHNP must identify these triangles to help family members achieve higher levels of
differentiation.
3. Which of the following therapeutic factors identified by Irvin Yalom refers to the relief
gained from expressing suppressed emotions?
A. Altruism
B. Catharsis
C. Universality
D. Existential Factors
Answer: B
Rationale: Catharsis involves the open expression of feelings and the emotional release
that follows, which is considered a curative factor in group therapy. While catharsis alone
is rarely sufficient for lasting change, it is a necessary component of the therapeutic
, process. The PMHNP facilitates this by creating a safe environment where members feel
comfortable sharing intense emotions.
4. A family presents for therapy with a 10-year-old child who is ‘acting out.’ The therapist
focuses on the boundaries between the parental subsystem and the child. This approach is
most consistent with:
A. Structural Family Therapy
B. Strategic Family Therapy
C. Solution-Focused Therapy
D. Narrative Therapy
Answer: A
Rationale: Salvador Minuchin’s Structural Family Therapy emphasizes the importance of
family organization, including subsystems and boundaries. The therapist’s goal is to
restructure the family so that the parental subsystem has appropriate authority and clear
boundaries are established. This helps resolve behavioral issues in children that are often
symptoms of a dysfunctional family structure.
5. During the ‘Storming’ stage of group development, what is the primary role of the PMHNP
group leader?
A. Facilitate the expression of conflict and help members navigate power struggles.
B. Step back and allow the group to resolve all conflicts independently.
C. Immediately implement strict rules to stop all arguments.
