NRNP 6645 Final Exam V3| Actual Q&A
with Rationale (NRNP6645 Final Exam) |
Walden University
1. Which of Irvin Yalom’s therapeutic factors refers to the realization that one is not alone in
their suffering and that others experience similar struggles?
A. Altruism
B. Catharsis
C. Imitative behavior
D. Universality
Answer: D
Rationale: Universality is the recognition of shared experiences and feelings among group
members, which helps decrease isolation. This factor is crucial in the early stages of group
therapy to build cohesion. Altruism involves giving to others, while catharsis is the
emotional release of pent-up feelings.
2. In Structural Family Therapy, which concept describes a situation where boundaries are
overly permeable and family members are excessively reactive to one another?
A. Disengagement
B. Enmeshment
C. Triangulation
,D. Mimesis
Answer: B
Rationale: Enmeshment refers to diffuse boundaries where family members are over-
involved in each other’s lives, often hindering individual autonomy. In contrast,
disengagement describes rigid boundaries where members are emotionally detached.
Structural therapy aims to create clear boundaries to foster healthy functioning.
3. According to Bowenian Family Systems Theory, what is the smallest stable relationship
system?
A. The Dyad
B. The Individual
C. The Nuclear Family
D. The Triangle
Answer: D
Rationale: Bowen identified the triangle as the smallest stable relationship unit because a
two-person system is unstable under stress. When tension arises between two people, they
typically draw in a third person to displace the anxiety. Understanding triangulation is
essential for therapists to help families differentiate and lower emotional reactivity.
4. Which therapeutic intervention is most commonly associated with Solution-Focused Brief
Therapy (SFBT)?
A. The Empty Chair
, B. Free Association
C. Cognitive Restructuring
D. The Miracle Question
Answer: D
Rationale: The Miracle Question is a goal-setting technique that asks clients to imagine
how their life would be different if their problem was suddenly solved. This shifts the focus
from problem-saturated talk to future-oriented solutions. Other options like the Empty
Chair belong to Gestalt therapy, while Free Association is rooted in psychoanalysis.
5. In Cognitive Behavioral Therapy (CBT), the ‘Cognitive Triad’ involves negative views about
which of the following?
A. The past, the present, and the future
B. Biology, environment, and cognition
C. The self, parents, and society
D. The self, the world, and the future
Answer: D
Rationale: Aaron Beck defined the cognitive triad as a pattern of negative thinking
regarding oneself, the world/environment, and the future. This triad is a hallmark of
depressive disorders and serves as a primary target for cognitive interventions. Therapists
work to identify and challenge these distortions to improve the patient’s emotional state.
with Rationale (NRNP6645 Final Exam) |
Walden University
1. Which of Irvin Yalom’s therapeutic factors refers to the realization that one is not alone in
their suffering and that others experience similar struggles?
A. Altruism
B. Catharsis
C. Imitative behavior
D. Universality
Answer: D
Rationale: Universality is the recognition of shared experiences and feelings among group
members, which helps decrease isolation. This factor is crucial in the early stages of group
therapy to build cohesion. Altruism involves giving to others, while catharsis is the
emotional release of pent-up feelings.
2. In Structural Family Therapy, which concept describes a situation where boundaries are
overly permeable and family members are excessively reactive to one another?
A. Disengagement
B. Enmeshment
C. Triangulation
,D. Mimesis
Answer: B
Rationale: Enmeshment refers to diffuse boundaries where family members are over-
involved in each other’s lives, often hindering individual autonomy. In contrast,
disengagement describes rigid boundaries where members are emotionally detached.
Structural therapy aims to create clear boundaries to foster healthy functioning.
3. According to Bowenian Family Systems Theory, what is the smallest stable relationship
system?
A. The Dyad
B. The Individual
C. The Nuclear Family
D. The Triangle
Answer: D
Rationale: Bowen identified the triangle as the smallest stable relationship unit because a
two-person system is unstable under stress. When tension arises between two people, they
typically draw in a third person to displace the anxiety. Understanding triangulation is
essential for therapists to help families differentiate and lower emotional reactivity.
4. Which therapeutic intervention is most commonly associated with Solution-Focused Brief
Therapy (SFBT)?
A. The Empty Chair
, B. Free Association
C. Cognitive Restructuring
D. The Miracle Question
Answer: D
Rationale: The Miracle Question is a goal-setting technique that asks clients to imagine
how their life would be different if their problem was suddenly solved. This shifts the focus
from problem-saturated talk to future-oriented solutions. Other options like the Empty
Chair belong to Gestalt therapy, while Free Association is rooted in psychoanalysis.
5. In Cognitive Behavioral Therapy (CBT), the ‘Cognitive Triad’ involves negative views about
which of the following?
A. The past, the present, and the future
B. Biology, environment, and cognition
C. The self, parents, and society
D. The self, the world, and the future
Answer: D
Rationale: Aaron Beck defined the cognitive triad as a pattern of negative thinking
regarding oneself, the world/environment, and the future. This triad is a hallmark of
depressive disorders and serves as a primary target for cognitive interventions. Therapists
work to identify and challenge these distortions to improve the patient’s emotional state.
