NURS 665 Exam 3 V2 | NURS 665
Psychiatric Psychiatric Mental Health
Diagnosis and Management III | Actual
Q&A with Rationale (NURS665 Exam 3) |
Maryville University
1. According to Irvin Yalom, which therapeutic factor describes the realization among group
members that they are not alone in their struggles or feelings?
A. Altruism
B. Catharsis
C. Universality
D. Existential factors
Answer: C
Rationale: Universality is the recognition that other members share similar feelings,
thoughts, and problems. This factor is crucial in reducing the sense of isolation and stigma
often felt by psychiatric patients. By seeing that others have similar experiences, patients
feel more connected to the human condition and less like outcasts.
2. In Tuckman’s stages of group development, which phase is characterized by conflict,
competition, and members challenging the leader’s authority?
A. Forming
,B. Norming
C. Performing
D. Storming
Answer: D
Rationale: The storming stage involves power struggles and disagreements as members
begin to express their individuality. During this time, the PMHNP must facilitate the group
through conflict without becoming defensive or overly controlling. Successful navigation of
this stage is necessary for the group to establish the rules and cohesion found in the
norming stage.
3. Which family therapy model, developed by Murray Bowen, emphasizes the importance of
‘differentiation of self’ to prevent being overwhelmed by the family’s emotional system?
A. Strategic Family Therapy
B. Bowen Family Systems Theory
C. Structural Family Therapy
D. Symbolic-Experiential Family Therapy
Answer: B
Rationale: Bowen Family Systems Theory focuses on the balance between togetherness
and individuality within the family unit. Differentiation of self refers to an individual’s
ability to maintain their own intellectual and emotional identity while remaining connected
, to the family. Higher levels of differentiation allow family members to stay calm and
rational during periods of high anxiety.
4. In Structural Family Therapy, what term describes the invisible barriers that regulate
contact between family members and subsystems?
A. Circularities
B. Triangles
C. Hierarchies
D. Boundaries
Answer: D
Rationale: Boundaries can be classified as rigid, clear, or diffuse and are essential for
healthy family functioning. Salvadore Minuchin suggested that clear boundaries allow for
subsystem autonomy while maintaining a sense of belonging. Maladaptive boundaries,
such as enmeshed (diffuse) or disengaged (rigid) ones, are often targets for clinical
intervention.
5. A PMHNP is treating a family using Jay Haley’s Strategic Family Therapy. Which technique
involves giving the family a task that is designed to be resisted or that utilizes the symptom
itself?
A. Paradoxical Injunction
B. Reframing
C. Family Mapping
Psychiatric Psychiatric Mental Health
Diagnosis and Management III | Actual
Q&A with Rationale (NURS665 Exam 3) |
Maryville University
1. According to Irvin Yalom, which therapeutic factor describes the realization among group
members that they are not alone in their struggles or feelings?
A. Altruism
B. Catharsis
C. Universality
D. Existential factors
Answer: C
Rationale: Universality is the recognition that other members share similar feelings,
thoughts, and problems. This factor is crucial in reducing the sense of isolation and stigma
often felt by psychiatric patients. By seeing that others have similar experiences, patients
feel more connected to the human condition and less like outcasts.
2. In Tuckman’s stages of group development, which phase is characterized by conflict,
competition, and members challenging the leader’s authority?
A. Forming
,B. Norming
C. Performing
D. Storming
Answer: D
Rationale: The storming stage involves power struggles and disagreements as members
begin to express their individuality. During this time, the PMHNP must facilitate the group
through conflict without becoming defensive or overly controlling. Successful navigation of
this stage is necessary for the group to establish the rules and cohesion found in the
norming stage.
3. Which family therapy model, developed by Murray Bowen, emphasizes the importance of
‘differentiation of self’ to prevent being overwhelmed by the family’s emotional system?
A. Strategic Family Therapy
B. Bowen Family Systems Theory
C. Structural Family Therapy
D. Symbolic-Experiential Family Therapy
Answer: B
Rationale: Bowen Family Systems Theory focuses on the balance between togetherness
and individuality within the family unit. Differentiation of self refers to an individual’s
ability to maintain their own intellectual and emotional identity while remaining connected
, to the family. Higher levels of differentiation allow family members to stay calm and
rational during periods of high anxiety.
4. In Structural Family Therapy, what term describes the invisible barriers that regulate
contact between family members and subsystems?
A. Circularities
B. Triangles
C. Hierarchies
D. Boundaries
Answer: D
Rationale: Boundaries can be classified as rigid, clear, or diffuse and are essential for
healthy family functioning. Salvadore Minuchin suggested that clear boundaries allow for
subsystem autonomy while maintaining a sense of belonging. Maladaptive boundaries,
such as enmeshed (diffuse) or disengaged (rigid) ones, are often targets for clinical
intervention.
5. A PMHNP is treating a family using Jay Haley’s Strategic Family Therapy. Which technique
involves giving the family a task that is designed to be resisted or that utilizes the symptom
itself?
A. Paradoxical Injunction
B. Reframing
C. Family Mapping
