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NURS 665 Exam 1 V1 NURS 665 Exam 1 NURS 665 Exam 1 NURS 665 Exam 1 NURS 665 Exam 1 NURS 665 Exam 1

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NURS 665 Exam 1 V1 NURS 665 Exam 1 NURS 665 Exam 1 NURS 665 Exam 1 NURS 665 Exam 1 NURS 665 Exam 1

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NURS 665 Exam 1 V1 NURS 665 Exam 1
NURS 665 Exam 1 NURS 665 Exam 1
NURS 665 Exam 1 NURS 665 Exam 1
1. Which therapeutic factor identified by Irvin Yalom involves the patient recognizing that

their problems are not unique and that others share similar struggles?

A. Altruism


B. Universality


C. Catharsis


D. Instillation of hope


Answer: B


Rationale: Universality is the recognition that one’s experiences and feelings are shared by

others. This factor helps to diminish the patient’s sense of isolation and shame regarding

their condition. It is often one of the most powerful curative factors in the early stages of

group therapy.


2. In Tuckman’s stages of group development, which stage is characterized by members

challenging the leader and competing for status or position?

A. Forming


B. Storming


C. Norming

,D. Performing


Answer: B


Rationale: The storming stage is defined by conflict, power struggles, and resistance to the

group’s structure. During this time, members may express hostility toward the leader or

other members as they test boundaries. It is a critical stage for establishing authentic

relationships and moving toward the norming phase.


3. Which concept in Bowenian Family Systems Theory refers to the process where a two-

person emotional system under stress draws in a third person to stabilize the relationship?

A. Differentiation of self


B. Emotional cutoff


C. Multigenerational transmission


D. Triangulation


Answer: D


Rationale: Triangulation occurs when a third party is brought into a conflict between two

people to reduce tension and anxiety. While it provides temporary stability, it often

prevents the original pair from resolving their issues directly. Over time, chronic

triangulation can lead to dysfunctional patterns within the family unit.

, 4. According to Salvador Minuchin’s Structural Family Therapy, which term describes

boundaries that are overly restrictive and lead to family members becoming isolated from

one another?

A. Enmeshed boundaries


B. Permeable boundaries


C. Diffuse boundaries


D. Rigid boundaries


Answer: D


Rationale: Rigid boundaries are characterized by a lack of communication and emotional

connection between family members, leading to disengagement. In these systems,

members often operate independently with little sense of loyalty or belonging. The

therapist’s goal is to increase interaction and soften these boundaries to foster healthy

connection.


5. Which of the following is considered an exclusion criterion for a patient seeking to join an

outpatient interpersonal process group?

A. Acute suicidal ideation


B. History of childhood trauma


C. Mild social anxiety


D. Depressive symptoms

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