NURS 665 Exam 1 V3 | NURS 665
Psychiatric Mental Health Diagnosis and
Management III | Actual Q&A with
Rationale (NURS665 Exam 1) | Maryville
University
1. According to Irvin Yalom, which therapeutic factor involves the patient’s recognition that
they are not unique in their suffering and that others share similar experiences?
A. Instillation of hope
B. Catharsis
C. Altruism
D. Universality
Answer: D
Rationale: Universality is a key curative factor that helps members realize they are not
alone in their experiences. This realization often provides significant relief and reduces the
sense of isolation common in psychiatric disorders. It is particularly powerful during the
early stages of group therapy development.
2. In Tuckman’s stages of group development, during which phase do members begin to
resolve interpersonal conflicts and develop a sense of group cohesion?
A. Norming
,B. Storming
C. Forming
D. Performing
Answer: A
Rationale: The norming stage occurs after the storming phase once conflicts are resolved
and group norms are established. During this phase, members become more cooperative
and supportive of one another. Cohesion is a primary characteristic of this stage, allowing
the group to move toward its goals.
3. A PMHNP is facilitating a group where one member consistently redirects the conversation
to their own issues, disregarding others. This behavior is known as:
A. The Help-Rejecting Complainer
B. The Silent Member
C. The Monopolist
D. The Scapegoat
Answer: C
Rationale: The monopolist is a group member who dominates the discussion and
consumes a disproportionate amount of time. This behavior can lead to frustration among
other members and hinder the therapeutic process. The facilitator must address this
behavior by encouraging more balanced participation.
, 4. Which legal concept refers to the PMHNP’s obligation to protect third parties from a
patient’s credible threat of violence?
A. Informed Consent
B. Habeas Corpus
C. Beneficence
D. Duty to Warn (Tarasoff)
Answer: D
Rationale: The Duty to Warn, established by the Tarasoff v. Regents of the University of
California case, requires mental health professionals to warn identifiable victims of
potential harm. This duty supersedes the usual rules of patient confidentiality in specific
dangerous situations. Failure to comply can result in significant legal and ethical liability
for the practitioner.
5. Which therapeutic model focuses on identifying and changing maladaptive patterns of
thinking and behavior?
A. Cognitive Behavioral Therapy (CBT)
B. Dialectical Behavior Therapy (DBT)
C. Interpersonal Therapy (IPT)
D. Psychodynamic Therapy
Answer: A
Psychiatric Mental Health Diagnosis and
Management III | Actual Q&A with
Rationale (NURS665 Exam 1) | Maryville
University
1. According to Irvin Yalom, which therapeutic factor involves the patient’s recognition that
they are not unique in their suffering and that others share similar experiences?
A. Instillation of hope
B. Catharsis
C. Altruism
D. Universality
Answer: D
Rationale: Universality is a key curative factor that helps members realize they are not
alone in their experiences. This realization often provides significant relief and reduces the
sense of isolation common in psychiatric disorders. It is particularly powerful during the
early stages of group therapy development.
2. In Tuckman’s stages of group development, during which phase do members begin to
resolve interpersonal conflicts and develop a sense of group cohesion?
A. Norming
,B. Storming
C. Forming
D. Performing
Answer: A
Rationale: The norming stage occurs after the storming phase once conflicts are resolved
and group norms are established. During this phase, members become more cooperative
and supportive of one another. Cohesion is a primary characteristic of this stage, allowing
the group to move toward its goals.
3. A PMHNP is facilitating a group where one member consistently redirects the conversation
to their own issues, disregarding others. This behavior is known as:
A. The Help-Rejecting Complainer
B. The Silent Member
C. The Monopolist
D. The Scapegoat
Answer: C
Rationale: The monopolist is a group member who dominates the discussion and
consumes a disproportionate amount of time. This behavior can lead to frustration among
other members and hinder the therapeutic process. The facilitator must address this
behavior by encouraging more balanced participation.
, 4. Which legal concept refers to the PMHNP’s obligation to protect third parties from a
patient’s credible threat of violence?
A. Informed Consent
B. Habeas Corpus
C. Beneficence
D. Duty to Warn (Tarasoff)
Answer: D
Rationale: The Duty to Warn, established by the Tarasoff v. Regents of the University of
California case, requires mental health professionals to warn identifiable victims of
potential harm. This duty supersedes the usual rules of patient confidentiality in specific
dangerous situations. Failure to comply can result in significant legal and ethical liability
for the practitioner.
5. Which therapeutic model focuses on identifying and changing maladaptive patterns of
thinking and behavior?
A. Cognitive Behavioral Therapy (CBT)
B. Dialectical Behavior Therapy (DBT)
C. Interpersonal Therapy (IPT)
D. Psychodynamic Therapy
Answer: A
