NURS 665 Final Exam V1 | NURS 665
Psychiatric Mental Health Diagnosis and
Management III | Actual Q&A with
Rationale (NURS665 Final Exam) |
Maryville University
1. During a group session, a member expresses that they feel they are the only person in the
world experiencing such intense grief. Another member shares a similar experience. This
illustrates which of Yalom’s therapeutic factors?
A. Universality
B. Altruism
C. Catharsis
D. Imitative Behavior
Answer: A
Rationale: Universality is the recognition of shared experiences and feelings among group
members, which decreases isolation. It helps patients realize that their struggles are part of
the human condition rather than a unique defect. This factor is particularly powerful in the
early stages of group therapy to build cohesion.
2. In Bowenian Family Systems Theory, the process where a two-person relationship brings in
a third person to reduce anxiety is known as:
A. Triangulation
,B. Emotional Cutoff
C. Differentiation of Self
D. Nuclear Family Emotional Process
Answer: A
Rationale: Triangulation occurs when the tension between two people is shifted onto a
third person to stabilize the relationship. While it reduces immediate anxiety, it prevents
the original two people from resolving their conflict directly. Bowen suggests that the goal
of therapy is to de-triangulate and increase individual differentiation.
3. A PMHNP is leading a group that is currently experiencing high levels of conflict, with
members challenging the leader’s authority. According to Tuckman, which stage is this?
A. Forming
B. Norming
C. Storming
D. Performing
Answer: C
Rationale: The Storming stage is characterized by interpersonal conflict and competition
as members establish their place in the group. During this phase, the PMHNP must remain
calm and facilitate healthy communication to move the group toward Norming.
, Successfully navigating this stage is critical for the development of group trust and long-
term efficacy.
4. Which therapeutic approach focuses on the ‘Miracle Question’ to help families envision a
future without their current problems?
A. Structural Family Therapy
B. Strategic Family Therapy
C. Solution-Focused Brief Therapy
D. Psychodynamic Therapy
Answer: C
Rationale: Solution-Focused Brief Therapy (SFBT) utilizes the Miracle Question to assist
clients in identifying their goals and potential solutions. This technique shifts the focus
from the problem’s history to the possibilities of the future. It is a cornerstone of the SFBT
model developed by Steve de Shazer and Insoo Kim Berg.
5. According to Salvador Minuchin, ‘boundaries’ that are too rigid in a family system often
lead to which of the following?
A. Enmeshment
B. Clear Communication
C. Disengagement
D. Coalition Building
Psychiatric Mental Health Diagnosis and
Management III | Actual Q&A with
Rationale (NURS665 Final Exam) |
Maryville University
1. During a group session, a member expresses that they feel they are the only person in the
world experiencing such intense grief. Another member shares a similar experience. This
illustrates which of Yalom’s therapeutic factors?
A. Universality
B. Altruism
C. Catharsis
D. Imitative Behavior
Answer: A
Rationale: Universality is the recognition of shared experiences and feelings among group
members, which decreases isolation. It helps patients realize that their struggles are part of
the human condition rather than a unique defect. This factor is particularly powerful in the
early stages of group therapy to build cohesion.
2. In Bowenian Family Systems Theory, the process where a two-person relationship brings in
a third person to reduce anxiety is known as:
A. Triangulation
,B. Emotional Cutoff
C. Differentiation of Self
D. Nuclear Family Emotional Process
Answer: A
Rationale: Triangulation occurs when the tension between two people is shifted onto a
third person to stabilize the relationship. While it reduces immediate anxiety, it prevents
the original two people from resolving their conflict directly. Bowen suggests that the goal
of therapy is to de-triangulate and increase individual differentiation.
3. A PMHNP is leading a group that is currently experiencing high levels of conflict, with
members challenging the leader’s authority. According to Tuckman, which stage is this?
A. Forming
B. Norming
C. Storming
D. Performing
Answer: C
Rationale: The Storming stage is characterized by interpersonal conflict and competition
as members establish their place in the group. During this phase, the PMHNP must remain
calm and facilitate healthy communication to move the group toward Norming.
, Successfully navigating this stage is critical for the development of group trust and long-
term efficacy.
4. Which therapeutic approach focuses on the ‘Miracle Question’ to help families envision a
future without their current problems?
A. Structural Family Therapy
B. Strategic Family Therapy
C. Solution-Focused Brief Therapy
D. Psychodynamic Therapy
Answer: C
Rationale: Solution-Focused Brief Therapy (SFBT) utilizes the Miracle Question to assist
clients in identifying their goals and potential solutions. This technique shifts the focus
from the problem’s history to the possibilities of the future. It is a cornerstone of the SFBT
model developed by Steve de Shazer and Insoo Kim Berg.
5. According to Salvador Minuchin, ‘boundaries’ that are too rigid in a family system often
lead to which of the following?
A. Enmeshment
B. Clear Communication
C. Disengagement
D. Coalition Building
