NURS 665 Final Exam V3 | NURS 665
Psychiatric Mental Health Diagnosis and
Management III | Actual Q&A with
Rationale (NURS665 Final Exam) |
Maryville University
1. According to Irvin Yalom, which curative factor involves the group member’s realization
that they are not alone in their experiences and feelings?
A. Altruism
B. Instillation of hope
C. Universality
D. Catharsis
Answer: C
Rationale: Universality is the recognition that one’s experiences and struggles are shared
by others, which helps to decrease isolation. This factor is crucial in early group stages to
build rapport and decrease the stigma of mental health issues. It validates the client’s
experience by showing that their internal world is not unique in its suffering.
2. In Structural Family Therapy, which term describes the invisible barriers that regulate
contact between family members or subsystems?
A. Triangles
,B. Enmeshment
C. Boundaries
D. Coalitions
Answer: C
Rationale: Boundaries are the rules that define who participates and how in family
subsystems according to Minuchin’s Structural Family Therapy. These can be rigid, clear, or
diffuse, impacting the overall health of the family unit. Clear boundaries allow for
autonomy while maintaining connection, whereas rigid boundaries lead to disengagement.
3. Which of the following describes the ‘monopolizer’ in a group therapy setting?
A. A member who constantly speaks and prevents others from participating.
B. A member who remains silent to avoid conflict.
C. A member who challenges the leader’s authority.
D. A member who attempts to help everyone except themselves.
Answer: A
Rationale: The monopolizer is a group member who dominates the conversation, often
due to anxiety or a need for control. This behavior can impede the group process by
preventing others from sharing their experiences and perspectives. The therapist must
address this behavior to ensure that the group remains a balanced and therapeutic
environment for all.
, 4. A PMHNP is using Bowenian Family Therapy. What is the primary goal when addressing
‘differentiation of self’?
A. To help a member distinguish between their own intellectual and emotional processes.
B. To encourage the family to act as a single emotional unit.
C. To identify the family member who is the ‘identified patient’.
D. To resolve immediate symptoms through behavioral interventions.
Answer: A
Rationale: Differentiation of self is the ability to separate one’s own feelings and thoughts
from those of others in the family system. Individuals with high differentiation can remain
calm and logical during emotional family turmoil. This concept is foundational to Bowen’s
theory, emphasizing individual growth within the family context.
5. During the ‘Storming’ phase of group development, what is the primary role of the PMHNP
leader?
A. To facilitate the expression of conflict and manage power struggles.
B. To remain passive and let the group resolve all conflicts.
C. To terminate the group if members become argumentative.
D. To strictly enforce rules to prevent any disagreement.
Answer: A
Psychiatric Mental Health Diagnosis and
Management III | Actual Q&A with
Rationale (NURS665 Final Exam) |
Maryville University
1. According to Irvin Yalom, which curative factor involves the group member’s realization
that they are not alone in their experiences and feelings?
A. Altruism
B. Instillation of hope
C. Universality
D. Catharsis
Answer: C
Rationale: Universality is the recognition that one’s experiences and struggles are shared
by others, which helps to decrease isolation. This factor is crucial in early group stages to
build rapport and decrease the stigma of mental health issues. It validates the client’s
experience by showing that their internal world is not unique in its suffering.
2. In Structural Family Therapy, which term describes the invisible barriers that regulate
contact between family members or subsystems?
A. Triangles
,B. Enmeshment
C. Boundaries
D. Coalitions
Answer: C
Rationale: Boundaries are the rules that define who participates and how in family
subsystems according to Minuchin’s Structural Family Therapy. These can be rigid, clear, or
diffuse, impacting the overall health of the family unit. Clear boundaries allow for
autonomy while maintaining connection, whereas rigid boundaries lead to disengagement.
3. Which of the following describes the ‘monopolizer’ in a group therapy setting?
A. A member who constantly speaks and prevents others from participating.
B. A member who remains silent to avoid conflict.
C. A member who challenges the leader’s authority.
D. A member who attempts to help everyone except themselves.
Answer: A
Rationale: The monopolizer is a group member who dominates the conversation, often
due to anxiety or a need for control. This behavior can impede the group process by
preventing others from sharing their experiences and perspectives. The therapist must
address this behavior to ensure that the group remains a balanced and therapeutic
environment for all.
, 4. A PMHNP is using Bowenian Family Therapy. What is the primary goal when addressing
‘differentiation of self’?
A. To help a member distinguish between their own intellectual and emotional processes.
B. To encourage the family to act as a single emotional unit.
C. To identify the family member who is the ‘identified patient’.
D. To resolve immediate symptoms through behavioral interventions.
Answer: A
Rationale: Differentiation of self is the ability to separate one’s own feelings and thoughts
from those of others in the family system. Individuals with high differentiation can remain
calm and logical during emotional family turmoil. This concept is foundational to Bowen’s
theory, emphasizing individual growth within the family context.
5. During the ‘Storming’ phase of group development, what is the primary role of the PMHNP
leader?
A. To facilitate the expression of conflict and manage power struggles.
B. To remain passive and let the group resolve all conflicts.
C. To terminate the group if members become argumentative.
D. To strictly enforce rules to prevent any disagreement.
Answer: A
