NURS 665 Exam 4 V1 | NURS 665
Psychiatric Mental Health Diagnosis and
Management III | Actual Q&A with
Rationale (NURS665 Exam 4) | Maryville
University
1. According to Irvin Yalom, which curative factor involves the realization that one is not
alone in their suffering?
A. Universality
B. Altruism
C. Catharsis
D. Instillation of hope
Answer: A
Rationale: Universality is the recognition of shared experiences and feelings among group
members. This factor helps patients feel less isolated and stigmatized by their mental
health conditions. It is particularly powerful in the early stages of group formation to build
rapport.
2. In Structural Family Therapy, which concept refers to the invisible barriers that regulate
contact between family members?
A. Triangulation
,B. Differentiation
C. Boundaries
D. Enmeshment
Answer: C
Rationale: Boundaries define the rules of engagement within a family system and
distinguish between subsystems. They can range from rigid to diffuse, with clear
boundaries being the goal for healthy functioning. Salvador Minuchin emphasized that
healthy families require clear boundaries to prevent enmeshment or disengagement.
3. A PMHNP is leading a group that has become stuck due to conflict and power struggles
between members. Which stage of group development is this?
A. Forming
B. Norming
C. Performing
D. Storming
Answer: D
Rationale: The storming stage is characterized by competition and conflict as members
attempt to establish their roles. It is a necessary phase for the group to transition into the
norming stage where cohesion begins. The leader must facilitate communication and
manage tensions during this turbulent period.
, 4. Which family therapy model utilizes the ‘Miracle Question’ to help families envision a
future without their current problems?
A. Solution-Focused Brief Therapy
B. Strategic Family Therapy
C. Bowenian Family Systems
D. Narrative Therapy
Answer: A
Rationale: The Miracle Question is a hallmark technique of Solution-Focused Brief
Therapy (SFBT). It encourages clients to identify goals and visualize concrete changes in
their lives. By focusing on solutions rather than problems, SFBT aims to foster rapid
change.
5. In Bowenian therapy, what occurs when a two-person system under stress recruits a third
person to stabilize the relationship?
A. Enmeshment
B. Splitting
C. Triangulation
D. Reframing
Answer: C
Psychiatric Mental Health Diagnosis and
Management III | Actual Q&A with
Rationale (NURS665 Exam 4) | Maryville
University
1. According to Irvin Yalom, which curative factor involves the realization that one is not
alone in their suffering?
A. Universality
B. Altruism
C. Catharsis
D. Instillation of hope
Answer: A
Rationale: Universality is the recognition of shared experiences and feelings among group
members. This factor helps patients feel less isolated and stigmatized by their mental
health conditions. It is particularly powerful in the early stages of group formation to build
rapport.
2. In Structural Family Therapy, which concept refers to the invisible barriers that regulate
contact between family members?
A. Triangulation
,B. Differentiation
C. Boundaries
D. Enmeshment
Answer: C
Rationale: Boundaries define the rules of engagement within a family system and
distinguish between subsystems. They can range from rigid to diffuse, with clear
boundaries being the goal for healthy functioning. Salvador Minuchin emphasized that
healthy families require clear boundaries to prevent enmeshment or disengagement.
3. A PMHNP is leading a group that has become stuck due to conflict and power struggles
between members. Which stage of group development is this?
A. Forming
B. Norming
C. Performing
D. Storming
Answer: D
Rationale: The storming stage is characterized by competition and conflict as members
attempt to establish their roles. It is a necessary phase for the group to transition into the
norming stage where cohesion begins. The leader must facilitate communication and
manage tensions during this turbulent period.
, 4. Which family therapy model utilizes the ‘Miracle Question’ to help families envision a
future without their current problems?
A. Solution-Focused Brief Therapy
B. Strategic Family Therapy
C. Bowenian Family Systems
D. Narrative Therapy
Answer: A
Rationale: The Miracle Question is a hallmark technique of Solution-Focused Brief
Therapy (SFBT). It encourages clients to identify goals and visualize concrete changes in
their lives. By focusing on solutions rather than problems, SFBT aims to foster rapid
change.
5. In Bowenian therapy, what occurs when a two-person system under stress recruits a third
person to stabilize the relationship?
A. Enmeshment
B. Splitting
C. Triangulation
D. Reframing
Answer: C
