NURS 665 Exam 4 V3 | 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 therapeutic factor involves the patient’s realization that
they are not alone in their suffering and that others share similar problems?
A. Altruism
B. Universality
C. Catharsis
D. Existential Factors
Answer: B
Rationale: Universality allows group members to recognize that their experiences and
feelings are shared by others. This realization helps reduce the sense of isolation and
stigma often associated with mental illness. It is a critical early-stage curative factor that
builds group cohesion and safety.
2. In Murray Bowen’s Family Systems Theory, what term describes the process where a two-
person system brings in a third party to reduce tension and stabilize the relationship?
A. Enmeshment
,B. Triangulation
C. Differentiation of Self
D. Emotional Cutoff
Answer: B
Rationale: Triangulation occurs when a dyad in conflict involves a third person to deflect
tension and provide stability. While this may temporarily lower anxiety, it prevents the
original two people from resolving their issues directly. Bowen identified this as a common
mechanism in dysfunctional family systems.
3. A PMHNP is conducting a group session and notices that the members are beginning to
challenge the leader’s authority and compete for status. Which stage of group development
is this?
A. Forming
B. Performing
C. Norming
D. Storming
Answer: D
Rationale: The Storming stage is characterized by conflict, competition, and challenges to
the leader’s role or group rules. It is a necessary phase where members express
, individuality and test the group’s boundaries. Successful navigation of this stage leads to
increased trust and the Norming stage.
4. Which family therapy model, developed by Salvador Minuchin, focuses on boundaries,
subsystems, and the organizational structure of the family?
A. Structural Family Therapy
B. Strategic Family Therapy
C. Narrative Family Therapy
D. Solution-Focused Therapy
Answer: A
Rationale: Structural Family Therapy focuses on the family’s organization, including
hierarchies and the clarity of boundaries between subsystems. Minuchin believed that
modifying the family’s structure would lead to changes in the individual members’
symptoms. Techniques include mimesis, unbalancing, and enactment.
5. A 10-year-old child presents with a pattern of angry/irritable mood, argumentative
behavior, and vindictiveness lasting at least 6 months. What is the most likely DSM-5
diagnosis?
A. Conduct Disorder
B. Disruptive Mood Dysregulation Disorder
C. Oppositional Defiant Disorder
Psychiatric Mental Health Diagnosis and
Management III | Actual Q&A with
Rationale (NURS665 Exam 4) | Maryville
University
1. According to Irvin Yalom, which therapeutic factor involves the patient’s realization that
they are not alone in their suffering and that others share similar problems?
A. Altruism
B. Universality
C. Catharsis
D. Existential Factors
Answer: B
Rationale: Universality allows group members to recognize that their experiences and
feelings are shared by others. This realization helps reduce the sense of isolation and
stigma often associated with mental illness. It is a critical early-stage curative factor that
builds group cohesion and safety.
2. In Murray Bowen’s Family Systems Theory, what term describes the process where a two-
person system brings in a third party to reduce tension and stabilize the relationship?
A. Enmeshment
,B. Triangulation
C. Differentiation of Self
D. Emotional Cutoff
Answer: B
Rationale: Triangulation occurs when a dyad in conflict involves a third person to deflect
tension and provide stability. While this may temporarily lower anxiety, it prevents the
original two people from resolving their issues directly. Bowen identified this as a common
mechanism in dysfunctional family systems.
3. A PMHNP is conducting a group session and notices that the members are beginning to
challenge the leader’s authority and compete for status. Which stage of group development
is this?
A. Forming
B. Performing
C. Norming
D. Storming
Answer: D
Rationale: The Storming stage is characterized by conflict, competition, and challenges to
the leader’s role or group rules. It is a necessary phase where members express
, individuality and test the group’s boundaries. Successful navigation of this stage leads to
increased trust and the Norming stage.
4. Which family therapy model, developed by Salvador Minuchin, focuses on boundaries,
subsystems, and the organizational structure of the family?
A. Structural Family Therapy
B. Strategic Family Therapy
C. Narrative Family Therapy
D. Solution-Focused Therapy
Answer: A
Rationale: Structural Family Therapy focuses on the family’s organization, including
hierarchies and the clarity of boundaries between subsystems. Minuchin believed that
modifying the family’s structure would lead to changes in the individual members’
symptoms. Techniques include mimesis, unbalancing, and enactment.
5. A 10-year-old child presents with a pattern of angry/irritable mood, argumentative
behavior, and vindictiveness lasting at least 6 months. What is the most likely DSM-5
diagnosis?
A. Conduct Disorder
B. Disruptive Mood Dysregulation Disorder
C. Oppositional Defiant Disorder
