,NSG426/NSG 526 Exam 2 Clinical Modalities in Advanced
Psychiatric/Mental Health Nursing Practice | Wilkes | 26/27
Updated (PDF)
1. In Yalom's therapeutic factors, which factor involves members gaining a sense of belonging and
acceptance within the group?
A) Universality
B) Altruism
C) Cohesiveness
D) Catharsis
Correct Answer: Cohesiveness
Rationale: Cohesiveness refers to the sense of belonging, trust, and acceptance that develops among
group members, creating a safe environment for change. Universality involves realizing others share
similar problems. Altruism involves helping others. Catharsis involves emotional release.
2. According to Tuckman's stages of group development, which stage is characterized by the
resolution of conflicts and the establishment of group norms?
A) Forming
B) Storming
C) Norming
D) Performing
Correct Answer: Norming
Rationale: The norming stage is when the group resolves conflicts, establishes norms, and develops
cohesion. Forming is the initial orientation stage. Storming involves conflict and power struggles.
Performing is the stage of productive work.
3. A group member who consistently provides factual information and expert opinions to other
members is fulfilling which Yalom role?
A) Energizer
B) Information giver
C) Gatekeeper
D) Compromiser
,Correct Answer: Information giver
Rationale: The information giver shares factual knowledge or personal experiences to assist other
members in processing their challenges. The energizer stimulates group activity, the gatekeeper
controls group boundaries, and the compromiser mediates conflicts.
4. In Beck's cognitive model of depression, which cognitive distortion involves viewing situations in
extreme, all-or-nothing categories?
A) Overgeneralization
B) Mental filter
C) Dichotomous thinking
D) Personalization
Correct Answer: Dichotomous thinking
Rationale: Dichotomous thinking, also called all-or-nothing thinking, involves viewing situations in
black-and-white categories with no middle ground. Overgeneralization draws broad conclusions from
a single event. Mental filter focuses exclusively on negatives. Personalization attributes external
events to oneself.
5. A patient in group therapy who is over-talkative and dominates the discussion should be managed
by:
A) Asking the member to leave the group
B) Making a conscious observation about the silence of other members
C) Ignoring the behavior to avoid reinforcement
D) Ending the session early
Correct Answer: Making a conscious observation about the silence of other members
Rationale: When faced with an over-talkative client, a useful technique is to make a conscious
observation about the silence of other group members, encouraging balanced participation. Asking
the member to leave, ignoring the behavior, or ending the session are not therapeutic interventions.
6. Which theoretical framework emphasizes the role of early caregiver relationships in shaping
interpersonal patterns across the lifespan?
A) Cognitive Behavioral Therapy
B) Attachment theory
, C) Rational Emotive Therapy
D) Interpersonal Therapy
Correct Answer: Attachment theory
Rationale: Attachment theory elucidates the critical role of primary caregivers in emotional and social
development, with secure attachments influencing relationships and psychological well-being across
the lifespan. CBT focuses on thoughts and behaviors, RET on irrational beliefs, and IPT on
interpersonal problems.
7. In Rational Emotive Behavior Therapy (REBT), psychological distress is primarily caused by:
A) Unconscious conflicts
B) Irrational beliefs and demands
C) Interpersonal role disputes
D) Behavioral deficits
Correct Answer: Irrational beliefs and demands
Rationale: REBT, developed by Albert Ellis, posits that psychological distress results from irrational
beliefs—"musts," "shoulds," and demands—that individuals hold about themselves, others, and the
world. Unconscious conflicts are the focus of psychodynamic therapy. Interpersonal problems are the
focus of IPT.
8. The fundamental distinction between Complementary and Alternative Medicine (CAM) and
Western medicine lies in:
A) CAM's reliance on pharmaceutical interventions
B) CAM's holistic approach emphasizing the mind-body connection
C) Western medicine's focus on prevention
D) CAM's use of evidence-based protocols
Correct Answer: CAM's holistic approach emphasizing the mind-body connection
Rationale: Western medicine often focuses on medical interventions and symptom management,
while CAM emphasizes the holistic connection between mind and body, fostering self-awareness and
personal empowerment. CAM does not rely primarily on pharmaceuticals, and Western medicine
does not exclusively focus on prevention.
9. According to the DSM-5-TR, which of the following is a key feature of a mental disorder?
Psychiatric/Mental Health Nursing Practice | Wilkes | 26/27
Updated (PDF)
1. In Yalom's therapeutic factors, which factor involves members gaining a sense of belonging and
acceptance within the group?
A) Universality
B) Altruism
C) Cohesiveness
D) Catharsis
Correct Answer: Cohesiveness
Rationale: Cohesiveness refers to the sense of belonging, trust, and acceptance that develops among
group members, creating a safe environment for change. Universality involves realizing others share
similar problems. Altruism involves helping others. Catharsis involves emotional release.
2. According to Tuckman's stages of group development, which stage is characterized by the
resolution of conflicts and the establishment of group norms?
A) Forming
B) Storming
C) Norming
D) Performing
Correct Answer: Norming
Rationale: The norming stage is when the group resolves conflicts, establishes norms, and develops
cohesion. Forming is the initial orientation stage. Storming involves conflict and power struggles.
Performing is the stage of productive work.
3. A group member who consistently provides factual information and expert opinions to other
members is fulfilling which Yalom role?
A) Energizer
B) Information giver
C) Gatekeeper
D) Compromiser
,Correct Answer: Information giver
Rationale: The information giver shares factual knowledge or personal experiences to assist other
members in processing their challenges. The energizer stimulates group activity, the gatekeeper
controls group boundaries, and the compromiser mediates conflicts.
4. In Beck's cognitive model of depression, which cognitive distortion involves viewing situations in
extreme, all-or-nothing categories?
A) Overgeneralization
B) Mental filter
C) Dichotomous thinking
D) Personalization
Correct Answer: Dichotomous thinking
Rationale: Dichotomous thinking, also called all-or-nothing thinking, involves viewing situations in
black-and-white categories with no middle ground. Overgeneralization draws broad conclusions from
a single event. Mental filter focuses exclusively on negatives. Personalization attributes external
events to oneself.
5. A patient in group therapy who is over-talkative and dominates the discussion should be managed
by:
A) Asking the member to leave the group
B) Making a conscious observation about the silence of other members
C) Ignoring the behavior to avoid reinforcement
D) Ending the session early
Correct Answer: Making a conscious observation about the silence of other members
Rationale: When faced with an over-talkative client, a useful technique is to make a conscious
observation about the silence of other group members, encouraging balanced participation. Asking
the member to leave, ignoring the behavior, or ending the session are not therapeutic interventions.
6. Which theoretical framework emphasizes the role of early caregiver relationships in shaping
interpersonal patterns across the lifespan?
A) Cognitive Behavioral Therapy
B) Attachment theory
, C) Rational Emotive Therapy
D) Interpersonal Therapy
Correct Answer: Attachment theory
Rationale: Attachment theory elucidates the critical role of primary caregivers in emotional and social
development, with secure attachments influencing relationships and psychological well-being across
the lifespan. CBT focuses on thoughts and behaviors, RET on irrational beliefs, and IPT on
interpersonal problems.
7. In Rational Emotive Behavior Therapy (REBT), psychological distress is primarily caused by:
A) Unconscious conflicts
B) Irrational beliefs and demands
C) Interpersonal role disputes
D) Behavioral deficits
Correct Answer: Irrational beliefs and demands
Rationale: REBT, developed by Albert Ellis, posits that psychological distress results from irrational
beliefs—"musts," "shoulds," and demands—that individuals hold about themselves, others, and the
world. Unconscious conflicts are the focus of psychodynamic therapy. Interpersonal problems are the
focus of IPT.
8. The fundamental distinction between Complementary and Alternative Medicine (CAM) and
Western medicine lies in:
A) CAM's reliance on pharmaceutical interventions
B) CAM's holistic approach emphasizing the mind-body connection
C) Western medicine's focus on prevention
D) CAM's use of evidence-based protocols
Correct Answer: CAM's holistic approach emphasizing the mind-body connection
Rationale: Western medicine often focuses on medical interventions and symptom management,
while CAM emphasizes the holistic connection between mind and body, fostering self-awareness and
personal empowerment. CAM does not rely primarily on pharmaceuticals, and Western medicine
does not exclusively focus on prevention.
9. According to the DSM-5-TR, which of the following is a key feature of a mental disorder?
