NSG 526 FINAL EXAM 2026/2027
QUESTIONS WITH VERIFIED ANSWERS
2026/2027
1. In Bowenian Family Systems Theory, which concept describes the process where a two-
person system under stress recruits a third person to stabilize the relationship?
A. Emotional Cutoff
B. Triangulation
C. Differentiation of Self
D. Multigenerational Transmission Process
Answer: B
Conceptual Explanation: Triangulation is the process by which a two-person system
draws in a third party to reduce tension and increase stability, though it often prevents the
original pair from resolving their conflict.
2. A patient exhibits ‘splitting’ as a primary defense mechanism, alternating between
idealizing and devaluing the therapist. According to Object Relations theory, this indicates a
failure in which stage of development?
A. Symbiosis
B. Practicing
,C. Object Constancy
D. Rapprochement
Answer: C
Conceptual Explanation: Object constancy is the ability to maintain a positive internal
representation of an object even when it is not satisfying needs; failure here leads to
splitting, common in Borderline Personality Disorder.
3. Which of Yalom’s curative factors of group therapy is defined as the realization that one is
not alone in their suffering or problems?
A. Catharsis
B. Universality
C. Altruism
D. Imparting Information
Answer: B
Conceptual Explanation: Universality is the recognition that other group members share
similar feelings, thoughts, and problems, which helps reduce the patient’s sense of
isolation.
, 4. In Structural Family Therapy, the therapist notices a mother and daughter are overly
involved to the point that their individual identities are blurred. Minuchin would describe this
boundary as:
A. Rigid
B. Permeable
C. Disengaged
D. Enmeshed
Answer: D
Conceptual Explanation: Enmeshment refers to boundaries that are overly diffuse or
blurred, leading to a lack of autonomy among family members and heightened emotional
reactivity.
5. A PMHNP uses Socratic questioning to help a patient identify and challenge their cognitive
distortions. Which therapeutic modality is being utilized?
A. Interpersonal Therapy (IPT)
B. Dialectical Behavior Therapy (DBT)
C. Cognitive Behavioral Therapy (CBT)
D. Solution-Focused Brief Therapy (SFBT)
Answer: C
QUESTIONS WITH VERIFIED ANSWERS
2026/2027
1. In Bowenian Family Systems Theory, which concept describes the process where a two-
person system under stress recruits a third person to stabilize the relationship?
A. Emotional Cutoff
B. Triangulation
C. Differentiation of Self
D. Multigenerational Transmission Process
Answer: B
Conceptual Explanation: Triangulation is the process by which a two-person system
draws in a third party to reduce tension and increase stability, though it often prevents the
original pair from resolving their conflict.
2. A patient exhibits ‘splitting’ as a primary defense mechanism, alternating between
idealizing and devaluing the therapist. According to Object Relations theory, this indicates a
failure in which stage of development?
A. Symbiosis
B. Practicing
,C. Object Constancy
D. Rapprochement
Answer: C
Conceptual Explanation: Object constancy is the ability to maintain a positive internal
representation of an object even when it is not satisfying needs; failure here leads to
splitting, common in Borderline Personality Disorder.
3. Which of Yalom’s curative factors of group therapy is defined as the realization that one is
not alone in their suffering or problems?
A. Catharsis
B. Universality
C. Altruism
D. Imparting Information
Answer: B
Conceptual Explanation: Universality is the recognition that other group members share
similar feelings, thoughts, and problems, which helps reduce the patient’s sense of
isolation.
, 4. In Structural Family Therapy, the therapist notices a mother and daughter are overly
involved to the point that their individual identities are blurred. Minuchin would describe this
boundary as:
A. Rigid
B. Permeable
C. Disengaged
D. Enmeshed
Answer: D
Conceptual Explanation: Enmeshment refers to boundaries that are overly diffuse or
blurred, leading to a lack of autonomy among family members and heightened emotional
reactivity.
5. A PMHNP uses Socratic questioning to help a patient identify and challenge their cognitive
distortions. Which therapeutic modality is being utilized?
A. Interpersonal Therapy (IPT)
B. Dialectical Behavior Therapy (DBT)
C. Cognitive Behavioral Therapy (CBT)
D. Solution-Focused Brief Therapy (SFBT)
Answer: C
