NRNP 6645 Exam 4 V1 | NRNP 6645
Psychotherapy with Multiple Modalities |
Actual Q&A with Rationale (NRNP6645
Exam 4) | Walden University
1. During a group therapy session, a member consistently redirects the conversation to their
own achievements, often interrupting others. According to Yalom, how should the therapist
classify this behavior?
A. The Help-Rejecting Complainer
B. The Monopolist
C. The Boring Member
D. The Narcissistic Client
Answer: B
Rationale: The monopolist is a group member who talks excessively to manage their own
anxiety and control the group’s focus. This behavior often serves to keep others at a
distance while simultaneously seeking validation. The therapist must address this behavior
to ensure that the group remains a balanced therapeutic environment for all members.
2. In Minuchin’s Structural Family Therapy, which term describes an invisible barrier that
regulates the amount of contact between family members?
A. Enmeshment
,B. Boundaries
C. Disengagement
D. Coalitions
Answer: B
Rationale: Boundaries in structural family therapy range from rigid to diffuse and
determine how family subsystems interact. Clear boundaries allow for autonomy while
maintaining connection between members. Adjusting these boundaries is a primary goal
when attempting to correct dysfunctional family patterns such as enmeshment or
disengagement.
3. A therapist is using Dialectical Behavior Therapy (DBT) to treat a patient with Borderline
Personality Disorder. Which module specifically focuses on teaching the patient to tolerate
intense emotions without acting impulsively?
A. Distress Tolerance
B. Interpersonal Effectiveness
C. Emotional Regulation
D. Mindfulness
Answer: A
Rationale: Distress tolerance skills provide techniques for surviving immediate crises
without engaging in self-destructive behaviors. These skills help the patient accept reality
, as it is rather than how they wish it to be. Mastery of these techniques is essential for
patients who struggle with high levels of emotional reactivity and impulsivity.
4. According to Irvin Yalom, which curative factor involves the therapist and group members
providing specific information about mental health and resources?
A. Altruism
B. Universality
C. Imparting Information
D. Catharsis
Answer: C
Rationale: Imparting information includes didactic instruction provided by the therapist
as well as direct advice offered by other group members. While often viewed as a less
central factor in long-term groups, it serves an important educational purpose in the initial
phases. This factor helps demystify psychological processes and provides practical tools for
coping.
5. In the context of Bowenian Family Systems Theory, what is the process of defining one’s
own values and beliefs separate from the family of origin’s emotional pressure?
A. Emotional Cutoff
B. Triangulation
C. Societal Regression
Psychotherapy with Multiple Modalities |
Actual Q&A with Rationale (NRNP6645
Exam 4) | Walden University
1. During a group therapy session, a member consistently redirects the conversation to their
own achievements, often interrupting others. According to Yalom, how should the therapist
classify this behavior?
A. The Help-Rejecting Complainer
B. The Monopolist
C. The Boring Member
D. The Narcissistic Client
Answer: B
Rationale: The monopolist is a group member who talks excessively to manage their own
anxiety and control the group’s focus. This behavior often serves to keep others at a
distance while simultaneously seeking validation. The therapist must address this behavior
to ensure that the group remains a balanced therapeutic environment for all members.
2. In Minuchin’s Structural Family Therapy, which term describes an invisible barrier that
regulates the amount of contact between family members?
A. Enmeshment
,B. Boundaries
C. Disengagement
D. Coalitions
Answer: B
Rationale: Boundaries in structural family therapy range from rigid to diffuse and
determine how family subsystems interact. Clear boundaries allow for autonomy while
maintaining connection between members. Adjusting these boundaries is a primary goal
when attempting to correct dysfunctional family patterns such as enmeshment or
disengagement.
3. A therapist is using Dialectical Behavior Therapy (DBT) to treat a patient with Borderline
Personality Disorder. Which module specifically focuses on teaching the patient to tolerate
intense emotions without acting impulsively?
A. Distress Tolerance
B. Interpersonal Effectiveness
C. Emotional Regulation
D. Mindfulness
Answer: A
Rationale: Distress tolerance skills provide techniques for surviving immediate crises
without engaging in self-destructive behaviors. These skills help the patient accept reality
, as it is rather than how they wish it to be. Mastery of these techniques is essential for
patients who struggle with high levels of emotional reactivity and impulsivity.
4. According to Irvin Yalom, which curative factor involves the therapist and group members
providing specific information about mental health and resources?
A. Altruism
B. Universality
C. Imparting Information
D. Catharsis
Answer: C
Rationale: Imparting information includes didactic instruction provided by the therapist
as well as direct advice offered by other group members. While often viewed as a less
central factor in long-term groups, it serves an important educational purpose in the initial
phases. This factor helps demystify psychological processes and provides practical tools for
coping.
5. In the context of Bowenian Family Systems Theory, what is the process of defining one’s
own values and beliefs separate from the family of origin’s emotional pressure?
A. Emotional Cutoff
B. Triangulation
C. Societal Regression
