NURS 665 Exam 3 V2 | NURS 665
Psychiatric Mental Health Diagnosis and
Management III | Actual Q&A with
Rationale (NURS665 Exam 3) | Maryville
University
1. Which of Yalom’s curative factors involves the realization that one is not alone in their
suffering and that others share similar problems?
A. Altruism
B. Universality
C. Catharsis
D. Existential factors
Answer: B
Rationale: Universality is the recognition that other members of the group share similar
thoughts, feelings, and issues. This realization often provides significant relief to patients
who previously felt isolated by their condition. It is a core therapeutic factor that helps
normalize the patient’s experience early in the group process.
2. In Bowenian Family Systems Theory, what term describes the process where a two-person
system draws in a third person to decrease tension?
A. Enmeshment
,B. Differentiation
C. Triangulation
D. Emotional Cutoff
Answer: C
Rationale: Triangulation is a key concept in Bowenian therapy where a dyad under stress
incorporates a third party to stabilize the relationship. While it reduces immediate anxiety,
it prevents the original two people from resolving their conflict directly. Over time, chronic
triangulation can lead to dysfunctional family patterns and symptomatic behavior in the
third party.
3. According to Minuchin’s Structural Family Therapy, which of the following is an indicator of
dysfunctional boundaries?
A. Enmeshment
B. Clear boundaries
C. Hierarchy
D. Flexibility
Answer: A
Rationale: Enmeshment occurs when boundaries between family members are overly
permeable, leading to a loss of individual autonomy. In such systems, the distress of one
, member is intensely felt and reacted to by all others. This lack of differentiation prevents
healthy emotional development and problem-solving within the family unit.
4. A group member begins to act like a parent toward another member. This is an example of
which phenomenon?
A. Socializing
B. Transference
C. Group Cohesion
D. Universality
Answer: B
Rationale: Transference in a group setting occurs when a member unconsciously redirects
feelings and attitudes from significant past relationships onto other group members or the
leader. This process allows the individual to reenact and eventually process unresolved
conflicts in a safe environment. Recognizing these patterns is a vital part of the therapeutic
process in interpersonal group therapy.
5. During the ‘Storming’ phase of group development, what is the primary challenge for the
group leader?
A. Summarizing the group progress
B. Establishing group rules
C. Maintaining safety while allowing for conflict
Psychiatric Mental Health Diagnosis and
Management III | Actual Q&A with
Rationale (NURS665 Exam 3) | Maryville
University
1. Which of Yalom’s curative factors involves the realization that one is not alone in their
suffering and that others share similar problems?
A. Altruism
B. Universality
C. Catharsis
D. Existential factors
Answer: B
Rationale: Universality is the recognition that other members of the group share similar
thoughts, feelings, and issues. This realization often provides significant relief to patients
who previously felt isolated by their condition. It is a core therapeutic factor that helps
normalize the patient’s experience early in the group process.
2. In Bowenian Family Systems Theory, what term describes the process where a two-person
system draws in a third person to decrease tension?
A. Enmeshment
,B. Differentiation
C. Triangulation
D. Emotional Cutoff
Answer: C
Rationale: Triangulation is a key concept in Bowenian therapy where a dyad under stress
incorporates a third party to stabilize the relationship. While it reduces immediate anxiety,
it prevents the original two people from resolving their conflict directly. Over time, chronic
triangulation can lead to dysfunctional family patterns and symptomatic behavior in the
third party.
3. According to Minuchin’s Structural Family Therapy, which of the following is an indicator of
dysfunctional boundaries?
A. Enmeshment
B. Clear boundaries
C. Hierarchy
D. Flexibility
Answer: A
Rationale: Enmeshment occurs when boundaries between family members are overly
permeable, leading to a loss of individual autonomy. In such systems, the distress of one
, member is intensely felt and reacted to by all others. This lack of differentiation prevents
healthy emotional development and problem-solving within the family unit.
4. A group member begins to act like a parent toward another member. This is an example of
which phenomenon?
A. Socializing
B. Transference
C. Group Cohesion
D. Universality
Answer: B
Rationale: Transference in a group setting occurs when a member unconsciously redirects
feelings and attitudes from significant past relationships onto other group members or the
leader. This process allows the individual to reenact and eventually process unresolved
conflicts in a safe environment. Recognizing these patterns is a vital part of the therapeutic
process in interpersonal group therapy.
5. During the ‘Storming’ phase of group development, what is the primary challenge for the
group leader?
A. Summarizing the group progress
B. Establishing group rules
C. Maintaining safety while allowing for conflict
