NURS 665 Exam 1 V2 | NURS 665
Psychiatric Mental Health Diagnosis and
Management III | Actual Q&A with
Rationale (NURS665 Exam 1) | Maryville
University
1. According to Irvin Yalom, which therapeutic factor involves the recognition that others
have similar problems and that one is not alone in their suffering?
A. Instillation of hope
B. Catharsis
C. Altruism
D. Universality
Answer: D
Rationale: Universality allows group members to realize that their experiences are shared
by others. This realization often provides a significant sense of relief and reduces the
isolation associated with mental health struggles. It serves as a powerful validation of the
patient’s internal experience within the group setting.
2. In Bowenian Family Systems Theory, what is the term for a three-person relationship
system that serves as the smallest stable network?
A. Nuclear family unit
,B. Triangle
C. Differentiation
D. Subsystem
Answer: B
Rationale: A triangle is considered the basic building block of a larger emotional system
according to Murray Bowen. When tension increases between two people, they typically
‘triangle in’ a third person to stabilize the relationship. This mechanism helps manage
anxiety but often prevents the original pair from resolving their conflict directly.
3. During which stage of Tuckman’s group development model do members begin to express
disagreement and challenge the leader’s authority?
A. Forming
B. Norming
C. Storming
D. Performing
Answer: C
Rationale: The storming stage is characterized by conflict, competition, and the testing of
boundaries within the group. Members may resist the tasks or the influence of the leader as
they establish their own status and roles. Successful navigation of this stage is necessary to
move toward genuine cohesion and cooperation.
, 4. A PMHNP is conducting a group where a member begins to act out roles from their original
family. Which Yalom factor does this represent?
A. Corrective recapitulation of the primary family group
B. Socializing techniques
C. Imitative behavior
D. Interpersonal learning
Answer: A
Rationale: This factor involves the group functioning as a symbolic family where members
can work through unresolved family conflicts. The therapist and other members assume
roles of family figures, allowing the individual to experience new, healthier dynamics. This
process aims to correct maladaptive patterns learned during childhood within the original
family unit.
5. Salvador Minuchin’s Structural Family Therapy focuses primarily on which of the following?
A. Multigenerational transmission of trauma
B. The use of genograms for assessment
C. Strategic directives and paradoxical interventions
D. Boundaries and subsystems within the family
Answer: D
Psychiatric Mental Health Diagnosis and
Management III | Actual Q&A with
Rationale (NURS665 Exam 1) | Maryville
University
1. According to Irvin Yalom, which therapeutic factor involves the recognition that others
have similar problems and that one is not alone in their suffering?
A. Instillation of hope
B. Catharsis
C. Altruism
D. Universality
Answer: D
Rationale: Universality allows group members to realize that their experiences are shared
by others. This realization often provides a significant sense of relief and reduces the
isolation associated with mental health struggles. It serves as a powerful validation of the
patient’s internal experience within the group setting.
2. In Bowenian Family Systems Theory, what is the term for a three-person relationship
system that serves as the smallest stable network?
A. Nuclear family unit
,B. Triangle
C. Differentiation
D. Subsystem
Answer: B
Rationale: A triangle is considered the basic building block of a larger emotional system
according to Murray Bowen. When tension increases between two people, they typically
‘triangle in’ a third person to stabilize the relationship. This mechanism helps manage
anxiety but often prevents the original pair from resolving their conflict directly.
3. During which stage of Tuckman’s group development model do members begin to express
disagreement and challenge the leader’s authority?
A. Forming
B. Norming
C. Storming
D. Performing
Answer: C
Rationale: The storming stage is characterized by conflict, competition, and the testing of
boundaries within the group. Members may resist the tasks or the influence of the leader as
they establish their own status and roles. Successful navigation of this stage is necessary to
move toward genuine cohesion and cooperation.
, 4. A PMHNP is conducting a group where a member begins to act out roles from their original
family. Which Yalom factor does this represent?
A. Corrective recapitulation of the primary family group
B. Socializing techniques
C. Imitative behavior
D. Interpersonal learning
Answer: A
Rationale: This factor involves the group functioning as a symbolic family where members
can work through unresolved family conflicts. The therapist and other members assume
roles of family figures, allowing the individual to experience new, healthier dynamics. This
process aims to correct maladaptive patterns learned during childhood within the original
family unit.
5. Salvador Minuchin’s Structural Family Therapy focuses primarily on which of the following?
A. Multigenerational transmission of trauma
B. The use of genograms for assessment
C. Strategic directives and paradoxical interventions
D. Boundaries and subsystems within the family
Answer: D
