NURS 665 Exam 2 V2 | NURS 665
Psychiatric Mental Health Diagnosis and
Management III | Actual Q&A with
Rationale (NURS665 Exam 2) | Maryville
University
1. According to Irvin Yalom, which curative factor involves the group member realizing that
they are not alone in their suffering or problems?
A. Altruism
B. Catharsis
C. Universality
D. Imitative behavior
Answer: C
Rationale: Universality is the recognition that others share similar feelings and
experiences, which helps reduce isolation. This factor is particularly powerful in the early
stages of group therapy to build cohesion. By understanding that their struggles are part of
the human condition, patients experience a significant decrease in shame and stigma.
2. In Bowenian Family Systems Theory, what is the term for the process where a two-person
relationship under stress draws in a third person to stabilize the system?
A. Differentiation of self
,B. Emotional cutoff
C. Triangulation
D. Multigenerational transmission
Answer: C
Rationale: Triangulation occurs when tension between two individuals is diverted to a
third party to reduce anxiety. While it provides temporary stability, it prevents the original
pair from resolving their conflict directly. Bowen argued that the goal of therapy is to help
individuals detriangulate and increase their level of differentiation.
3. Which stage of group development, according to Tuckman, is characterized by members
testing boundaries and experiencing interpersonal conflict?
A. Forming
B. Norming
C. Storming
D. Performing
Answer: C
Rationale: The Storming stage is a critical period where group members begin to express
their individuality and challenge the leader’s authority. This phase is necessary for the
group to move past superficial interactions and establish true norms. PMHNPs must
, facilitate this stage carefully to ensure the group does not dissolve due to unresolved
hostility.
4. In Structural Family Therapy, which concept describes boundaries that are too rigid,
leading to family members feeling isolated from one another?
A. Enmeshment
B. Coalition
C. Disengagement
D. Parentification
Answer: C
Rationale: Disengagement is the result of rigid boundaries where family members have
little contact or emotional investment in one another. Salvador Minuchin observed that
while these families promote independence, they lack the necessary support and nurture
during crises. Therapy aims to soften these boundaries to allow for better communication
and support.
5. A 10-year-old child presents with persistent irritability and frequent temper outbursts that
are out of proportion to the situation. Which diagnosis is most appropriate?
A. Oppositional Defiant Disorder (ODD)
B. Bipolar I Disorder
C. Conduct Disorder
Psychiatric Mental Health Diagnosis and
Management III | Actual Q&A with
Rationale (NURS665 Exam 2) | Maryville
University
1. According to Irvin Yalom, which curative factor involves the group member realizing that
they are not alone in their suffering or problems?
A. Altruism
B. Catharsis
C. Universality
D. Imitative behavior
Answer: C
Rationale: Universality is the recognition that others share similar feelings and
experiences, which helps reduce isolation. This factor is particularly powerful in the early
stages of group therapy to build cohesion. By understanding that their struggles are part of
the human condition, patients experience a significant decrease in shame and stigma.
2. In Bowenian Family Systems Theory, what is the term for the process where a two-person
relationship under stress draws in a third person to stabilize the system?
A. Differentiation of self
,B. Emotional cutoff
C. Triangulation
D. Multigenerational transmission
Answer: C
Rationale: Triangulation occurs when tension between two individuals is diverted to a
third party to reduce anxiety. While it provides temporary stability, it prevents the original
pair from resolving their conflict directly. Bowen argued that the goal of therapy is to help
individuals detriangulate and increase their level of differentiation.
3. Which stage of group development, according to Tuckman, is characterized by members
testing boundaries and experiencing interpersonal conflict?
A. Forming
B. Norming
C. Storming
D. Performing
Answer: C
Rationale: The Storming stage is a critical period where group members begin to express
their individuality and challenge the leader’s authority. This phase is necessary for the
group to move past superficial interactions and establish true norms. PMHNPs must
, facilitate this stage carefully to ensure the group does not dissolve due to unresolved
hostility.
4. In Structural Family Therapy, which concept describes boundaries that are too rigid,
leading to family members feeling isolated from one another?
A. Enmeshment
B. Coalition
C. Disengagement
D. Parentification
Answer: C
Rationale: Disengagement is the result of rigid boundaries where family members have
little contact or emotional investment in one another. Salvador Minuchin observed that
while these families promote independence, they lack the necessary support and nurture
during crises. Therapy aims to soften these boundaries to allow for better communication
and support.
5. A 10-year-old child presents with persistent irritability and frequent temper outbursts that
are out of proportion to the situation. Which diagnosis is most appropriate?
A. Oppositional Defiant Disorder (ODD)
B. Bipolar I Disorder
C. Conduct Disorder
