[WILKES NSG 526 EXAM 2] QUESTIONS AND ANSWERS ALREADY
GRADED A+. 100% VERIFIED SOLUTIONS | UPDATED PER LATEST
GUIDELINES | GRADED A+
Question 1
A psychiatric-mental health nurse practitioner (PMHNP) is leading a process-oriented therapy group. One
member consistently dominates the conversation, while several other members remain silent. Which
intervention by the PMHNP is most appropriate?
A. Ask the dominant member to leave the group and return next session
B. Make an observation about the group's silence and invite other members to share their perspectives
C. Continue to allow the dominant member to speak to avoid disrupting the group process
D. End the session early and address the issue privately with the dominant member
🟢 Correct Answer: B. Make an observation about the group's silence and invite other members to share their
perspectives
🔴 RATIONALE: Making a process observation about the group's silence and inviting quieter members to
comment encourages participation from all members while gently redirecting the dominant speaker. This
,approach maintains group cohesion without shaming either party. Ignoring the behavior, ending the session
early, or asking the member to leave would be counterproductive to the therapeutic process.
Question 2
A PMHNP is preparing to initiate a new therapy group. The PMHNP explains that the group will be "open."
Which statement best describes an open group?
A. New members can join only at the beginning of each group cycle
B. No new members are allowed to join after the group has started
C. New members are added as others leave the group
D. The group has a fixed number of participants throughout
🟢 Correct Answer: C. New members are added as others leave the group
🔴 RATIONALE: In an open group, new members are added as others leave, allowing for continuous enrollment
and a dynamic group composition. This contrasts with closed groups, where membership is fixed for a
designated period. Open groups offer the benefit of fresh perspectives but can present challenges related to
group cohesion and trust development.
,Question 3
A PMHNP is facilitating a group therapy session. A member shares that they feel "different" and "alone" in their
struggles. Another member responds, "I felt the same way until I heard everyone else's stories." Which of
Yalom's therapeutic factors is primarily being demonstrated?
A. Catharsis
B. Universality
C. Altruism
D. Imitative behavior
🟢 Correct Answer: B. Universality
🔴 RATIONALE: Universality is the therapeutic factor in which group members realize that they are not alone in
their experiences and that others share similar struggles. This recognition reduces feelings of isolation and
promotes a sense of belonging. Catharsis involves emotional release, altruism involves helping others, and
imitative behavior involves modeling others' behaviors.
Question 4
According to Irvin Yalom, which of the following is one of the 12 curative (therapeutic) factors in group therapy?
A. Free association
, B. Corrective recapitulation of the primary family group
C. Systematic desensitization
D. Cognitive restructuring
🟢 Correct Answer: B. Corrective recapitulation of the primary family group
🔴 RATIONALE: Yalom identified 12 therapeutic factors in group therapy, including corrective recapitulation of
the primary family group, instillation of hope, universality, imparting information, altruism, development of
socializing techniques, imitative behavior, interpersonal learning, group cohesiveness, catharsis, existential
factors, and hope. Free association is a psychoanalytic technique, systematic desensitization is a behavioral
therapy technique, and cognitive restructuring is a CBT technique.
Question 5
A PMHNP is leading a group that has been meeting weekly for 6 months. The group members demonstrate
strong cohesion and mutual support. According to Yalom, the development of group cohesiveness is most
closely associated with which therapeutic factor?
A. The group's ability to provide a sense of belonging and acceptance
B. The group's focus on cognitive restructuring
C. The group's adherence to a structured agenda
GRADED A+. 100% VERIFIED SOLUTIONS | UPDATED PER LATEST
GUIDELINES | GRADED A+
Question 1
A psychiatric-mental health nurse practitioner (PMHNP) is leading a process-oriented therapy group. One
member consistently dominates the conversation, while several other members remain silent. Which
intervention by the PMHNP is most appropriate?
A. Ask the dominant member to leave the group and return next session
B. Make an observation about the group's silence and invite other members to share their perspectives
C. Continue to allow the dominant member to speak to avoid disrupting the group process
D. End the session early and address the issue privately with the dominant member
🟢 Correct Answer: B. Make an observation about the group's silence and invite other members to share their
perspectives
🔴 RATIONALE: Making a process observation about the group's silence and inviting quieter members to
comment encourages participation from all members while gently redirecting the dominant speaker. This
,approach maintains group cohesion without shaming either party. Ignoring the behavior, ending the session
early, or asking the member to leave would be counterproductive to the therapeutic process.
Question 2
A PMHNP is preparing to initiate a new therapy group. The PMHNP explains that the group will be "open."
Which statement best describes an open group?
A. New members can join only at the beginning of each group cycle
B. No new members are allowed to join after the group has started
C. New members are added as others leave the group
D. The group has a fixed number of participants throughout
🟢 Correct Answer: C. New members are added as others leave the group
🔴 RATIONALE: In an open group, new members are added as others leave, allowing for continuous enrollment
and a dynamic group composition. This contrasts with closed groups, where membership is fixed for a
designated period. Open groups offer the benefit of fresh perspectives but can present challenges related to
group cohesion and trust development.
,Question 3
A PMHNP is facilitating a group therapy session. A member shares that they feel "different" and "alone" in their
struggles. Another member responds, "I felt the same way until I heard everyone else's stories." Which of
Yalom's therapeutic factors is primarily being demonstrated?
A. Catharsis
B. Universality
C. Altruism
D. Imitative behavior
🟢 Correct Answer: B. Universality
🔴 RATIONALE: Universality is the therapeutic factor in which group members realize that they are not alone in
their experiences and that others share similar struggles. This recognition reduces feelings of isolation and
promotes a sense of belonging. Catharsis involves emotional release, altruism involves helping others, and
imitative behavior involves modeling others' behaviors.
Question 4
According to Irvin Yalom, which of the following is one of the 12 curative (therapeutic) factors in group therapy?
A. Free association
, B. Corrective recapitulation of the primary family group
C. Systematic desensitization
D. Cognitive restructuring
🟢 Correct Answer: B. Corrective recapitulation of the primary family group
🔴 RATIONALE: Yalom identified 12 therapeutic factors in group therapy, including corrective recapitulation of
the primary family group, instillation of hope, universality, imparting information, altruism, development of
socializing techniques, imitative behavior, interpersonal learning, group cohesiveness, catharsis, existential
factors, and hope. Free association is a psychoanalytic technique, systematic desensitization is a behavioral
therapy technique, and cognitive restructuring is a CBT technique.
Question 5
A PMHNP is leading a group that has been meeting weekly for 6 months. The group members demonstrate
strong cohesion and mutual support. According to Yalom, the development of group cohesiveness is most
closely associated with which therapeutic factor?
A. The group's ability to provide a sense of belonging and acceptance
B. The group's focus on cognitive restructuring
C. The group's adherence to a structured agenda
