NSG 526 Exam 2 Review Guide Questions and
Correct Answers plus Rationales | Latest Update
2026-2027 | Graded A+
1. Which of the following best describes the primary purpose of group therapy
according to Yalom's therapeutic factors?
A) To facilitate changes by the patient to address identified problems
B) To provide a structured environment for medication management
C) To allow the therapist to diagnose multiple patients simultaneously
D) To reduce the cost of individual psychotherapy sessions
Correct Answer: To facilitate changes by the patient to address identified
problems
Rationale: The primary purpose of group therapy is to facilitate changes by the
patient to address identified problems. Yalom identified therapeutic factors such
as universality, altruism, and interpersonal learning that promote growth. It is not
primarily for medication management, diagnosis, or cost reduction.
2. What is the primary function of the group leader in the initial stage of
Tuckman's model?
A) To facilitate conflict resolution among members
B) To establish structure, set goals, and clarify expectations
C) To encourage member independence and shared leadership
D) To evaluate the group's overall effectiveness
Correct Answer: To establish structure, set goals, and clarify expectations
Rationale: In Tuckman's forming stage, the group leader provides structure, sets
goals, and clarifies expectations to help members feel safe and oriented. Conflict
resolution is characteristic of the storming stage. Shared leadership emerges in
the performing stage, and evaluation occurs in the adjourning stage.
, 3. According to Yalom, which therapeutic factor involves members helping
each other and feeling useful to others?
A) Universality
B) Altruism
C) Instillation of hope
D) Imitative behavior
Correct Answer: Altruism
Rationale: Altruism is the therapeutic factor in which group members help each
other and feel useful to others. It provides a sense of value and purpose.
Universality is the recognition that others share similar problems. Instillation of
hope involves seeing others improve, and imitative behavior involves modeling.
4. Which term refers to the group dynamic in which members redirect their
feelings about significant figures onto the group leader?
A) Transference
B) Cohesion
C) Catharsis
D) Universality
Correct Answer: Transference
Rationale: Transference occurs when group members redirect feelings, attitudes,
and behaviors from significant figures in their lives onto the group leader. It can be
positive or negative and is an important phenomenon to recognize and manage in
group therapy. Cohesion refers to the bond among members.
5. What is the most likely outcome if a group leader fails to address a
monopolizing member?
A) Improved group cohesion and participation
B) Decreased participation from other members and potential resentment
C) Enhanced therapeutic factors such as altruism
D) Increased group attendance and engagement
Correct Answer: Decreased participation from other members and potential
resentment
,Rationale: A monopolizing member can dominate the group's time and prevent
others from participating. If the leader does not intervene, other members may
become frustrated, withdraw from the group, and resent both the member and
the leader. The leader should make an observation about the group's silence.
6. Which principle explains the importance of establishing group norms during
the orientation phase?
A) Norms provide predictability and safety for members
B) Norms are unnecessary in short-term groups
C) Norms should be imposed by the leader without member input
D) Norms are primarily for the leader's benefit
Correct Answer: Norms provide predictability and safety for members
Rationale: Group norms establish expectations for behavior, communication, and
participation. They provide predictability and safety, helping members feel secure
and willing to engage in therapeutic work. Norms are most effective when
developed collaboratively with members.
7. A patient in a therapy group consistently arrives late and disrupts the
session. Which technique should the leader use first?
A) Ask the member to leave the group
B) Make an observation about the group's silence
C) Address the behavior directly with the member in private
D) Ignore the behavior to avoid reinforcing it
Correct Answer: Address the behavior directly with the member in private
Rationale: Addressing disruptive behavior directly with the member in private is
the first step. It allows the leader to understand the underlying reason and set
limits without shaming the member in front of the group. If the behavior
continues, the leader may then address it in the group.
8. What is the primary purpose of the milieu in a therapeutic community?
A) To provide a structured environment that promotes safety and
therapeutic interaction
B) To administer medications on a strict schedule
C) To isolate patients from outside influences
D) To reduce the need for individual therapy
, Correct Answer: To provide a structured environment that promotes safety and
therapeutic interaction
Rationale: The milieu, or therapeutic environment, is designed to promote safety,
structure, and therapeutic interaction among patients and staff. It includes
physical safety, clear boundaries, and opportunities for social learning. It does not
replace individual therapy or isolate patients.
9. According to Tuckman's model, which stage is characterized by conflict and
resistance?
A) Forming
B) Storming
C) Norming
D) Performing
Correct Answer: Storming
Rationale: The storming stage is characterized by conflict, resistance, and power
struggles as members begin to assert themselves and challenge the leader and
each other. Effective leadership involves helping the group navigate this stage to
develop trust and cohesion. Forming is the initial stage, norming involves
establishing cohesion, and performing is the productive stage.
10.Which finding is most consistent with a cohesive therapy group?
A) Members arrive late and miss sessions
B) Members openly share feelings and support each other
C) Members compete for the leader's attention
D) Members avoid discussing personal issues
Correct Answer: Members openly share feelings and support each other
Rationale: Group cohesion is characterized by mutual trust, support, and open
communication among members. Cohesive groups have higher attendance,
greater self-disclosure, and better outcomes. Competition for the leader's
attention and avoidance of personal issues indicate low cohesion.
11.What is the primary mechanism of action of cognitive behavioral therapy in
a group setting?
A) Analyzing unconscious conflicts from childhood
Correct Answers plus Rationales | Latest Update
2026-2027 | Graded A+
1. Which of the following best describes the primary purpose of group therapy
according to Yalom's therapeutic factors?
A) To facilitate changes by the patient to address identified problems
B) To provide a structured environment for medication management
C) To allow the therapist to diagnose multiple patients simultaneously
D) To reduce the cost of individual psychotherapy sessions
Correct Answer: To facilitate changes by the patient to address identified
problems
Rationale: The primary purpose of group therapy is to facilitate changes by the
patient to address identified problems. Yalom identified therapeutic factors such
as universality, altruism, and interpersonal learning that promote growth. It is not
primarily for medication management, diagnosis, or cost reduction.
2. What is the primary function of the group leader in the initial stage of
Tuckman's model?
A) To facilitate conflict resolution among members
B) To establish structure, set goals, and clarify expectations
C) To encourage member independence and shared leadership
D) To evaluate the group's overall effectiveness
Correct Answer: To establish structure, set goals, and clarify expectations
Rationale: In Tuckman's forming stage, the group leader provides structure, sets
goals, and clarifies expectations to help members feel safe and oriented. Conflict
resolution is characteristic of the storming stage. Shared leadership emerges in
the performing stage, and evaluation occurs in the adjourning stage.
, 3. According to Yalom, which therapeutic factor involves members helping
each other and feeling useful to others?
A) Universality
B) Altruism
C) Instillation of hope
D) Imitative behavior
Correct Answer: Altruism
Rationale: Altruism is the therapeutic factor in which group members help each
other and feel useful to others. It provides a sense of value and purpose.
Universality is the recognition that others share similar problems. Instillation of
hope involves seeing others improve, and imitative behavior involves modeling.
4. Which term refers to the group dynamic in which members redirect their
feelings about significant figures onto the group leader?
A) Transference
B) Cohesion
C) Catharsis
D) Universality
Correct Answer: Transference
Rationale: Transference occurs when group members redirect feelings, attitudes,
and behaviors from significant figures in their lives onto the group leader. It can be
positive or negative and is an important phenomenon to recognize and manage in
group therapy. Cohesion refers to the bond among members.
5. What is the most likely outcome if a group leader fails to address a
monopolizing member?
A) Improved group cohesion and participation
B) Decreased participation from other members and potential resentment
C) Enhanced therapeutic factors such as altruism
D) Increased group attendance and engagement
Correct Answer: Decreased participation from other members and potential
resentment
,Rationale: A monopolizing member can dominate the group's time and prevent
others from participating. If the leader does not intervene, other members may
become frustrated, withdraw from the group, and resent both the member and
the leader. The leader should make an observation about the group's silence.
6. Which principle explains the importance of establishing group norms during
the orientation phase?
A) Norms provide predictability and safety for members
B) Norms are unnecessary in short-term groups
C) Norms should be imposed by the leader without member input
D) Norms are primarily for the leader's benefit
Correct Answer: Norms provide predictability and safety for members
Rationale: Group norms establish expectations for behavior, communication, and
participation. They provide predictability and safety, helping members feel secure
and willing to engage in therapeutic work. Norms are most effective when
developed collaboratively with members.
7. A patient in a therapy group consistently arrives late and disrupts the
session. Which technique should the leader use first?
A) Ask the member to leave the group
B) Make an observation about the group's silence
C) Address the behavior directly with the member in private
D) Ignore the behavior to avoid reinforcing it
Correct Answer: Address the behavior directly with the member in private
Rationale: Addressing disruptive behavior directly with the member in private is
the first step. It allows the leader to understand the underlying reason and set
limits without shaming the member in front of the group. If the behavior
continues, the leader may then address it in the group.
8. What is the primary purpose of the milieu in a therapeutic community?
A) To provide a structured environment that promotes safety and
therapeutic interaction
B) To administer medications on a strict schedule
C) To isolate patients from outside influences
D) To reduce the need for individual therapy
, Correct Answer: To provide a structured environment that promotes safety and
therapeutic interaction
Rationale: The milieu, or therapeutic environment, is designed to promote safety,
structure, and therapeutic interaction among patients and staff. It includes
physical safety, clear boundaries, and opportunities for social learning. It does not
replace individual therapy or isolate patients.
9. According to Tuckman's model, which stage is characterized by conflict and
resistance?
A) Forming
B) Storming
C) Norming
D) Performing
Correct Answer: Storming
Rationale: The storming stage is characterized by conflict, resistance, and power
struggles as members begin to assert themselves and challenge the leader and
each other. Effective leadership involves helping the group navigate this stage to
develop trust and cohesion. Forming is the initial stage, norming involves
establishing cohesion, and performing is the productive stage.
10.Which finding is most consistent with a cohesive therapy group?
A) Members arrive late and miss sessions
B) Members openly share feelings and support each other
C) Members compete for the leader's attention
D) Members avoid discussing personal issues
Correct Answer: Members openly share feelings and support each other
Rationale: Group cohesion is characterized by mutual trust, support, and open
communication among members. Cohesive groups have higher attendance,
greater self-disclosure, and better outcomes. Competition for the leader's
attention and avoidance of personal issues indicate low cohesion.
11.What is the primary mechanism of action of cognitive behavioral therapy in
a group setting?
A) Analyzing unconscious conflicts from childhood
