,NSG 526 Exam 2: Therapeutic Approaches
Practice Test
Complete Multiple-Choice Questions with Rationales
(Questions 1-200)
Exam Instructions
• Total Questions: 200
• Time Allowed: 3 Hours
• Select the BEST answer for each question
• Each question is worth 1 point
SECTION 1: YALOM'S THERAPEUTIC FACTORS IN
GROUP THERAPY
(Questions 1-30)
Question 1
According to Yalom, the expression of ideas and suppressed material
accompanied by an emotional response that produces relief is referred to
as:
,A. Cohesion
B. Catharsis
C. Universality
D. Insight
Answer: B. Catharsis
Rationale: Catharsis involves the release of emotional tension through
expressing pent-up feelings and ideas. While cohesion (A) refers to group
bonding, universality (C) involves recognizing shared experiences, and insight
(D) involves intellectual understanding—catharsis specifically requires the
emotional release component that produces relief.
Question 2
A group member comments: "I never knew so many people felt like I did."
This is an example of which Yalom therapeutic factor?
A. Imitative behavior
B. Universality
C. Corrective recapitulation of the primary family group
D. Instillation of hope
Answer: B. Universality
Rationale: Universality occurs when group members recognize that others
share similar feelings, thoughts, and problems, reducing feelings of isolation.
Imitative behavior (A) involves copying others' behaviors, corrective
recapitulation (C) involves reenacting family dynamics, and instillation of
hope (D) involves gaining optimism about recovery—none of which directly
address the "I'm not alone" realization.
, Question 3
A patient tells a therapy group, "I hear voices saying my doctor is poisoning
me." Another patient replies, "I used to hear voices too. They sounded real,
but I found out later they were not. The voices you hear are not real either."
Which therapeutic factor is exemplified?
A. Ventilation
B. Universality
C. Imitative behavior
D. Interpersonal learning
Answer: B. Universality
Rationale: The second patient is demonstrating that they share a similar
experience (hearing voices), which normalizes the first patient's experience.
Ventilation (A) is expressing feelings, imitative behavior (C) is copying others,
and interpersonal learning (D) involves learning from relationship patterns—
while present, the core factor here is universality through shared experience.
Question 4
In group therapy, when members unconsciously relate to the therapist and
others as they did to family members, this is known as:
A. Transference
B. Corrective recapitulation of the primary family experience
C. Interpersonal learning
D. Imitative behavior
Answer: B. Corrective recapitulation of the primary family experience
Rationale: This Yalom factor occurs when group members unconsciously
reenact early family dynamics, allowing them to experience and correct
maladaptive patterns. While transference (A) is related, it specifically refers to
Practice Test
Complete Multiple-Choice Questions with Rationales
(Questions 1-200)
Exam Instructions
• Total Questions: 200
• Time Allowed: 3 Hours
• Select the BEST answer for each question
• Each question is worth 1 point
SECTION 1: YALOM'S THERAPEUTIC FACTORS IN
GROUP THERAPY
(Questions 1-30)
Question 1
According to Yalom, the expression of ideas and suppressed material
accompanied by an emotional response that produces relief is referred to
as:
,A. Cohesion
B. Catharsis
C. Universality
D. Insight
Answer: B. Catharsis
Rationale: Catharsis involves the release of emotional tension through
expressing pent-up feelings and ideas. While cohesion (A) refers to group
bonding, universality (C) involves recognizing shared experiences, and insight
(D) involves intellectual understanding—catharsis specifically requires the
emotional release component that produces relief.
Question 2
A group member comments: "I never knew so many people felt like I did."
This is an example of which Yalom therapeutic factor?
A. Imitative behavior
B. Universality
C. Corrective recapitulation of the primary family group
D. Instillation of hope
Answer: B. Universality
Rationale: Universality occurs when group members recognize that others
share similar feelings, thoughts, and problems, reducing feelings of isolation.
Imitative behavior (A) involves copying others' behaviors, corrective
recapitulation (C) involves reenacting family dynamics, and instillation of
hope (D) involves gaining optimism about recovery—none of which directly
address the "I'm not alone" realization.
, Question 3
A patient tells a therapy group, "I hear voices saying my doctor is poisoning
me." Another patient replies, "I used to hear voices too. They sounded real,
but I found out later they were not. The voices you hear are not real either."
Which therapeutic factor is exemplified?
A. Ventilation
B. Universality
C. Imitative behavior
D. Interpersonal learning
Answer: B. Universality
Rationale: The second patient is demonstrating that they share a similar
experience (hearing voices), which normalizes the first patient's experience.
Ventilation (A) is expressing feelings, imitative behavior (C) is copying others,
and interpersonal learning (D) involves learning from relationship patterns—
while present, the core factor here is universality through shared experience.
Question 4
In group therapy, when members unconsciously relate to the therapist and
others as they did to family members, this is known as:
A. Transference
B. Corrective recapitulation of the primary family experience
C. Interpersonal learning
D. Imitative behavior
Answer: B. Corrective recapitulation of the primary family experience
Rationale: This Yalom factor occurs when group members unconsciously
reenact early family dynamics, allowing them to experience and correct
maladaptive patterns. While transference (A) is related, it specifically refers to
