NRNP 6645 Exam 4 V2 | NRNP 6645
Psychotherapy with Multiple Modalities |
Actual Q&A with Rationale (NRNP6645
Exam 4) | Walden University
1. During the working stage of group therapy, a member expresses that they feel they are the
only ones struggling with chronic anxiety. Another member shares a similar experience,
leading to a visible sense of relief. Which of Yalom’s curative factors is being demonstrated?
A. Altruism
B. Universality
C. Instillation of hope
D. Imparting information
Answer: B
Rationale: Universality refers to the realization by group members that their problems are
not unique and that others share similar thoughts and feelings. This factor is crucial in the
early and working phases to reduce isolation and shame. The PMHNP facilitates this by
encouraging members to find commonalities in their lived experiences.
,2. A PMHNP is using Bowen Family Systems Theory. A mother frequently complains to her
daughter about the father’s lack of emotional availability, effectively drawing the daughter
into the parental conflict. This dynamic is best described as:
A. Enmeshment
B. Triangulation
C. Emotional Cutoff
D. Multigenerational Transmission
Answer: B
Rationale: Triangulation occurs when a two-person system under stress recruits a third
person to stabilize the relationship and reduce anxiety. In this case, the daughter is being
used as a buffer for the parents’ relational tension. Bowenian therapy aims to detriangulate
these individuals to foster healthier boundaries.
3. Which phase of group development is characterized by members testing boundaries,
experiencing power struggles, and expressing disagreement with the leader?
A. Storming
B. Forming
C. Norming
D. Performing
Answer: A
, Rationale: The storming phase involves conflict as members seek to find their place and
role within the group hierarchy. It is a necessary stage for establishing authentic
communication and resolving underlying tensions. The PMHNP must remain neutral and
supportive to help the group transition to the norming stage.
4. In Structural Family Therapy, the therapist notices that the children in a family make
decisions about household rules while the parents remain passive. The therapist focuses on
restoring the parental hierarchy. This intervention targets:
A. Boundaries
B. Triangles
C. Circular Causality
D. Externalizing
Answer: A
Rationale: Structural therapy emphasizes the importance of clear boundaries and
appropriate hierarchies within the family unit. When children take on parental roles, it
indicates a breakdown in the subsystem boundaries. The PMHNP works to realign these
structures to ensure parents function as the executive subsystem.
5. A client in interpersonal psychotherapy (IPT) is struggling with a recent promotion that
requires significantly more social interaction and leadership. Which IPT problem area is most
likely being addressed?
A. Role Transitions
Psychotherapy with Multiple Modalities |
Actual Q&A with Rationale (NRNP6645
Exam 4) | Walden University
1. During the working stage of group therapy, a member expresses that they feel they are the
only ones struggling with chronic anxiety. Another member shares a similar experience,
leading to a visible sense of relief. Which of Yalom’s curative factors is being demonstrated?
A. Altruism
B. Universality
C. Instillation of hope
D. Imparting information
Answer: B
Rationale: Universality refers to the realization by group members that their problems are
not unique and that others share similar thoughts and feelings. This factor is crucial in the
early and working phases to reduce isolation and shame. The PMHNP facilitates this by
encouraging members to find commonalities in their lived experiences.
,2. A PMHNP is using Bowen Family Systems Theory. A mother frequently complains to her
daughter about the father’s lack of emotional availability, effectively drawing the daughter
into the parental conflict. This dynamic is best described as:
A. Enmeshment
B. Triangulation
C. Emotional Cutoff
D. Multigenerational Transmission
Answer: B
Rationale: Triangulation occurs when a two-person system under stress recruits a third
person to stabilize the relationship and reduce anxiety. In this case, the daughter is being
used as a buffer for the parents’ relational tension. Bowenian therapy aims to detriangulate
these individuals to foster healthier boundaries.
3. Which phase of group development is characterized by members testing boundaries,
experiencing power struggles, and expressing disagreement with the leader?
A. Storming
B. Forming
C. Norming
D. Performing
Answer: A
, Rationale: The storming phase involves conflict as members seek to find their place and
role within the group hierarchy. It is a necessary stage for establishing authentic
communication and resolving underlying tensions. The PMHNP must remain neutral and
supportive to help the group transition to the norming stage.
4. In Structural Family Therapy, the therapist notices that the children in a family make
decisions about household rules while the parents remain passive. The therapist focuses on
restoring the parental hierarchy. This intervention targets:
A. Boundaries
B. Triangles
C. Circular Causality
D. Externalizing
Answer: A
Rationale: Structural therapy emphasizes the importance of clear boundaries and
appropriate hierarchies within the family unit. When children take on parental roles, it
indicates a breakdown in the subsystem boundaries. The PMHNP works to realign these
structures to ensure parents function as the executive subsystem.
5. A client in interpersonal psychotherapy (IPT) is struggling with a recent promotion that
requires significantly more social interaction and leadership. Which IPT problem area is most
likely being addressed?
A. Role Transitions
