NRNP 6645 Exam 4 V3 | NRNP 6645
Psychotherapy with Multiple Modalities |
Actual Q&A with Rationale (NRNP6645
Exam 4) | Walden University
1. According to Irvin Yalom, which therapeutic factor involves the realization that one is not
alone in their suffering or problems?
A. Instillation of hope
B. Altruism
C. Catharsis
D. Universality
Answer: D
Rationale: Universality is the recognition of shared experiences and feelings among group
members. This factor helps decrease feelings of isolation and stigma as members realize
others face similar challenges. It provides a sense of relief and connection within the
therapeutic environment.
2. In Bowenian Family Therapy, what term describes the process where a two-person system
draws in a third person to reduce tension and stabilize the relationship?
A. Enmeshment
B. Triangulation
,C. Differentiation
D. Projection
Answer: B
Rationale: Triangulation occurs when a dyad in conflict involves a third party to shift the
focus away from the original issue. While this may temporarily reduce anxiety, it often
prevents the resolution of the underlying conflict between the original two people. This
concept is a core element of Murray Bowen’s family systems theory.
3. A PMHNP is leading a group and notices a member who dominates the conversation and
prevents others from participating. This behavior is known as:
A. Scapegoating
B. Monopolizing
C. Subgrouping
D. Acting out
Answer: B
Rationale: Monopolizing occurs when a single group member consumes a
disproportionate amount of time and attention. This behavior can lead to frustration
among other members and stall the group’s therapeutic progress. The therapist must
intervene to balance participation and explore the underlying anxiety of the monopolizer.
, 4. Which family therapy model emphasizes the use of ‘joining,’ ‘boundary setting,’ and
‘restructuring’ the family organization?
A. Strategic Family Therapy
B. Solution-Focused Family Therapy
C. Narrative Family Therapy
D. Structural Family Therapy
Answer: D
Rationale: Structural Family Therapy, developed by Salvador Minuchin, focuses on the
invisible rules that govern family interactions. The therapist actively enters the family
system (joining) to understand and eventually change the hierarchy and boundaries. This
modality aims to create a more functional structure to support individual and family
growth.
5. During which stage of group development do members typically experience conflict, test
boundaries, and challenge the leader?
A. Forming
B. Performing
C. Norming
D. Storming
Answer: D
Psychotherapy with Multiple Modalities |
Actual Q&A with Rationale (NRNP6645
Exam 4) | Walden University
1. According to Irvin Yalom, which therapeutic factor involves the realization that one is not
alone in their suffering or problems?
A. Instillation of hope
B. Altruism
C. Catharsis
D. Universality
Answer: D
Rationale: Universality is the recognition of shared experiences and feelings among group
members. This factor helps decrease feelings of isolation and stigma as members realize
others face similar challenges. It provides a sense of relief and connection within the
therapeutic environment.
2. In Bowenian Family Therapy, what term describes the process where a two-person system
draws in a third person to reduce tension and stabilize the relationship?
A. Enmeshment
B. Triangulation
,C. Differentiation
D. Projection
Answer: B
Rationale: Triangulation occurs when a dyad in conflict involves a third party to shift the
focus away from the original issue. While this may temporarily reduce anxiety, it often
prevents the resolution of the underlying conflict between the original two people. This
concept is a core element of Murray Bowen’s family systems theory.
3. A PMHNP is leading a group and notices a member who dominates the conversation and
prevents others from participating. This behavior is known as:
A. Scapegoating
B. Monopolizing
C. Subgrouping
D. Acting out
Answer: B
Rationale: Monopolizing occurs when a single group member consumes a
disproportionate amount of time and attention. This behavior can lead to frustration
among other members and stall the group’s therapeutic progress. The therapist must
intervene to balance participation and explore the underlying anxiety of the monopolizer.
, 4. Which family therapy model emphasizes the use of ‘joining,’ ‘boundary setting,’ and
‘restructuring’ the family organization?
A. Strategic Family Therapy
B. Solution-Focused Family Therapy
C. Narrative Family Therapy
D. Structural Family Therapy
Answer: D
Rationale: Structural Family Therapy, developed by Salvador Minuchin, focuses on the
invisible rules that govern family interactions. The therapist actively enters the family
system (joining) to understand and eventually change the hierarchy and boundaries. This
modality aims to create a more functional structure to support individual and family
growth.
5. During which stage of group development do members typically experience conflict, test
boundaries, and challenge the leader?
A. Forming
B. Performing
C. Norming
D. Storming
Answer: D
