NSG 526 Exam 2 - Clinical Modalities Review 2026 – Wilkes University
1. According to Irvin Yalom, which curative factor involves the realization that
one is not alone in their suffering or problems?
A. Universality
B. Altruism
C. Catharsis
D. Imitative Behavior
Answer: A
Rationale: Universality is the recognition of shared experiences and feelings among group
members, which decreases isolation.
2. In the ‘Storming’ phase of group development, what is a primary
characteristic of member behavior?
A. High levels of cohesion and productivity
B. Testing boundaries and challenging the leader
C. Initial politeness and orientation
D. Effective problem solving and task completion
Answer: B
Rationale: The Storming phase is characterized by conflict, competition for status, and
challenging the leader’s authority.
,3. In Bowenian Family Systems Theory, what does the term ‘differentiation of
self’ refer to?
A. The process of becoming exactly like one’s parents
B. Cutting off contact with the family of origin to find peace
C. The physical separation of family members into different homes
D. The ability to remain emotionally connected while staying autonomous
Answer: D
Rationale: Differentiation of self is the ability to distinguish between intellectual and
emotional processes, allowing one to stay connected to the family without being
overwhelmed by the system’s anxiety.
4. Which family therapy technique involves the therapist acting out or
mimicking a family’s communication style to build rapport?
A. Reframing
B. Paradoxical Intervention
C. Enactment
D. Mimesis
Answer: D
Rationale: Mimesis is a structural family therapy technique where the therapist mimics
the family’s style, tempo, and affect to join the system.
5. In Cognitive Behavioral Therapy (CBT), the ‘Downward Arrow’ technique is
primarily used to identify what?
A. Automatic thoughts
B. Physical symptoms of anxiety
C. Immediate triggers
D. Core beliefs and schemas
Answer: D
, Rationale: The downward arrow technique involves asking ‘If that were true, what would
it mean to you?’ repeatedly to uncover deeper core beliefs or schemas.
6. Which component of Dialectical Behavior Therapy (DBT) focuses specifically
on helping patients tolerate painful events without making them worse?
A. Emotional Regulation
B. Distress Tolerance
C. Interpersonal Effectiveness
D. Mindfulness
Answer: B
Rationale: Distress tolerance skills help patients survive immediate crises and accept
reality when it cannot be changed immediately.
7. Salvador Minuchin’s Structural Family Therapy focuses primarily on which of
the following?
A. Family boundaries and hierarchies
B. Multigenerational patterns
C. Strategic paradoxical directives
D. Miracle questions and scaling
Answer: A
Rationale: Structural Family Therapy focuses on the family’s organization, specifically the
boundaries between subsystems and the hierarchy of power.
8. What is the ‘Miracle Question’ used for in Solution-Focused Brief Therapy
(SFBT)?
A. To identify the client’s past failures
B. To visualize a future without the problem and set goals
C. To assess the client’s spiritual beliefs
D. To challenge the client’s cognitive distortions
Answer: B
1. According to Irvin Yalom, which curative factor involves the realization that
one is not alone in their suffering or problems?
A. Universality
B. Altruism
C. Catharsis
D. Imitative Behavior
Answer: A
Rationale: Universality is the recognition of shared experiences and feelings among group
members, which decreases isolation.
2. In the ‘Storming’ phase of group development, what is a primary
characteristic of member behavior?
A. High levels of cohesion and productivity
B. Testing boundaries and challenging the leader
C. Initial politeness and orientation
D. Effective problem solving and task completion
Answer: B
Rationale: The Storming phase is characterized by conflict, competition for status, and
challenging the leader’s authority.
,3. In Bowenian Family Systems Theory, what does the term ‘differentiation of
self’ refer to?
A. The process of becoming exactly like one’s parents
B. Cutting off contact with the family of origin to find peace
C. The physical separation of family members into different homes
D. The ability to remain emotionally connected while staying autonomous
Answer: D
Rationale: Differentiation of self is the ability to distinguish between intellectual and
emotional processes, allowing one to stay connected to the family without being
overwhelmed by the system’s anxiety.
4. Which family therapy technique involves the therapist acting out or
mimicking a family’s communication style to build rapport?
A. Reframing
B. Paradoxical Intervention
C. Enactment
D. Mimesis
Answer: D
Rationale: Mimesis is a structural family therapy technique where the therapist mimics
the family’s style, tempo, and affect to join the system.
5. In Cognitive Behavioral Therapy (CBT), the ‘Downward Arrow’ technique is
primarily used to identify what?
A. Automatic thoughts
B. Physical symptoms of anxiety
C. Immediate triggers
D. Core beliefs and schemas
Answer: D
, Rationale: The downward arrow technique involves asking ‘If that were true, what would
it mean to you?’ repeatedly to uncover deeper core beliefs or schemas.
6. Which component of Dialectical Behavior Therapy (DBT) focuses specifically
on helping patients tolerate painful events without making them worse?
A. Emotional Regulation
B. Distress Tolerance
C. Interpersonal Effectiveness
D. Mindfulness
Answer: B
Rationale: Distress tolerance skills help patients survive immediate crises and accept
reality when it cannot be changed immediately.
7. Salvador Minuchin’s Structural Family Therapy focuses primarily on which of
the following?
A. Family boundaries and hierarchies
B. Multigenerational patterns
C. Strategic paradoxical directives
D. Miracle questions and scaling
Answer: A
Rationale: Structural Family Therapy focuses on the family’s organization, specifically the
boundaries between subsystems and the hierarchy of power.
8. What is the ‘Miracle Question’ used for in Solution-Focused Brief Therapy
(SFBT)?
A. To identify the client’s past failures
B. To visualize a future without the problem and set goals
C. To assess the client’s spiritual beliefs
D. To challenge the client’s cognitive distortions
Answer: B
