NSG 526 Exam 2 - Clinical Modalities Study Guide 2026 – Wilkes
University
1. Which of Yalom’s curative factors is characterized by the member’s
realization that they are not alone in their problems and that others share
similar feelings?
A. Altruism
B. Cohesiveness
C. Catharsis
D. Universality
Answer: D
Rationale: Universality is the recognition of shared experiences and feelings among group
members, which decreases isolation.
2. In Bowenian Family Therapy, what term describes the process where a two-
person system draws in a third person to relieve tension?
A. Differentiation
B. Triangulation
C. Enmeshment
D. Reframing
Answer: B
Rationale: Triangulation is a key Bowenian concept where a third person is used to
stabilize a stressful relationship between two others.
,3. During which phase of group development do members typically experience
conflict, power struggles, and competition for the leader’s attention?
A. Storming phase
B. Orientation phase
C. Norming phase
D. Working phase
Answer: A
Rationale: The storming phase is characterized by conflict and testing of boundaries as
members seek to define their roles within the group.
4. According to Beck’s Cognitive Behavioral Therapy, what are the rapid,
unthinking responses based on unique schemas called?
A. Free association
B. Defense mechanisms
C. Projection
D. Automatic thoughts
Answer: D
Rationale: Automatic thoughts are spontaneous, evaluative thoughts that occur in
response to a situation and influence emotions.
5. In Dialectical Behavior Therapy (DBT), which module focuses on the ‘Wise
Mind’ and being present in the moment?
A. Interpersonal Effectiveness
B. Distress Tolerance
C. Emotional Regulation
D. Mindfulness
Answer: D
Rationale: Mindfulness is the core DBT skill that involves balancing the emotional mind
and reasonable mind to achieve the wise mind.
, 6. Which of the following is the primary goal of Crisis Intervention?
A. Exploring childhood traumas
B. Long-term personality reconstruction
C. Restoring the person to their pre-crisis level of functioning
D. Developing a long-term therapeutic relationship
Answer: C
Rationale: Crisis intervention is short-term and focuses on immediate safety and returning
the individual to their baseline level of functioning.
7. In Structural Family Therapy (Minuchin), what type of boundary is
characterized by extreme emotional detachment and lack of support?
A. Diffuse boundaries
B. Clear boundaries
C. Rigid boundaries
D. Enmeshed boundaries
Answer: C
Rationale: Rigid boundaries lead to disengagement, where family members are isolated
from one another and lack intimacy.
8. Interpersonal Psychotherapy (IPT) is primarily focused on which of the
following?
A. Cognitive distortions and belief systems
B. The relationship between symptoms and current social relationships
C. Unconscious drives and past childhood experiences
D. Behavioral reinforcement and punishment
D. Dialectical tension
Answer: B
University
1. Which of Yalom’s curative factors is characterized by the member’s
realization that they are not alone in their problems and that others share
similar feelings?
A. Altruism
B. Cohesiveness
C. Catharsis
D. Universality
Answer: D
Rationale: Universality is the recognition of shared experiences and feelings among group
members, which decreases isolation.
2. In Bowenian Family Therapy, what term describes the process where a two-
person system draws in a third person to relieve tension?
A. Differentiation
B. Triangulation
C. Enmeshment
D. Reframing
Answer: B
Rationale: Triangulation is a key Bowenian concept where a third person is used to
stabilize a stressful relationship between two others.
,3. During which phase of group development do members typically experience
conflict, power struggles, and competition for the leader’s attention?
A. Storming phase
B. Orientation phase
C. Norming phase
D. Working phase
Answer: A
Rationale: The storming phase is characterized by conflict and testing of boundaries as
members seek to define their roles within the group.
4. According to Beck’s Cognitive Behavioral Therapy, what are the rapid,
unthinking responses based on unique schemas called?
A. Free association
B. Defense mechanisms
C. Projection
D. Automatic thoughts
Answer: D
Rationale: Automatic thoughts are spontaneous, evaluative thoughts that occur in
response to a situation and influence emotions.
5. In Dialectical Behavior Therapy (DBT), which module focuses on the ‘Wise
Mind’ and being present in the moment?
A. Interpersonal Effectiveness
B. Distress Tolerance
C. Emotional Regulation
D. Mindfulness
Answer: D
Rationale: Mindfulness is the core DBT skill that involves balancing the emotional mind
and reasonable mind to achieve the wise mind.
, 6. Which of the following is the primary goal of Crisis Intervention?
A. Exploring childhood traumas
B. Long-term personality reconstruction
C. Restoring the person to their pre-crisis level of functioning
D. Developing a long-term therapeutic relationship
Answer: C
Rationale: Crisis intervention is short-term and focuses on immediate safety and returning
the individual to their baseline level of functioning.
7. In Structural Family Therapy (Minuchin), what type of boundary is
characterized by extreme emotional detachment and lack of support?
A. Diffuse boundaries
B. Clear boundaries
C. Rigid boundaries
D. Enmeshed boundaries
Answer: C
Rationale: Rigid boundaries lead to disengagement, where family members are isolated
from one another and lack intimacy.
8. Interpersonal Psychotherapy (IPT) is primarily focused on which of the
following?
A. Cognitive distortions and belief systems
B. The relationship between symptoms and current social relationships
C. Unconscious drives and past childhood experiences
D. Behavioral reinforcement and punishment
D. Dialectical tension
Answer: B
