NSG 526 EXAM 2 STUDY GUIDE 2026
PRACTICE QUESTIONS, CORRECT
ANSWERS AND DETAILED RATIONALES
COMPREHENSIVE NURSING EXAM
REVIEW
"Mary, I noticed that you haven't said much tonight. How has your week
gone?"
"Bill has just shared his frustrations with the group. Mary, I know you've
said you felt frustrated insimilar situations. What advice can you give Bill?"
[This example directly targets a silent client by asking him or her to offer
advice or suggestions to another client.]
Late laura - CORRECT ANSWER-Although most clients who come
late to groups are aware of their behavior, some fail to understand the effect
their behavior has on the group. Having the group respond to such clients is
more likely to result in changes (e.g., coming to subsequent groups on time)
than is being told they are late by group leaders. The following responses
would be used only with clients who are repeatedly late or who miss several
group meetings.
"This is the third time Mary has been late. What suggestions can the group
provide to help her get here on time?"
"I'm wondering how others feel about Mary being late for group several
times." [Although this response is more direct than the first example, open
discussion of some issues can increase members' sensitivity to their own
behavior, as well as help them understand how their behavior affects the
entire group.]
,Tommie THerapist - CORRECT ANSWER-Such clients may have
been attending a group for several sessions, or they may have considerable
prior therapy experience. At times, such clients' interactions in groups will
parallel those of a therapist. Although such advice can sometimes be helpful
to group members, on other occasions the advice can be disruptive or too
direct.
"Bill, your comments have been helpful. Let's see how others view Mary's
concerns."
"Bill, that is one way of looking at how Mary can handle the situation. What
additional options canothers offer Mary?"
Chatty Cathy and Monopolizing Mike - CORRECT ANSWER-Such
clients dominate group discussions. Group leaders need to find effective
ways to interrupt such clients, as they are often unaware of the impact that
their behavior has on the group. A strategy that group leaders can use when
a Chatty Cathy client is talking is to direct questions to the group as a
whole. For example:
"Bill, it sounds like a lot has happened with you this week. I am wondering
what has happened with other group members." (The group leader then
calls on another member.) "Mary, how did your week go?"
"Mary, you seem to have had a lot going on this past week. Let's take a look
at what's been happening with you for a few more minutes, and then let's
see how others have been doing this past week."Interrupting IvanThe
behavior of such clients in groups is disruptive, as they frequently interrupt
ongoing group discussions.
"We seem to be having an active discussion about [insert topic] today, but
several members are talking at the same time. I'm wondering how this is
affecting the group and what the group thinks we should do."
"I know we all have important things to say, but we need to respect each
other and let others finish what they are saying before the next person
speaks."
, Resistent Roberta - CORRECT ANSWER-Clients who feel they are
forced or coerced to attend groups (e.g., by a spouse, probation officer,
employer) are often not happy and, consequently, participate minimally, if
at all.
"Bill, as with many people, it appears that you are upset about your
probation officer telling you that you have to come to treatment. What
suggestions does the group have for Bill?"
"Mary, it sounds like you feel you had no choice in coming to group and you
are angry. Who else with similar experiences can share with Mary how
they've handled such situations?"
Group Dynamics - CORRECT ANSWER-Group dynamics deals with
the attitudes and behavioral patterns of a group. It can be used as a means
for problem-solving, teamwork, and to become more innovative and
productive as an organization. The concept of group dynamics will also
provide you with the strengths, success factors, and measures along with
other professional tools
Intermittent Explosive Disorder and Piaget's model. - CORRECT
ANSWER-An inability to resist aggressive urges towards others with
bouts of explosive anger and assault towards others and their property
Goal of the cognitive-behavioral model according to Beck and Ellis. -
CORRECT ANSWER-Therapist goals are to provide symptom relief,
facilitate a remission of the disorder, help the patients resolved their most
pressing problems, and teach them skills to avoid relapse.
PRACTICE QUESTIONS, CORRECT
ANSWERS AND DETAILED RATIONALES
COMPREHENSIVE NURSING EXAM
REVIEW
"Mary, I noticed that you haven't said much tonight. How has your week
gone?"
"Bill has just shared his frustrations with the group. Mary, I know you've
said you felt frustrated insimilar situations. What advice can you give Bill?"
[This example directly targets a silent client by asking him or her to offer
advice or suggestions to another client.]
Late laura - CORRECT ANSWER-Although most clients who come
late to groups are aware of their behavior, some fail to understand the effect
their behavior has on the group. Having the group respond to such clients is
more likely to result in changes (e.g., coming to subsequent groups on time)
than is being told they are late by group leaders. The following responses
would be used only with clients who are repeatedly late or who miss several
group meetings.
"This is the third time Mary has been late. What suggestions can the group
provide to help her get here on time?"
"I'm wondering how others feel about Mary being late for group several
times." [Although this response is more direct than the first example, open
discussion of some issues can increase members' sensitivity to their own
behavior, as well as help them understand how their behavior affects the
entire group.]
,Tommie THerapist - CORRECT ANSWER-Such clients may have
been attending a group for several sessions, or they may have considerable
prior therapy experience. At times, such clients' interactions in groups will
parallel those of a therapist. Although such advice can sometimes be helpful
to group members, on other occasions the advice can be disruptive or too
direct.
"Bill, your comments have been helpful. Let's see how others view Mary's
concerns."
"Bill, that is one way of looking at how Mary can handle the situation. What
additional options canothers offer Mary?"
Chatty Cathy and Monopolizing Mike - CORRECT ANSWER-Such
clients dominate group discussions. Group leaders need to find effective
ways to interrupt such clients, as they are often unaware of the impact that
their behavior has on the group. A strategy that group leaders can use when
a Chatty Cathy client is talking is to direct questions to the group as a
whole. For example:
"Bill, it sounds like a lot has happened with you this week. I am wondering
what has happened with other group members." (The group leader then
calls on another member.) "Mary, how did your week go?"
"Mary, you seem to have had a lot going on this past week. Let's take a look
at what's been happening with you for a few more minutes, and then let's
see how others have been doing this past week."Interrupting IvanThe
behavior of such clients in groups is disruptive, as they frequently interrupt
ongoing group discussions.
"We seem to be having an active discussion about [insert topic] today, but
several members are talking at the same time. I'm wondering how this is
affecting the group and what the group thinks we should do."
"I know we all have important things to say, but we need to respect each
other and let others finish what they are saying before the next person
speaks."
, Resistent Roberta - CORRECT ANSWER-Clients who feel they are
forced or coerced to attend groups (e.g., by a spouse, probation officer,
employer) are often not happy and, consequently, participate minimally, if
at all.
"Bill, as with many people, it appears that you are upset about your
probation officer telling you that you have to come to treatment. What
suggestions does the group have for Bill?"
"Mary, it sounds like you feel you had no choice in coming to group and you
are angry. Who else with similar experiences can share with Mary how
they've handled such situations?"
Group Dynamics - CORRECT ANSWER-Group dynamics deals with
the attitudes and behavioral patterns of a group. It can be used as a means
for problem-solving, teamwork, and to become more innovative and
productive as an organization. The concept of group dynamics will also
provide you with the strengths, success factors, and measures along with
other professional tools
Intermittent Explosive Disorder and Piaget's model. - CORRECT
ANSWER-An inability to resist aggressive urges towards others with
bouts of explosive anger and assault towards others and their property
Goal of the cognitive-behavioral model according to Beck and Ellis. -
CORRECT ANSWER-Therapist goals are to provide symptom relief,
facilitate a remission of the disorder, help the patients resolved their most
pressing problems, and teach them skills to avoid relapse.
