1
NSG
NSG 3450 / NSG3450 E XAM 2: (NEW 2025/
2026 UPDATE) NURSING PRACTICE - MENTAL
HEALTH REVIEW| QUESTIONS & ANSWERS| GRADE
A| 100% CORRECT (VERIFIED SOLUTIONS)- GALEN
What question by the nurse leader is helpful in managing a monopolizing member of a
group?
a. "You seem angry. Is there something you want to discuss with the group."
b. "Would it be helpful if you had time to think about the question?"
c. "Would you tell us about experiences that have frightened you?"
d. "Who else would like to share feelings about this issue?" - ANS ✓d. "Who else would
like to share feelings about this issue?"
What advantages does group therapy have over those of individual therapy? Select all
that apply:
a. groups are less expensive than one-to-one therapy
b. groups provide an opportunity to learn from others
c. groups are homogenous in composition
d. feedback is available from the group leader and group members
e. interpersonal skills can be practiced in a safe environment - ANS ✓a, b, d, e
What group would benefit most from a laissez-faire leader?
a. art group
b. grief group
c. social skills group
d. anger management group - ANS ✓A. art group
The nurse tells groups members that they will be working on expressing conflicts during
the current group session. which phase of group development is represented?
a. planning (formation) phase
b. orientation phase
c. working phase
d. termination phase - ANS ✓B. orientation phase
Group dynamics can vary widely and at times members are capable of disrupting the
group process. which of the following participant traits may indicate a need for
additional support for a new nurse facilitator? Select all that apply:
a. a member w/ paranoid delusions
b. a quietly tearful participant expressing suicidal thoughts
NSG 3450
, 2
NSG
c. an angry woman who raises her voice
d. a calm but ineffective communicator - ANS ✓a, b
Group members are having difficulty deciding what topic to cover in today's session.
Which nurse leader response reflects autocratic leadership?
a. "We are talking about fear of rejection today."
b. "Let's go around the room and make suggestions for today's topic."
c. "I will let you come to a conclusion together about what to talk about."
d. "I'll work with you to find a suitable topic for today." - ANS ✓A.
"We are talking about fear of rejection today."
A pt. continues to dominate the group conversation despite having been asked to allow
others to speak. What is the most appropriate group leader response?
a. "You are monopolizing the conversation."
b. "When you talk constantly, it makes everyone feel angry."
c. "You are supposed to allow other to talk also."
d. "When you speak out of turn, I am concerned that others cannot participate
equally." - ANS ✓D. "When you speak out of turn, I am concerned that others cannot
participate equally."
The nurse is planning care, which includes a dual-diagnosis group. Which pt. would be
appropriate for this group? The pt. with:
a. depression and suicidal tendencies
b. anxiety and frequent migraine headaches
c. bipolar disorder and anorexia nervosa
d. schizophrenia and alcohol abuse - ANS ✓D. schizophrenia and alcohol abuse
What assessment question is focused on identifying a long-term consequence of chronic
stress on physical health?
a. "Do you have any problems with seeping well?"
b. "How many infections have you experienced in the past 6 months?"
c. "How much moderate exercise do you engage in on a regular basis?"
d. "What management techniques do you regularly use to manage your stress?" - ANS
✓b. "How many infections have you experienced in the past 6 months?"
Which nursing assessment are directed at monitoring a pt.'s fight-or-flight response?
Select all that apply:
a. blood pressure
b. heart rate
c. respiratory rate
c. abdominal pain
e. dilated pupils - ANS ✓a, b, c, e
Which question is focused on the assessment of an individual's personal ability to
manage stress? Select all that apply:
a. "Have you ever been diagnosed with cancer?"
NSG 3450
, 3
NSG
b. "Do you engage in any hobbies now that you have retired?"
c. "Have you been taking your antihypertensive medication as it is prescribed?"
d. "Who can you rely on if you need help after you're discharged from the hospital?"
e. "What do you do to help manage the demands of parenting a 4 y/o and a newborn?" -
ANS ✓b, d, e
When considering stress, what is the primary goal of making daily entries into a
personal journal?
a. providing a distraction from the daily stress
b. expressing emotions to manage stress
c. identifying stress triggers
d. focusing on one's stress - ANS ✓c. identifying stress triggers
Jackson has suffered from migraine headaches all of his life. Fatima, his nurse
practitioner, suspects muscle tension as a trigger fro his headaches. Fatima teaches him
a technique that promoted relaxation by using:
a. biofeedback
b. guided imagery
c. deep breathing
d. progressive muscle relaxation - ANS ✓d. progressive muscle relaxation
Hugo is 21 and diagnosed with schizophrenia. His history includes significant turmoil as
child and adolescent. Hugo reports his father was abusive and routinely beat him, all of
his siblings, and his mother Hugo's early exposure to stress most likely:
a. made him resilient to stressful situations
b. increased his future vulnerability to psychiatric disorders
c. developed strong survival skills
d. shaped his nurturing nature - ANS ✓B. increased his future vulnerability to psychiatric
disorders
Hugo has a fraternal twin names Franco who is unaffected by mental illness even
though they were raised int he same dysfunctional household. Franco asks the nurse,
"Why Hugo and not me?" The nurse replies:
a. "Your father was probably less abusive to you."
b. "Hugo likely has a genetic vulnerability."
c. "You probably ignored the situation."
d. "Hugo responded to perceived threats by focusing on an internal world." - ANS ✓B.
"Hugo likely has a genetic vulnerability."
First responders and emergency department healthcare providers use dark humor in an
effort to:
a. reduce stress and anxiety
b. relive the experience
c. rectify mortal distress
d. alert others to the stress - ANS ✓A. reduce stress and anxiety
NSG 3450
NSG
NSG 3450 / NSG3450 E XAM 2: (NEW 2025/
2026 UPDATE) NURSING PRACTICE - MENTAL
HEALTH REVIEW| QUESTIONS & ANSWERS| GRADE
A| 100% CORRECT (VERIFIED SOLUTIONS)- GALEN
What question by the nurse leader is helpful in managing a monopolizing member of a
group?
a. "You seem angry. Is there something you want to discuss with the group."
b. "Would it be helpful if you had time to think about the question?"
c. "Would you tell us about experiences that have frightened you?"
d. "Who else would like to share feelings about this issue?" - ANS ✓d. "Who else would
like to share feelings about this issue?"
What advantages does group therapy have over those of individual therapy? Select all
that apply:
a. groups are less expensive than one-to-one therapy
b. groups provide an opportunity to learn from others
c. groups are homogenous in composition
d. feedback is available from the group leader and group members
e. interpersonal skills can be practiced in a safe environment - ANS ✓a, b, d, e
What group would benefit most from a laissez-faire leader?
a. art group
b. grief group
c. social skills group
d. anger management group - ANS ✓A. art group
The nurse tells groups members that they will be working on expressing conflicts during
the current group session. which phase of group development is represented?
a. planning (formation) phase
b. orientation phase
c. working phase
d. termination phase - ANS ✓B. orientation phase
Group dynamics can vary widely and at times members are capable of disrupting the
group process. which of the following participant traits may indicate a need for
additional support for a new nurse facilitator? Select all that apply:
a. a member w/ paranoid delusions
b. a quietly tearful participant expressing suicidal thoughts
NSG 3450
, 2
NSG
c. an angry woman who raises her voice
d. a calm but ineffective communicator - ANS ✓a, b
Group members are having difficulty deciding what topic to cover in today's session.
Which nurse leader response reflects autocratic leadership?
a. "We are talking about fear of rejection today."
b. "Let's go around the room and make suggestions for today's topic."
c. "I will let you come to a conclusion together about what to talk about."
d. "I'll work with you to find a suitable topic for today." - ANS ✓A.
"We are talking about fear of rejection today."
A pt. continues to dominate the group conversation despite having been asked to allow
others to speak. What is the most appropriate group leader response?
a. "You are monopolizing the conversation."
b. "When you talk constantly, it makes everyone feel angry."
c. "You are supposed to allow other to talk also."
d. "When you speak out of turn, I am concerned that others cannot participate
equally." - ANS ✓D. "When you speak out of turn, I am concerned that others cannot
participate equally."
The nurse is planning care, which includes a dual-diagnosis group. Which pt. would be
appropriate for this group? The pt. with:
a. depression and suicidal tendencies
b. anxiety and frequent migraine headaches
c. bipolar disorder and anorexia nervosa
d. schizophrenia and alcohol abuse - ANS ✓D. schizophrenia and alcohol abuse
What assessment question is focused on identifying a long-term consequence of chronic
stress on physical health?
a. "Do you have any problems with seeping well?"
b. "How many infections have you experienced in the past 6 months?"
c. "How much moderate exercise do you engage in on a regular basis?"
d. "What management techniques do you regularly use to manage your stress?" - ANS
✓b. "How many infections have you experienced in the past 6 months?"
Which nursing assessment are directed at monitoring a pt.'s fight-or-flight response?
Select all that apply:
a. blood pressure
b. heart rate
c. respiratory rate
c. abdominal pain
e. dilated pupils - ANS ✓a, b, c, e
Which question is focused on the assessment of an individual's personal ability to
manage stress? Select all that apply:
a. "Have you ever been diagnosed with cancer?"
NSG 3450
, 3
NSG
b. "Do you engage in any hobbies now that you have retired?"
c. "Have you been taking your antihypertensive medication as it is prescribed?"
d. "Who can you rely on if you need help after you're discharged from the hospital?"
e. "What do you do to help manage the demands of parenting a 4 y/o and a newborn?" -
ANS ✓b, d, e
When considering stress, what is the primary goal of making daily entries into a
personal journal?
a. providing a distraction from the daily stress
b. expressing emotions to manage stress
c. identifying stress triggers
d. focusing on one's stress - ANS ✓c. identifying stress triggers
Jackson has suffered from migraine headaches all of his life. Fatima, his nurse
practitioner, suspects muscle tension as a trigger fro his headaches. Fatima teaches him
a technique that promoted relaxation by using:
a. biofeedback
b. guided imagery
c. deep breathing
d. progressive muscle relaxation - ANS ✓d. progressive muscle relaxation
Hugo is 21 and diagnosed with schizophrenia. His history includes significant turmoil as
child and adolescent. Hugo reports his father was abusive and routinely beat him, all of
his siblings, and his mother Hugo's early exposure to stress most likely:
a. made him resilient to stressful situations
b. increased his future vulnerability to psychiatric disorders
c. developed strong survival skills
d. shaped his nurturing nature - ANS ✓B. increased his future vulnerability to psychiatric
disorders
Hugo has a fraternal twin names Franco who is unaffected by mental illness even
though they were raised int he same dysfunctional household. Franco asks the nurse,
"Why Hugo and not me?" The nurse replies:
a. "Your father was probably less abusive to you."
b. "Hugo likely has a genetic vulnerability."
c. "You probably ignored the situation."
d. "Hugo responded to perceived threats by focusing on an internal world." - ANS ✓B.
"Hugo likely has a genetic vulnerability."
First responders and emergency department healthcare providers use dark humor in an
effort to:
a. reduce stress and anxiety
b. relive the experience
c. rectify mortal distress
d. alert others to the stress - ANS ✓A. reduce stress and anxiety
NSG 3450
