NUR 256 EXAM 2
Concepts Of Mental Health Nursing
Galen College of Nursing
High-Yield Qs & Verified Answers
with Rationales
This Exam Features:
NUR 256 Exam 2 Mental Health Nursing (Galen College)
including 50 high-yield questions written to mirror actual
course exams. Covers core Mental Health concepts with clear, accurate, and
student-friendly explanations. Perfect for mastering high-priority topics and
boosting exam confidence.
,1. During a multifamily support group, a client says, "Sometimes I feel sad
that I'll never have a good marriage like each of my siblings do." Which of
the following is an appropriate response by the nurse to facilitate group
discussion of this issue?
A) "Everyone's path in marriage is different, you should focus on your own
journey."
B) "Would anyone else like to talk about similar feelings?"
C) "Marriage is not the only measure of success in life."
D) "Have you considered what makes a marriage good to you?"
Correct Answer: B) Would anyone else like to talk about similar feelings?
Rationale:
In group therapy, facilitating peer sharing is essential to build universality and
cohesion. By inviting others to discuss similar feelings, the nurse encourages
group members to identify with one another, reducing isolation and fostering
mutual support. This technique enhances empathy and normalizes the expression
of common concerns, which is key in multifamily therapeutic settings.
---
2. The nurse is leading a group therapy session with a client who has bipolar
disorder and repeatedly attempts to monopolize the session. The nurse has
thanked the client for their input but reminded them that others need an
opportunity to contribute. After a few minutes, the client repeats the same
behavior. Which of the following actions should the nurse perform to
manage this client's behavior?
A) Redirect the client by suggesting quieter group activities.
B) Suggest the client limit their suggestions to 2 to 3 per session.
C) Ask the client to leave the group temporarily.
D) Ignore the behavior to avoid confrontation.
, Correct Answer: B) Suggest the client limit their suggestions to 2 to 3 per
session.
Rationale:
Setting clear, structured behavioral limits with specific expectations helps manage
monopolizing behaviors while maintaining therapeutic rapport. It respects the
client’s need to express themselves but maintains fairness and equal participation
from all members. This approach is more effective than punitive measures or
ignoring behaviors, which may exacerbate the issue.
---
3. The nurse is leading a new self-esteem group. Which of the following
interventions by the nurse is best for assuming mutual respect within the
group?
A) Allow group members to set their own rules after the first session.
B) Describe the importance of treating each other with consideration at the
beginning of each session.
C) Encourage group members to avoid topics that cause discomfort.
D) Limit the length each member can speak during sessions.
Correct Answer: B) Describe the importance of treating each other with
consideration at the beginning of each session.
Rationale:
Establishing group norms that emphasize respect and consideration at the outset
sets the tone for a safe environment. It encourages mutual respect and promotes
trusting relationships within the group, essential elements for effective self-
esteem work and group cohesion.
---
Concepts Of Mental Health Nursing
Galen College of Nursing
High-Yield Qs & Verified Answers
with Rationales
This Exam Features:
NUR 256 Exam 2 Mental Health Nursing (Galen College)
including 50 high-yield questions written to mirror actual
course exams. Covers core Mental Health concepts with clear, accurate, and
student-friendly explanations. Perfect for mastering high-priority topics and
boosting exam confidence.
,1. During a multifamily support group, a client says, "Sometimes I feel sad
that I'll never have a good marriage like each of my siblings do." Which of
the following is an appropriate response by the nurse to facilitate group
discussion of this issue?
A) "Everyone's path in marriage is different, you should focus on your own
journey."
B) "Would anyone else like to talk about similar feelings?"
C) "Marriage is not the only measure of success in life."
D) "Have you considered what makes a marriage good to you?"
Correct Answer: B) Would anyone else like to talk about similar feelings?
Rationale:
In group therapy, facilitating peer sharing is essential to build universality and
cohesion. By inviting others to discuss similar feelings, the nurse encourages
group members to identify with one another, reducing isolation and fostering
mutual support. This technique enhances empathy and normalizes the expression
of common concerns, which is key in multifamily therapeutic settings.
---
2. The nurse is leading a group therapy session with a client who has bipolar
disorder and repeatedly attempts to monopolize the session. The nurse has
thanked the client for their input but reminded them that others need an
opportunity to contribute. After a few minutes, the client repeats the same
behavior. Which of the following actions should the nurse perform to
manage this client's behavior?
A) Redirect the client by suggesting quieter group activities.
B) Suggest the client limit their suggestions to 2 to 3 per session.
C) Ask the client to leave the group temporarily.
D) Ignore the behavior to avoid confrontation.
, Correct Answer: B) Suggest the client limit their suggestions to 2 to 3 per
session.
Rationale:
Setting clear, structured behavioral limits with specific expectations helps manage
monopolizing behaviors while maintaining therapeutic rapport. It respects the
client’s need to express themselves but maintains fairness and equal participation
from all members. This approach is more effective than punitive measures or
ignoring behaviors, which may exacerbate the issue.
---
3. The nurse is leading a new self-esteem group. Which of the following
interventions by the nurse is best for assuming mutual respect within the
group?
A) Allow group members to set their own rules after the first session.
B) Describe the importance of treating each other with consideration at the
beginning of each session.
C) Encourage group members to avoid topics that cause discomfort.
D) Limit the length each member can speak during sessions.
Correct Answer: B) Describe the importance of treating each other with
consideration at the beginning of each session.
Rationale:
Establishing group norms that emphasize respect and consideration at the outset
sets the tone for a safe environment. It encourages mutual respect and promotes
trusting relationships within the group, essential elements for effective self-
esteem work and group cohesion.
---