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.
---
4. The nurse and client are in the termination phase of the
nurse-client relationship. Which interventions from the
options below occur during this phase? (Select all that
apply)
A) Summarize personal accomplishments
B) Set new goals for future therapy
C) Summarize insights achieved
D) Begin initial assessment
Correct Answers: A) Summarize personal accomplishments; C)
Summarize insights achieved
Rationale:
The termination phase focuses on consolidating gains made
during therapy and reviewing progress. Summarizing
accomplishments and insights helps clients recognize their growth
and prepares them for ending the professional relationship. Goal-
setting occurs during the working phase, and initial assessments
occur during the orientation phase.
---
5. The nurse is leading a group session and observes a
member rubbing their head roughly. The nurse states, "I
noticed you rubbing your head. Can you tell me how you
feel right now?" Which of the following communication
techniques is the nurse demonstrating?
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.
---
4. The nurse and client are in the termination phase of the
nurse-client relationship. Which interventions from the
options below occur during this phase? (Select all that
apply)
A) Summarize personal accomplishments
B) Set new goals for future therapy
C) Summarize insights achieved
D) Begin initial assessment
Correct Answers: A) Summarize personal accomplishments; C)
Summarize insights achieved
Rationale:
The termination phase focuses on consolidating gains made
during therapy and reviewing progress. Summarizing
accomplishments and insights helps clients recognize their growth
and prepares them for ending the professional relationship. Goal-
setting occurs during the working phase, and initial assessments
occur during the orientation phase.
---
5. The nurse is leading a group session and observes a
member rubbing their head roughly. The nurse states, "I
noticed you rubbing your head. Can you tell me how you
feel right now?" Which of the following communication
techniques is the nurse demonstrating?
