NUR 253 Mental Health Exam 2 Questions and
100% Correct ANSWERs Latest 2026/27
Update Galen College Of Nursing
1. During a multifamily support group, a client says, "I feel sad that I will 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. "Would anyone else like to talk about similar feelings?"
b. "Maybe you should stop feeling sorry for yourself."
c. "Perhaps there's a way for you to become a good partner."
d. "Do you feel your siblings are better than you?"
Correct ANSWER: a. "Would anyone else like to talk about similar feelings?"
Rationale:
Option A (Correct): This response facilitates group discussion by inviting others to share their
experiences, promoting universality and group cohesiveness. It validates the client's feelings while
opening the floor for others.
Option B (Incorrect): This is dismissive and judgmental, which would shut down communication and
damage therapeutic rapport.
,Option C (Incorrect): This offers premature advice and changes the focus from feelings to problem-
solving, which is not appropriate in this context.
Option D (Incorrect): This is confrontational and could provoke defensiveness rather than facilitate
discussion.
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 to have 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. Suggest the client limit their suggestions to two to three per session.
b. Assign the client to another group after discussing the behavior.
c. Tell the client to stop trying to control the session in a firm but compassionate manner.
d. Ask the client to wait outside the room for a few minutes to calm down.
Correct ANSWER: a. Suggest the client limit their suggestions to two to three per session.
Rationale:
Option A (Correct): Setting specific, concrete limits helps the client with bipolar disorder (who may be
experiencing manic symptoms) understand boundaries while maintaining their dignity.
Option B (Incorrect): This is punitive and does not address the underlying behavior; it may also damage
the therapeutic relationship.
Option C (Incorrect): This is confrontational and may escalate the situation rather than manage it
effectively.
,Option D (Incorrect): This is punitive and could be seen as rejection, potentially worsening the client's
symptoms.
3. The nurse is leading a new self-esteem group. Which of the following interventions by the nurse is
best for assuring mutual respect within the group?
a. Announce that any members who are disrespectful will be asked to leave.
b. Describe the importance of treating each other with consideration at the beginning of each session.
c. Give members a brochure describing the purpose, norms, and expectations of group.
d. Reinforce to members that the group leader will always begin and end discussions.
Correct ANSWER: c. Give members a brochure describing the purpose, norms, and expectations of
group.
Rationale:
Option A (Incorrect): This is threatening and could create anxiety; it focuses on punishment rather than
education.
Option B (Incorrect): While important, verbal reminders at each session may not be as effective as
written expectations that members can reference.
Option C (Correct): Providing written information about purpose, norms, and expectations establishes
clear guidelines and promotes understanding, which fosters mutual respect.
Option D (Incorrect): This limits group autonomy and does not teach members about mutual respect.
, 4. The nurse and client are in the termination phase of the nurse-client relationship. Which interventions
occur during this phase?
Summarize personal accomplishments.
Focus on problem-solving.
Describe the meeting purpose.
Work on achieving goals.
Identify rules during interaction.
Summarize insights achieved.
a. 1, 6
b. 1, 5, 6
c. 1, 4, 6
d. 2, 3, 6
Correct ANSWER: a. 1, 6
Rationale:
Option A (Correct): During termination, the nurse and client summarize accomplishments (1) and
insights achieved (6) to reinforce learning and growth.
100% Correct ANSWERs Latest 2026/27
Update Galen College Of Nursing
1. During a multifamily support group, a client says, "I feel sad that I will 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. "Would anyone else like to talk about similar feelings?"
b. "Maybe you should stop feeling sorry for yourself."
c. "Perhaps there's a way for you to become a good partner."
d. "Do you feel your siblings are better than you?"
Correct ANSWER: a. "Would anyone else like to talk about similar feelings?"
Rationale:
Option A (Correct): This response facilitates group discussion by inviting others to share their
experiences, promoting universality and group cohesiveness. It validates the client's feelings while
opening the floor for others.
Option B (Incorrect): This is dismissive and judgmental, which would shut down communication and
damage therapeutic rapport.
,Option C (Incorrect): This offers premature advice and changes the focus from feelings to problem-
solving, which is not appropriate in this context.
Option D (Incorrect): This is confrontational and could provoke defensiveness rather than facilitate
discussion.
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 to have 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. Suggest the client limit their suggestions to two to three per session.
b. Assign the client to another group after discussing the behavior.
c. Tell the client to stop trying to control the session in a firm but compassionate manner.
d. Ask the client to wait outside the room for a few minutes to calm down.
Correct ANSWER: a. Suggest the client limit their suggestions to two to three per session.
Rationale:
Option A (Correct): Setting specific, concrete limits helps the client with bipolar disorder (who may be
experiencing manic symptoms) understand boundaries while maintaining their dignity.
Option B (Incorrect): This is punitive and does not address the underlying behavior; it may also damage
the therapeutic relationship.
Option C (Incorrect): This is confrontational and may escalate the situation rather than manage it
effectively.
,Option D (Incorrect): This is punitive and could be seen as rejection, potentially worsening the client's
symptoms.
3. The nurse is leading a new self-esteem group. Which of the following interventions by the nurse is
best for assuring mutual respect within the group?
a. Announce that any members who are disrespectful will be asked to leave.
b. Describe the importance of treating each other with consideration at the beginning of each session.
c. Give members a brochure describing the purpose, norms, and expectations of group.
d. Reinforce to members that the group leader will always begin and end discussions.
Correct ANSWER: c. Give members a brochure describing the purpose, norms, and expectations of
group.
Rationale:
Option A (Incorrect): This is threatening and could create anxiety; it focuses on punishment rather than
education.
Option B (Incorrect): While important, verbal reminders at each session may not be as effective as
written expectations that members can reference.
Option C (Correct): Providing written information about purpose, norms, and expectations establishes
clear guidelines and promotes understanding, which fosters mutual respect.
Option D (Incorrect): This limits group autonomy and does not teach members about mutual respect.
, 4. The nurse and client are in the termination phase of the nurse-client relationship. Which interventions
occur during this phase?
Summarize personal accomplishments.
Focus on problem-solving.
Describe the meeting purpose.
Work on achieving goals.
Identify rules during interaction.
Summarize insights achieved.
a. 1, 6
b. 1, 5, 6
c. 1, 4, 6
d. 2, 3, 6
Correct ANSWER: a. 1, 6
Rationale:
Option A (Correct): During termination, the nurse and client summarize accomplishments (1) and
insights achieved (6) to reinforce learning and growth.
