NSG 240 EXAM 2 COMPLETE STUDY GUIDE 2026/2027 | NURSING
EXAM PREP | HIGH-YIELD PRACTICE Q&A | CORRECT ANSWERS |
COMPREHENSIVE REVIEW | LATEST UPDATED VERSION
1. In a group therapy session, if a member expresses feelings of anger and
frustration, how might catharsis facilitate their healing process?
By encouraging the member to suppress their feelings to avoid
conflict.
By focusing solely on the member's past experiences without
emotional expression.
By redirecting the conversation to medication management.
By providing a safe space for emotional release, which can lead to
greater self-awareness and healing.
2. Which of the following substances is known to potentially induce a
depressive disorder?
Nicotine
Antidepressants
Alcohol
Caffeine
3. The nurse working in an inpatient unit is encouraging a client to attend
therapy groups. The client responds, "I don't need to go to therapy. The
medications have helped my anxiety." How can the nurse best respond to the
client?
"All clients are required to attend group therapy. It will help you
overcome your anxiety about interacting with others."
"The medication will only continue to help you if you attend group
therapy and utilize other supportive treatments."
, "Medication does help your anxious feelings, but it will not address
the cause of your anxiety. Group therapy will help you identify some
of the causes and enable you to develop strategies to cope with
anxious feelings."
"You will become dependent on the medication if you don't use other
strategies to manage your anxiety."
4. Describe how corrective recapitulation can impact group therapy
participants' understanding of their family dynamics.
It helps participants understand and address unresolved family
issues that affect their current relationships.
It promotes competition among group members.
It focuses solely on present issues without considering the past.
It encourages participants to ignore past conflicts.
5. Describe how lithium functions in the management of mood disorders.
Lithium helps stabilize mood and reduce the frequency of manic
episodes in bipolar disorder.
Lithium is used to enhance cognitive function in schizophrenia.
Lithium increases serotonin levels to alleviate depression.
Lithium primarily acts as an antipsychotic medication.
6. Why is it important to validate a patient's feelings when they are experiencing
hallucinations?
It allows the clinician to assess the severity of the hallucinations.
It encourages the patient to ignore the hallucinations.
It distracts the patient from the hallucinations.
, Validating feelings helps the patient feel understood and reduces
anxiety.
7. What are the screening criteria for depression using SIGECAPS?
Sleep, Insecurity, Guilt, Energy, Concentration, Appetite, Psychosis,
Suicidal ideation
Sleep, Ignorance, Guilt, Energy, Concentration, Appetite, Psychosis,
Suicidal ideation
Sleep, Interest, Guilt, Exercise, Concentration, Appetite, Psychomotor,
Suicidal ideation
Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychomotor,
Suicidal ideation
8. What conditions are primarily treated with mood stabilizers?
Bipolar disorder
Major depressive disorder
Anxiety disorders
Schizophrenia
9. If a patient with severe depression has not responded to multiple
antidepressant medications, what treatment option might be recommended?
Electroconvulsive Therapy (ECT)
Cognitive Behavioral Therapy (CBT)
Supportive psychotherapy
Lifestyle changes and exercise
, 10. Describe the monitoring process for lithium levels after the initial treatment
phase.
Lithium levels should be checked every day for the first month.
Lithium levels are monitored only at the beginning of treatment.
Lithium levels should be monitored every two months after initial
treatment.
Lithium levels should be monitored once or twice a week until
stable, then monthly during maintenance therapy.
11. If a patient exhibits incoherent speech and erratic behavior, which type of
schizophrenia might they be diagnosed with, and what implications does this
have for treatment?
Catatonic schizophrenia; treatment may involve physical interventions
and monitoring.
Paranoid schizophrenia; treatment may focus on addressing delusions
and paranoia.
Undifferentiated schizophrenia; treatment may be generalized without
specific focus.
Disorganized schizophrenia; treatment may require a focus on
stabilizing thought processes and behavior.
12. What are the three main reasons for monitoring patients on psychiatric
medications?
To evaluate the patient's financial status, social support, and lifestyle
choices.
To assess efficacy, manage side effects, and ensure patient safety.
To determine the patient's preference for medication types and
treatment duration.
EXAM PREP | HIGH-YIELD PRACTICE Q&A | CORRECT ANSWERS |
COMPREHENSIVE REVIEW | LATEST UPDATED VERSION
1. In a group therapy session, if a member expresses feelings of anger and
frustration, how might catharsis facilitate their healing process?
By encouraging the member to suppress their feelings to avoid
conflict.
By focusing solely on the member's past experiences without
emotional expression.
By redirecting the conversation to medication management.
By providing a safe space for emotional release, which can lead to
greater self-awareness and healing.
2. Which of the following substances is known to potentially induce a
depressive disorder?
Nicotine
Antidepressants
Alcohol
Caffeine
3. The nurse working in an inpatient unit is encouraging a client to attend
therapy groups. The client responds, "I don't need to go to therapy. The
medications have helped my anxiety." How can the nurse best respond to the
client?
"All clients are required to attend group therapy. It will help you
overcome your anxiety about interacting with others."
"The medication will only continue to help you if you attend group
therapy and utilize other supportive treatments."
, "Medication does help your anxious feelings, but it will not address
the cause of your anxiety. Group therapy will help you identify some
of the causes and enable you to develop strategies to cope with
anxious feelings."
"You will become dependent on the medication if you don't use other
strategies to manage your anxiety."
4. Describe how corrective recapitulation can impact group therapy
participants' understanding of their family dynamics.
It helps participants understand and address unresolved family
issues that affect their current relationships.
It promotes competition among group members.
It focuses solely on present issues without considering the past.
It encourages participants to ignore past conflicts.
5. Describe how lithium functions in the management of mood disorders.
Lithium helps stabilize mood and reduce the frequency of manic
episodes in bipolar disorder.
Lithium is used to enhance cognitive function in schizophrenia.
Lithium increases serotonin levels to alleviate depression.
Lithium primarily acts as an antipsychotic medication.
6. Why is it important to validate a patient's feelings when they are experiencing
hallucinations?
It allows the clinician to assess the severity of the hallucinations.
It encourages the patient to ignore the hallucinations.
It distracts the patient from the hallucinations.
, Validating feelings helps the patient feel understood and reduces
anxiety.
7. What are the screening criteria for depression using SIGECAPS?
Sleep, Insecurity, Guilt, Energy, Concentration, Appetite, Psychosis,
Suicidal ideation
Sleep, Ignorance, Guilt, Energy, Concentration, Appetite, Psychosis,
Suicidal ideation
Sleep, Interest, Guilt, Exercise, Concentration, Appetite, Psychomotor,
Suicidal ideation
Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychomotor,
Suicidal ideation
8. What conditions are primarily treated with mood stabilizers?
Bipolar disorder
Major depressive disorder
Anxiety disorders
Schizophrenia
9. If a patient with severe depression has not responded to multiple
antidepressant medications, what treatment option might be recommended?
Electroconvulsive Therapy (ECT)
Cognitive Behavioral Therapy (CBT)
Supportive psychotherapy
Lifestyle changes and exercise
, 10. Describe the monitoring process for lithium levels after the initial treatment
phase.
Lithium levels should be checked every day for the first month.
Lithium levels are monitored only at the beginning of treatment.
Lithium levels should be monitored every two months after initial
treatment.
Lithium levels should be monitored once or twice a week until
stable, then monthly during maintenance therapy.
11. If a patient exhibits incoherent speech and erratic behavior, which type of
schizophrenia might they be diagnosed with, and what implications does this
have for treatment?
Catatonic schizophrenia; treatment may involve physical interventions
and monitoring.
Paranoid schizophrenia; treatment may focus on addressing delusions
and paranoia.
Undifferentiated schizophrenia; treatment may be generalized without
specific focus.
Disorganized schizophrenia; treatment may require a focus on
stabilizing thought processes and behavior.
12. What are the three main reasons for monitoring patients on psychiatric
medications?
To evaluate the patient's financial status, social support, and lifestyle
choices.
To assess efficacy, manage side effects, and ensure patient safety.
To determine the patient's preference for medication types and
treatment duration.
