NUR 253 EXAM 4
MENTAL HEALTH
Galen College of Nursing.
Actual 50 Questions and Answers
This Exam contains:
➢ Actual 50 Questions and Answers
➢ 100% Guarantee Pass.
➢ Multiple-Choice (A–D).
➢ Each Question Includes The Correct Answer
➢ Expert-Verified explanation is essential in solidifying your
understanding and pinpointing weak areas.
,1. The nurse is providing support to the family of a recently deceased client. A
family member states, “My father took me fishing all the time. He can’t
physically take me anymore, but he will be watching over me. I really miss him,
“The nurse recognizes the family member is experiencing
A. Mourning
B. Anticipatory grief
C. Disenfreanchised grief
D. Bereavement
Correct Answer: D. Bereavement
Expert rationale: Bereavement is the state/condition of having experienced a loss
through death. Anticipatory grief occurs before the death. Disenfranchised grief
is grief that is not socially recognized/validated. Mourning is the
outward/behavioral expression of grief (rituals, funerals), which isn’t specifically
described here.
2. The nurse educator is providing an in—service to nursing staff on a unit that
has recently experienced and increase in client deaths. The nurse educator
knows that a priority recommendation for nurses who are struggling to cope
with all the loss is
A. Creating sustainable practice of self-care and balance
B. Working additional shifts to provide support for each other
C. Volunteering on days off to stay busy and make a positive difference
D. Temporarily transferring to another unit with fewer terminal diagnosis
Correct Answer: A. Creating sustainable practice of self-care and balance
Expert rationale: Healthy coping with repeated loss in clinical settings requires
ongoing, sustainable self-care (sleep, boundaries, debriefing, support). Options B
and C increase workload and risk burnout/compassion fatigue. Option D may be
, appropriate in select cases, but it’s not the priority universal recommendation
compared with building durable coping and balance.
3. The nurse is caring for a client whose spouse of 52 years suddenly died. Which
of the following statements by the nurse is most therapeutic.
A. “Your loved on is no longer in pain: you should be happy for that.”
B. “You can be grateful for the time you had together”
C. “Your loved one was very special and will not be replaceable”
D. “I know how you feel: I have had many family members pass away”
Correct Answer: C. “Your loved one was very special and will not be replaceable”
Expert rationale: This response validates the significance of the relationship and
acknowledges the uniqueness of the loss. A and B can sound like
minimizing/redirecting (“should be happy,” “be grateful”). D shifts focus to the
nurse and uses “I know how you feel,” which is generally non-therapeutic.
4. The nurse is caring for a client who is dying and in severe pain. Which of the
following interventions should the nurse consider as the priority?
A. Teach the client the end stages of grief.
B. Enhance the client’s quality of life.
C. Encourage the client to speak to a grief counselor.
D. Support the clients family in grieving.
Correct Answer: B. Enhance the client’s quality of life.
Expert rationale: In end-of-life care—especially with severe pain—the priority is
comfort and quality of life (effective pain management, symptom control).
Teaching grief stages and counseling may help later, but uncontrolled pain is an
immediate priority.
MENTAL HEALTH
Galen College of Nursing.
Actual 50 Questions and Answers
This Exam contains:
➢ Actual 50 Questions and Answers
➢ 100% Guarantee Pass.
➢ Multiple-Choice (A–D).
➢ Each Question Includes The Correct Answer
➢ Expert-Verified explanation is essential in solidifying your
understanding and pinpointing weak areas.
,1. The nurse is providing support to the family of a recently deceased client. A
family member states, “My father took me fishing all the time. He can’t
physically take me anymore, but he will be watching over me. I really miss him,
“The nurse recognizes the family member is experiencing
A. Mourning
B. Anticipatory grief
C. Disenfreanchised grief
D. Bereavement
Correct Answer: D. Bereavement
Expert rationale: Bereavement is the state/condition of having experienced a loss
through death. Anticipatory grief occurs before the death. Disenfranchised grief
is grief that is not socially recognized/validated. Mourning is the
outward/behavioral expression of grief (rituals, funerals), which isn’t specifically
described here.
2. The nurse educator is providing an in—service to nursing staff on a unit that
has recently experienced and increase in client deaths. The nurse educator
knows that a priority recommendation for nurses who are struggling to cope
with all the loss is
A. Creating sustainable practice of self-care and balance
B. Working additional shifts to provide support for each other
C. Volunteering on days off to stay busy and make a positive difference
D. Temporarily transferring to another unit with fewer terminal diagnosis
Correct Answer: A. Creating sustainable practice of self-care and balance
Expert rationale: Healthy coping with repeated loss in clinical settings requires
ongoing, sustainable self-care (sleep, boundaries, debriefing, support). Options B
and C increase workload and risk burnout/compassion fatigue. Option D may be
, appropriate in select cases, but it’s not the priority universal recommendation
compared with building durable coping and balance.
3. The nurse is caring for a client whose spouse of 52 years suddenly died. Which
of the following statements by the nurse is most therapeutic.
A. “Your loved on is no longer in pain: you should be happy for that.”
B. “You can be grateful for the time you had together”
C. “Your loved one was very special and will not be replaceable”
D. “I know how you feel: I have had many family members pass away”
Correct Answer: C. “Your loved one was very special and will not be replaceable”
Expert rationale: This response validates the significance of the relationship and
acknowledges the uniqueness of the loss. A and B can sound like
minimizing/redirecting (“should be happy,” “be grateful”). D shifts focus to the
nurse and uses “I know how you feel,” which is generally non-therapeutic.
4. The nurse is caring for a client who is dying and in severe pain. Which of the
following interventions should the nurse consider as the priority?
A. Teach the client the end stages of grief.
B. Enhance the client’s quality of life.
C. Encourage the client to speak to a grief counselor.
D. Support the clients family in grieving.
Correct Answer: B. Enhance the client’s quality of life.
Expert rationale: In end-of-life care—especially with severe pain—the priority is
comfort and quality of life (effective pain management, symptom control).
Teaching grief stages and counseling may help later, but uncontrolled pain is an
immediate priority.
