NSG 526 Exam 2 Prep
NSG 526 EXAM 2 PREP NEWEST 2026/2027 ACTUAL EXAM
COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY
GRADED A+||BRAND NEW VERSION!!
A therapist using Rational Emotive Therapy (RET) challenges a client’s irrational
belief. What is the main goal?
a. Provide emotional comfort
b. Eliminate unconscious drives
c. Replace irrational beliefs with rational ones
d. Encourage dependency on therapist
c. Replace irrational beliefs with rational ones
Rationale:
RET focuses on identifying and disputing irrational beliefs that cause emotional
distress. The therapist actively challenges these beliefs and helps the client
develop more logical and adaptive thinking patterns.
A nurse observes group members giving each other advice and support. Which
therapeutic factor is most evident?
a. Altruism
b. Catharsis
c. Existential factors
d. Imitative behavior
a. Altruism
Rationale:
Altruism occurs when group members help one another. This enhances self-esteem
1|Page
, NSG 526 Exam 2 Prep
and promotes interpersonal growth, as giving support can be just as therapeutic
as receiving it.
A group leader encourages open discussion and shared decision-making. What
leadership style is being used?
a. Autocratic
b. Democratic
c. Laissez-faire
d. Authoritative
b. Democratic
Rationale:
Democratic leadership promotes participation, collaboration, and problem-
solving. It is the most commonly used style in psychotherapy groups because it
fosters engagement and therapeutic interaction.
A patient in a milieu setting benefits from structured daily routines and safety.
Which condition is this most beneficial for?
a. Bipolar disorder (manic phase)
b. Schizophrenia
c. Anxiety disorder
d. All of the above
d. All of the above
Rationale:
Milieu therapy provides structure, safety, and predictability, which benefit multiple
disorders. It reduces stimuli in mania, offers protection in schizophrenia, and
decreases uncertainty in anxiety.
2|Page
, NSG 526 Exam 2 Prep
A nurse explains that Western medicine focuses on treatment, while CAM focuses
on mind-body balance. What is the key difference?
a. CAM uses medications only
b. Western medicine avoids diagnosis
c. CAM emphasizes holistic balance
d. Western medicine ignores symptoms
c. CAM emphasizes holistic balance
Rationale:
CAM approaches emphasize mind-body-spirit interactions, whereas Western
medicine focuses more on disease treatment and biological processes.
A client taking an SSRI wants to start St. John’s Wort. What is the nurse’s best
response?
a. It will improve your symptoms faster
b. It is completely safe
c. It may cause serotonin syndrome
d. It has no interaction
c. It may cause serotonin syndrome
Rationale:
Combining SSRIs with St. John’s Wort increases serotonin levels dangerously,
leading to serotonin syndrome, which can be life-threatening.
A therapist instructs a client to intentionally perform a problematic behavior.
What technique is this?
a. Modeling
b. Paradoxical directive
c. Systematic desensitization
d. Extinction
3|Page
, NSG 526 Exam 2 Prep
b. Paradoxical directive
Rationale:
This technique is used in strategic therapy to help clients gain control over
behaviors by prescribing the symptom, often revealing its irrationality.
A child becomes distressed when the caregiver leaves but is comforted upon
return. What type of attachment is this?
a. Avoidant
b. Ambivalent
c. Secure
d. Disorganized
c. Secure
Rationale:
Secure attachment reflects trust in the caregiver. The child seeks comfort and is
easily soothed, indicating healthy emotional development.
A nurse is facilitating a therapy group where one client dominates the
conversation while others remain silent. What is the best therapeutic
intervention?
a. Ask the dominant client to stop talking
b. Redirect the topic to another issue
c. Observe the silence and invite others to share
d. End the session early
c. Observe the silence and invite others to share
Rationale:
This approach promotes group process awareness, a key therapeutic skill. Instead
of shutting down the dominant client (which could damage trust), the nurse
4|Page
NSG 526 EXAM 2 PREP NEWEST 2026/2027 ACTUAL EXAM
COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY
GRADED A+||BRAND NEW VERSION!!
A therapist using Rational Emotive Therapy (RET) challenges a client’s irrational
belief. What is the main goal?
a. Provide emotional comfort
b. Eliminate unconscious drives
c. Replace irrational beliefs with rational ones
d. Encourage dependency on therapist
c. Replace irrational beliefs with rational ones
Rationale:
RET focuses on identifying and disputing irrational beliefs that cause emotional
distress. The therapist actively challenges these beliefs and helps the client
develop more logical and adaptive thinking patterns.
A nurse observes group members giving each other advice and support. Which
therapeutic factor is most evident?
a. Altruism
b. Catharsis
c. Existential factors
d. Imitative behavior
a. Altruism
Rationale:
Altruism occurs when group members help one another. This enhances self-esteem
1|Page
, NSG 526 Exam 2 Prep
and promotes interpersonal growth, as giving support can be just as therapeutic
as receiving it.
A group leader encourages open discussion and shared decision-making. What
leadership style is being used?
a. Autocratic
b. Democratic
c. Laissez-faire
d. Authoritative
b. Democratic
Rationale:
Democratic leadership promotes participation, collaboration, and problem-
solving. It is the most commonly used style in psychotherapy groups because it
fosters engagement and therapeutic interaction.
A patient in a milieu setting benefits from structured daily routines and safety.
Which condition is this most beneficial for?
a. Bipolar disorder (manic phase)
b. Schizophrenia
c. Anxiety disorder
d. All of the above
d. All of the above
Rationale:
Milieu therapy provides structure, safety, and predictability, which benefit multiple
disorders. It reduces stimuli in mania, offers protection in schizophrenia, and
decreases uncertainty in anxiety.
2|Page
, NSG 526 Exam 2 Prep
A nurse explains that Western medicine focuses on treatment, while CAM focuses
on mind-body balance. What is the key difference?
a. CAM uses medications only
b. Western medicine avoids diagnosis
c. CAM emphasizes holistic balance
d. Western medicine ignores symptoms
c. CAM emphasizes holistic balance
Rationale:
CAM approaches emphasize mind-body-spirit interactions, whereas Western
medicine focuses more on disease treatment and biological processes.
A client taking an SSRI wants to start St. John’s Wort. What is the nurse’s best
response?
a. It will improve your symptoms faster
b. It is completely safe
c. It may cause serotonin syndrome
d. It has no interaction
c. It may cause serotonin syndrome
Rationale:
Combining SSRIs with St. John’s Wort increases serotonin levels dangerously,
leading to serotonin syndrome, which can be life-threatening.
A therapist instructs a client to intentionally perform a problematic behavior.
What technique is this?
a. Modeling
b. Paradoxical directive
c. Systematic desensitization
d. Extinction
3|Page
, NSG 526 Exam 2 Prep
b. Paradoxical directive
Rationale:
This technique is used in strategic therapy to help clients gain control over
behaviors by prescribing the symptom, often revealing its irrationality.
A child becomes distressed when the caregiver leaves but is comforted upon
return. What type of attachment is this?
a. Avoidant
b. Ambivalent
c. Secure
d. Disorganized
c. Secure
Rationale:
Secure attachment reflects trust in the caregiver. The child seeks comfort and is
easily soothed, indicating healthy emotional development.
A nurse is facilitating a therapy group where one client dominates the
conversation while others remain silent. What is the best therapeutic
intervention?
a. Ask the dominant client to stop talking
b. Redirect the topic to another issue
c. Observe the silence and invite others to share
d. End the session early
c. Observe the silence and invite others to share
Rationale:
This approach promotes group process awareness, a key therapeutic skill. Instead
of shutting down the dominant client (which could damage trust), the nurse
4|Page
