MENTAL HEALTH B PROCTORED EXAM
PROFESSIONAL EXAMPREP 2026 TESTED
QUESTIONS AND SOLUTIONS FULL REVIEW
GRADED A+
◉ A nurse wants to use democratic leadership with a group whose
purpose is to learn appropriate conflict resolution techniques. The
nurse is correct in implementing this form of group leadership when
she demonstrates which of the following actions?
A. Observes group techniques without interfering with the group
process
B. Discusses a technique and then directs members to practice the
technique
C. Asks for group suggestions of techniques and then support
discussion
D. Suggests techniques and asks group members to reflect on their
use Answer: C. Democratic leadership supports group interaction
and decision making to solve problems.
A is laissez-faire leadership. B & D are autocratic leadership.
,◉ A nurse is planning group therapy for clients dealing with
bereavement. Which of the following activities should the nurse
include in the initial phase? (Select all that apply)
A. Encourage the group to work toward goals
B. Define the purpose of the group
C. Discuss termination of the group
D. Identify informal roles of members within the group
E. Establish an expectation of confidentiality within the group
Answer: B, C, & E. During the initial phase, the nurse should identify
the purpose of the group, discuss termination of the group, and set
the tone of confidentiality.
A & D take place during the working phase.
◉ A nurse working on an acute mental health unit forms a group to
focus on self-management of medications. At each of meetings, two
of the members use the opportunity to discuss their common
interest in gambling on sports. This is an example of which of the
following concepts?
A. Triangulation
B. Group process
,C. Subgroup
D. Hidden agenda Answer: D. A hidden agenda is when some group
members have a different goal than the stated group goals.
◉ A nurse is conducting a family therapy session. The adolescent
son tells the nurse that he plans ways to make his sister look bad so
his parents will think he's the better sibling, which he believes will
give him more privileges. The nurse should identify this
dysfunctional behavior as which of the following?
A. Placation
B. Manipulation
C. Blaming
D. Distraction Answer: B. Manipulation is the dysfunctional behavior
of using dishonesty to support an individual agenda.
◉ A nurse is working with an established group and identifies
various member roles. Which of the following should the nurse
identify as an individual role?
A. A member who praises input from other members
B. A member who follows the direction of other members
C. A member who brags about accomplishments
, D. A member who evaluates the group's performance toward a
standard Answer: C. An individual who brags about
accomplishments is acting in an individual role that does not
promote the progression of the group toward meeting goals.
◉ Expected findings of acute stress (fight or flight) Answer:
Apprehension, unhappiness or sorrow, decreased appetite,
increased vital signs, increased metabolism and glucose use,
depressed immune system
◉ Expected findings of prolonged stress (maladaptive response)
Answer: Chronic anxiety or panic attacks, depression, chronic pain,
sleep disturbances, weight gain or loss, increased risk for myocardial
infarction and stroke, poor diabetes control, hypertension, fatigue,
irritability, decreased ability to concentrate, increased risk for
infection
◉ Biofeedback Answer: Use of a sensitive mechanical device to
assist the client to gain voluntary control of such autonomic
functions as heart rate and blood pressure
◉ A nurse is preparing to provide an educational seminar on stress
to other nursing staff. Which of the following information should the
nurse include in the discussion?
A. Excessive stressors cause the client to experience distress.
PROFESSIONAL EXAMPREP 2026 TESTED
QUESTIONS AND SOLUTIONS FULL REVIEW
GRADED A+
◉ A nurse wants to use democratic leadership with a group whose
purpose is to learn appropriate conflict resolution techniques. The
nurse is correct in implementing this form of group leadership when
she demonstrates which of the following actions?
A. Observes group techniques without interfering with the group
process
B. Discusses a technique and then directs members to practice the
technique
C. Asks for group suggestions of techniques and then support
discussion
D. Suggests techniques and asks group members to reflect on their
use Answer: C. Democratic leadership supports group interaction
and decision making to solve problems.
A is laissez-faire leadership. B & D are autocratic leadership.
,◉ A nurse is planning group therapy for clients dealing with
bereavement. Which of the following activities should the nurse
include in the initial phase? (Select all that apply)
A. Encourage the group to work toward goals
B. Define the purpose of the group
C. Discuss termination of the group
D. Identify informal roles of members within the group
E. Establish an expectation of confidentiality within the group
Answer: B, C, & E. During the initial phase, the nurse should identify
the purpose of the group, discuss termination of the group, and set
the tone of confidentiality.
A & D take place during the working phase.
◉ A nurse working on an acute mental health unit forms a group to
focus on self-management of medications. At each of meetings, two
of the members use the opportunity to discuss their common
interest in gambling on sports. This is an example of which of the
following concepts?
A. Triangulation
B. Group process
,C. Subgroup
D. Hidden agenda Answer: D. A hidden agenda is when some group
members have a different goal than the stated group goals.
◉ A nurse is conducting a family therapy session. The adolescent
son tells the nurse that he plans ways to make his sister look bad so
his parents will think he's the better sibling, which he believes will
give him more privileges. The nurse should identify this
dysfunctional behavior as which of the following?
A. Placation
B. Manipulation
C. Blaming
D. Distraction Answer: B. Manipulation is the dysfunctional behavior
of using dishonesty to support an individual agenda.
◉ A nurse is working with an established group and identifies
various member roles. Which of the following should the nurse
identify as an individual role?
A. A member who praises input from other members
B. A member who follows the direction of other members
C. A member who brags about accomplishments
, D. A member who evaluates the group's performance toward a
standard Answer: C. An individual who brags about
accomplishments is acting in an individual role that does not
promote the progression of the group toward meeting goals.
◉ Expected findings of acute stress (fight or flight) Answer:
Apprehension, unhappiness or sorrow, decreased appetite,
increased vital signs, increased metabolism and glucose use,
depressed immune system
◉ Expected findings of prolonged stress (maladaptive response)
Answer: Chronic anxiety or panic attacks, depression, chronic pain,
sleep disturbances, weight gain or loss, increased risk for myocardial
infarction and stroke, poor diabetes control, hypertension, fatigue,
irritability, decreased ability to concentrate, increased risk for
infection
◉ Biofeedback Answer: Use of a sensitive mechanical device to
assist the client to gain voluntary control of such autonomic
functions as heart rate and blood pressure
◉ A nurse is preparing to provide an educational seminar on stress
to other nursing staff. Which of the following information should the
nurse include in the discussion?
A. Excessive stressors cause the client to experience distress.
