NSG 3450 EXAM 2 VERSION 1 AND 2/NSG 3450 MENTAL HEALTH
EXAM 2 NEWEST 2025 COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)|ALREADY GRADED A+
Group dynamics can vary widely and at times members are capable of disrupting the group
process. which of the following participant traits may indicate a need for additional support for
a new nurse facilitator? Select all that apply:
a. a member w/ paranoid delusions
b. a quietly tearful participant expressing suicidal thoughts
c. an angry woman who raises her voice
d. a calm but ineffective communicator - ANSWER-a, b
Group members are having difficulty deciding what topic to cover in today's session. Which
nurse leader response reflects autocratic leadership?
a. "We are talking about fear of rejection today."
b. "Let's go around the room and make suggestions for today's topic."
c. "I will let you come to a conclusion together about what to talk about."
d. "I'll work with you to find a suitable topic for today." - ANSWER-A.
"We are talking about fear of rejection today."
A pt. continues to dominate the group conversation despite having been asked to allow others
to speak. What is the most appropriate group leader response?
a. "You are monopolizing the conversation."
b. "When you talk constantly, it makes everyone feel angry."
c. "You are supposed to allow other to talk also."
d. "When you speak out of turn, I am concerned that others cannot participate equally." -
ANSWER-D. "When you speak out of turn, I am concerned that others cannot participate
equally."
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The nurse is planning care, which includes a dual-diagnosis group. Which pt. would be
appropriate for this group? The pt. with:
a. depression and suicidal tendencies
b. anxiety and frequent migraine headaches
c. bipolar disorder and anorexia nervosa
d. schizophrenia and alcohol abuse - ANSWER-D. schizophrenia and alcohol abuse
What assessment question is focused on identifying a long-term consequence of chronic stress
on physical health?
a. "Do you have any problems with seeping well?"
b. "How many infections have you experienced in the past 6 months?"
c. "How much moderate exercise do you engage in on a regular basis?"
d. "What management techniques do you regularly use to manage your stress?" - ANSWER-b.
"How many infections have you experienced in the past 6 months?"
Which nursing assessment are directed at monitoring a pt.'s fight-or-flight response? Select all
that apply:
a. blood pressure
b. heart rate
c. respiratory rate
c. abdominal pain
e. dilated pupils - ANSWER-a, b, c, e
Which question is focused on the assessment of an individual's personal ability to manage
stress? Select all that apply:
a. "Have you ever been diagnosed with cancer?"
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b. "Do you engage in any hobbies now that you have retired?"
c. "Have you been taking your antihypertensive medication as it is prescribed?"
d. "Who can you rely on if you need help after you're discharged from the hospital?"
e. "What do you do to help manage the demands of parenting a 4 y/o and a newborn?" -
ANSWER-b, d, e
When considering stress, what is the primary goal of making daily entries into a personal
journal?
a. providing a distraction from the daily stress
b. expressing emotions to manage stress
c. identifying stress triggers
d. focusing on one's stress - ANSWER-c. identifying stress triggers
Jackson has suffered from migraine headaches all of his life. Fatima, his nurse practitioner,
suspects muscle tension as a trigger fro his headaches. Fatima teaches him a technique that
promoted relaxation by using:
a. biofeedback
b. guided imagery
c. deep breathing
d. progressive muscle relaxation - ANSWER-d. progressive muscle relaxation
Hugo is 21 and diagnosed with schizophrenia. His history includes significant turmoil as child
and adolescent. Hugo reports his father was abusive and routinely beat him, all of his siblings,
and his mother Hugo's early exposure to stress most likely:
a. made him resilient to stressful situations
b. increased his future vulnerability to psychiatric disorders
c. developed strong survival skills
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d. shaped his nurturing nature - ANSWER-B. increased his future vulnerability to psychiatric
disorders
Hugo has a fraternal twin names Franco who is unaffected by mental illness even though they
were raised int he same dysfunctional household. Franco asks the nurse, "Why Hugo and not
me?" The nurse replies:
a. "Your father was probably less abusive to you."
b. "Hugo likely has a genetic vulnerability."
c. "You probably ignored the situation."
d. "Hugo responded to perceived threats by focusing on an internal world." - ANSWER-B. "Hugo
likely has a genetic vulnerability."
First responders and emergency department healthcare providers use dark humor in an effort
to:
a. reduce stress and anxiety
b. relive the experience
c. rectify mortal distress
d. alert others to the stress - ANSWER-A. reduce stress and anxiety
Your 39 y/o patient Samantha, who was admitted with anxiety, asks you what the stress-
relieving technique of mindfulness is. The best response is:
a. mindfulness is focusing on an object and repeating a word or phrase while deep breathing
b. mindfulness is progressively tensing, then relaxing, body muscles
c. mindfulness is focusing on the here and now, not the pat or future, and paying attention to
what is going on around you
d. mindfulness is a memory system to assist you in short-term memory recall - ANSWER-C.
mindfulness is focusing on the here and now, not the pat or future, and paying attention to
what is going on around you
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