NSG 526 EXAM 3 PRACTICE TEST
QUESTIONS AND SOLUTIONS 2026
VERIFIED RESPONSE SET
◉ Borderline Personality symptoms
Answer: Unstable, intense relationships; identity disturbances;
impulsivity; self-mutilation; rapid mood
shifts; chronic emptiness; intense fear of abandonment; splitting;
and anger
Inability to tolerate perceived rejection
◉ BPD Major defense
Answer: A major defense is splitting (alternating between idealizing
and devaluing).
◉ Self Mutilation in BPD
Answer: Self-mutilation and suicide-prone behavior are often-used
impulsive self-destructive behaviors.
◉ Self mutilation occurs:
Answer: because a client may feel that pain is better than not feeling
,anything, it also results from feelings of abandonment, it can be a
manipulative gesture,
and it is also happens when a safety plan has been put in place.
◉ Self mutilation is mainly due to:
Answer: fear of abandonment or the increase of independence
◉ Note:
Answer: If a client with BPD who was making progress but recently
had an anxiety producing
situation arise and now cut herself is that even though this behavior
is dysfunctional, it is
mostly the patient's best effort to cope
◉ Best response from PMH-APRN in BPD
Answer: The best response by the PMHNP when speaking with a
client with BPD who has been in
counseling for management of self-harm behaviors who now wants
to cut themselves is
to assist the client to identify an appropriate coping strategy
◉ Anger in BPD
, Answer: Anger is intense and pervasive and help with anger
management is an important intervention
◉ Other focuses of BPD Management
Answer: Relationship building, safety, and limit setting are other
foci.
◉ Clients with BPD have not successfully
Answer: achieved the developmental stage of separation-
individuation during which a child normally develops a sense of self,
a permanent sense of
significant others (object constancy), and integration of seeing both
bad and good components
of self
◉ Projective Identification:
Answer: falsely attribute to others their own unacceptable feelings,
impulses, or
thoughts
◉ Boundries and BPD
Answer: Respecting a client's boundaries is important in
establishing a therapeutic relationship with a
QUESTIONS AND SOLUTIONS 2026
VERIFIED RESPONSE SET
◉ Borderline Personality symptoms
Answer: Unstable, intense relationships; identity disturbances;
impulsivity; self-mutilation; rapid mood
shifts; chronic emptiness; intense fear of abandonment; splitting;
and anger
Inability to tolerate perceived rejection
◉ BPD Major defense
Answer: A major defense is splitting (alternating between idealizing
and devaluing).
◉ Self Mutilation in BPD
Answer: Self-mutilation and suicide-prone behavior are often-used
impulsive self-destructive behaviors.
◉ Self mutilation occurs:
Answer: because a client may feel that pain is better than not feeling
,anything, it also results from feelings of abandonment, it can be a
manipulative gesture,
and it is also happens when a safety plan has been put in place.
◉ Self mutilation is mainly due to:
Answer: fear of abandonment or the increase of independence
◉ Note:
Answer: If a client with BPD who was making progress but recently
had an anxiety producing
situation arise and now cut herself is that even though this behavior
is dysfunctional, it is
mostly the patient's best effort to cope
◉ Best response from PMH-APRN in BPD
Answer: The best response by the PMHNP when speaking with a
client with BPD who has been in
counseling for management of self-harm behaviors who now wants
to cut themselves is
to assist the client to identify an appropriate coping strategy
◉ Anger in BPD
, Answer: Anger is intense and pervasive and help with anger
management is an important intervention
◉ Other focuses of BPD Management
Answer: Relationship building, safety, and limit setting are other
foci.
◉ Clients with BPD have not successfully
Answer: achieved the developmental stage of separation-
individuation during which a child normally develops a sense of self,
a permanent sense of
significant others (object constancy), and integration of seeing both
bad and good components
of self
◉ Projective Identification:
Answer: falsely attribute to others their own unacceptable feelings,
impulses, or
thoughts
◉ Boundries and BPD
Answer: Respecting a client's boundaries is important in
establishing a therapeutic relationship with a
