NR 326 Exam 3 2026/2027 ACTUAL EXAM
TEST BANK QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+||NEWEST VERSION
2026/2027 Frequently Most Tested Questions and 100%
Accurate From Past papers | Graded A+ , Reviewed and
Updated | 100% Guarantee Pass | Latest Exam and Newest
Version!!!
A nurse in an acute mental health facility is creating a plan of care for a new client who has a A
nurse in an acute mental health facility is creating a plan of care for a new client who has
a co-occurring histrionic personality disorder. Which of the following is the priority
intervention for the nurse to make?
a. Promote appropriate behavior during group therapy sessions
b. Encourage client input in the treatment plan
c. Communicate with the client using concrete language
d. Demonstrate assertive behavior
✔️ Correct Answer: A
Rationale:
Managing the client's behavior within the group is the priority intervention for the client
who has histrionic personality disorder because these clients display extreme attention-
seeking behaviors and are often impulsive, which can be extremely disruptive in a group
setting with other members. NCLEX focus: personality disorders and therapeutic milieu.
A nurse is reviewing the history and physical of an adolescent client who has conduct
disorder. Which of the following is an expected finding?
,a. Death of client's father two months ago
b. Experiences frequent facial tics
c. Suspended from school several times in the past year
d. Adheres strictly to routines
✔️ Correct Answer: C
Rationale:
Conduct disorder is an impulse-control disorder which includes a long-term pattern of
violating the rights of others and performing violent or hostile acts. School suspensions
reflect this pattern of rule-breaking and aggressive behavior. NCLEX focus: conduct
disorder and impulse-control disorders.
A nurse is planning discharge for a client who has a co-occurring borderline personality
disorder. Which of the following interventions should be included for this client?
a. Dialectical behavior therapy
b. Behavioral contract
c. Bibliotherapy
d. Safety plan
✔️ Correct Answer: A
Rationale:
Dialectical behavior therapy is appropriate for the treatment of clients with borderline
personality disorder and is often a part of the discharge plan. DBT focuses on emotional
regulation, distress tolerance, and interpersonal effectiveness. NCLEX focus: borderline
personality disorder and evidence-based treatment.
A nurse is planning care for a client who has dependent personality disorder. Which of
the following actions should the nurse plan to take?
a. Monitor the client closely to prevent self-mutilation
b. Set limits to prevent exploitation of other clients
c. Discourage flamboyant or seductive behaviors
d. Give positive feedback when client is assertive with staff or clients
,✔️ Correct Answer: D
Rationale:
The client who has dependent personality disorder has great difficulty demonstrating
assertive behavior and commonly relies on others to make decisions. The nurse should
encourage the client to be more assertive and independent. Positive reinforcement of
assertiveness promotes therapeutic progress. NCLEX focus: dependent personality
disorder and therapeutic interventions.
A nurse is reviewing the medical record of a client who performs self-injury. Which of the
following information should the nurse identify as placing the client at risk for self-harm
behaviors?
a. The client has a co-occurring borderline personality disorder
b. The client has a parent who has dependent personality disorder
c. The client has a history of bulimia nervosa
d. The client has a diagnosis of anti-social personality disorder
✔️ Correct Answer: A
Rationale:
A diagnosis of borderline personality disorder is associated with an increased risk for self-
harm. Clients with BPD often engage in self-injurious behaviors as a maladaptive coping
mechanism for emotional dysregulation. NCLEX focus: borderline personality disorder
and self-harm risk.
A nurse is caring for a client who has schizophrenia and tells the nurse, "They lie about
me all the time and they are trying to poison my food." Which of the following
statements should the nurse make?
a. "You are mistaken. Nobody is lying about you or trying to poison you."
b. "You seem to be having very frightening thoughts."
c. "Why do you think you are being lied about and poisoned?"
d. "Who is lying about you and trying to poison you?"
✔️ Correct Answer: B
Rationale:
, When responding to a client who is delusional, the nurse should avoid making
statements that directly confront or affirm the client's delusional beliefs. Instead of
responding literally to the client's words, the nurse should respond to the feelings that
the client is attempting to communicate. By doing this, the nurse is shifting the focus
from the delusional beliefs, which are not real, to the client's fear, which is real. NCLEX
focus: therapeutic communication with delusional clients.
A nurse is conducting a group therapy session for several clients. The group is laughing
at a joke one of the clients told, when a client who is schizophrenic jumps up and runs
out of the room yelling, "You are all making fun of me!" The nurse should identify this
behavior as which of the following characteristics of schizophrenia?
a. Magical thinking
b. Delusions of grandeur
c. Ideas of reference
d. Looseness of association
✔️ Correct Answer: C
Rationale:
When ideas of reference are present, the client believes all events, situations, or
interactions are directly related to him. The client interprets the group's laughter as being
directed at him personally. NCLEX focus: schizophrenia symptoms and ideas of reference.
A nurse is providing teaching for a client who has schizophrenia and a new prescription
for fluphenazine. Which of the following information should the nurse provide?
a. "This medication might turn urine your orange."
b. "Sleepiness should subside within a week."
c. "Stop the medication if hypotension occurs."
d. "A low-grade fever is expected with first doses."
✔️ Correct Answer: B
Rationale:
The nurse should inform the client that fluphenazine, like other first-generation
TEST BANK QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+||NEWEST VERSION
2026/2027 Frequently Most Tested Questions and 100%
Accurate From Past papers | Graded A+ , Reviewed and
Updated | 100% Guarantee Pass | Latest Exam and Newest
Version!!!
A nurse in an acute mental health facility is creating a plan of care for a new client who has a A
nurse in an acute mental health facility is creating a plan of care for a new client who has
a co-occurring histrionic personality disorder. Which of the following is the priority
intervention for the nurse to make?
a. Promote appropriate behavior during group therapy sessions
b. Encourage client input in the treatment plan
c. Communicate with the client using concrete language
d. Demonstrate assertive behavior
✔️ Correct Answer: A
Rationale:
Managing the client's behavior within the group is the priority intervention for the client
who has histrionic personality disorder because these clients display extreme attention-
seeking behaviors and are often impulsive, which can be extremely disruptive in a group
setting with other members. NCLEX focus: personality disorders and therapeutic milieu.
A nurse is reviewing the history and physical of an adolescent client who has conduct
disorder. Which of the following is an expected finding?
,a. Death of client's father two months ago
b. Experiences frequent facial tics
c. Suspended from school several times in the past year
d. Adheres strictly to routines
✔️ Correct Answer: C
Rationale:
Conduct disorder is an impulse-control disorder which includes a long-term pattern of
violating the rights of others and performing violent or hostile acts. School suspensions
reflect this pattern of rule-breaking and aggressive behavior. NCLEX focus: conduct
disorder and impulse-control disorders.
A nurse is planning discharge for a client who has a co-occurring borderline personality
disorder. Which of the following interventions should be included for this client?
a. Dialectical behavior therapy
b. Behavioral contract
c. Bibliotherapy
d. Safety plan
✔️ Correct Answer: A
Rationale:
Dialectical behavior therapy is appropriate for the treatment of clients with borderline
personality disorder and is often a part of the discharge plan. DBT focuses on emotional
regulation, distress tolerance, and interpersonal effectiveness. NCLEX focus: borderline
personality disorder and evidence-based treatment.
A nurse is planning care for a client who has dependent personality disorder. Which of
the following actions should the nurse plan to take?
a. Monitor the client closely to prevent self-mutilation
b. Set limits to prevent exploitation of other clients
c. Discourage flamboyant or seductive behaviors
d. Give positive feedback when client is assertive with staff or clients
,✔️ Correct Answer: D
Rationale:
The client who has dependent personality disorder has great difficulty demonstrating
assertive behavior and commonly relies on others to make decisions. The nurse should
encourage the client to be more assertive and independent. Positive reinforcement of
assertiveness promotes therapeutic progress. NCLEX focus: dependent personality
disorder and therapeutic interventions.
A nurse is reviewing the medical record of a client who performs self-injury. Which of the
following information should the nurse identify as placing the client at risk for self-harm
behaviors?
a. The client has a co-occurring borderline personality disorder
b. The client has a parent who has dependent personality disorder
c. The client has a history of bulimia nervosa
d. The client has a diagnosis of anti-social personality disorder
✔️ Correct Answer: A
Rationale:
A diagnosis of borderline personality disorder is associated with an increased risk for self-
harm. Clients with BPD often engage in self-injurious behaviors as a maladaptive coping
mechanism for emotional dysregulation. NCLEX focus: borderline personality disorder
and self-harm risk.
A nurse is caring for a client who has schizophrenia and tells the nurse, "They lie about
me all the time and they are trying to poison my food." Which of the following
statements should the nurse make?
a. "You are mistaken. Nobody is lying about you or trying to poison you."
b. "You seem to be having very frightening thoughts."
c. "Why do you think you are being lied about and poisoned?"
d. "Who is lying about you and trying to poison you?"
✔️ Correct Answer: B
Rationale:
, When responding to a client who is delusional, the nurse should avoid making
statements that directly confront or affirm the client's delusional beliefs. Instead of
responding literally to the client's words, the nurse should respond to the feelings that
the client is attempting to communicate. By doing this, the nurse is shifting the focus
from the delusional beliefs, which are not real, to the client's fear, which is real. NCLEX
focus: therapeutic communication with delusional clients.
A nurse is conducting a group therapy session for several clients. The group is laughing
at a joke one of the clients told, when a client who is schizophrenic jumps up and runs
out of the room yelling, "You are all making fun of me!" The nurse should identify this
behavior as which of the following characteristics of schizophrenia?
a. Magical thinking
b. Delusions of grandeur
c. Ideas of reference
d. Looseness of association
✔️ Correct Answer: C
Rationale:
When ideas of reference are present, the client believes all events, situations, or
interactions are directly related to him. The client interprets the group's laughter as being
directed at him personally. NCLEX focus: schizophrenia symptoms and ideas of reference.
A nurse is providing teaching for a client who has schizophrenia and a new prescription
for fluphenazine. Which of the following information should the nurse provide?
a. "This medication might turn urine your orange."
b. "Sleepiness should subside within a week."
c. "Stop the medication if hypotension occurs."
d. "A low-grade fever is expected with first doses."
✔️ Correct Answer: B
Rationale:
The nurse should inform the client that fluphenazine, like other first-generation
