,NR-326 Verified Exam 3 — Mental Health
Nursing | Chamberlain College of Nursing | Q
& A | 2026/2027 Edition
1. A nurse in an acute mental health facility is caring for a client with borderline personality
disorder who is using splitting techniques to divide the staff. Which nursing intervention is the
priority?
A) Allowing the client to choose their own primary nurse for each shift
B) Limiting the client's contact with other patients on the unit
C) Ignoring the behavior to avoid reinforcing the negative pattern
D) Ensuring consistent communication among the treatment team members
Correct Answer: Ensuring consistent communication among the treatment team members
Rationale: Consistency is the cornerstone of managing splitting behaviors in clients with
borderline personality disorder. By maintaining open communication, staff can present a united
front and prevent the client from manipulating individuals against each other. Allowing the
client to choose nurses reinforces splitting, while ignoring the behavior fails to address the
therapeutic need for consistency.
2. A nurse is assessing a client diagnosed with antisocial personality disorder. Which of the
following findings should the nurse expect? (Select all that apply.)
A) Demonstrates extreme anxiety when placed in a social situation
B) Often engages in magical thinking
,C) Attempts to convince other clients to relinquish their belongings
D) Becomes agitated if personal area is not neat and orderly
E) Blames others for personal past and current problems
Correct Answer: C, E
Rationale: Exploitation and manipulation of others (convincing others to relinquish belongings)
and failure to accept personal responsibility (blaming others) are expected findings in antisocial
personality disorder. Anxiety in social situations is expected in avoidant personality disorder;
magical thinking in schizotypal personality disorder; and perfectionism in obsessive-compulsive
personality disorder.
3. A client with schizophrenia suddenly stops focusing on the nurse's questions and begins
looking at the ceiling and talking to themselves. Which action should the nurse take?
A) Stop the interview and resume later when the client is better able to concentrate
B) Ask the client, "Are you seeing something on the ceiling?"
C) Tell the client, "You seem to be looking at something on the ceiling. I see something there,
too."
D) Continue the interview without comment on the client's behavior
Correct Answer: Ask the client, "Are you seeing something on the ceiling?"
Rationale: The nurse should address the client's current needs related to the possible
hallucination by asking directly about it to identify client needs and assess for potential risk for
injury. Stopping the interview ignores the behavior, agreeing with the client can promote
psychotic thinking, and continuing without comment fails to assess safety.
, 4. A client is admitted for alcohol detoxification. Which medication should the nurse anticipate
administering to prevent seizures and delirium tremens?
A) Disulfiram
B) Methadone
C) Naloxone
D) Chlordiazepoxide
Correct Answer: Chlordiazepoxide
Rationale: Chlordiazepoxide is a benzodiazepine commonly used in alcohol withdrawal
management. It works by enhancing GABA activity, providing cross-tolerance to alcohol and
preventing over-excitation of the central nervous system. Disulfiram is used for aversion
therapy, methadone for opioid withdrawal, and naloxone for opioid overdose.
5. A nurse is assessing a client with anorexia nervosa who is 30% below ideal body weight.
Which physical finding should the nurse expect?
A) Hypertension and tachycardia
B) Hyperthermia and moist skin
C) Hyperactive bowel sounds and diarrhea
D) Amenorrhea and lanugo
Nursing | Chamberlain College of Nursing | Q
& A | 2026/2027 Edition
1. A nurse in an acute mental health facility is caring for a client with borderline personality
disorder who is using splitting techniques to divide the staff. Which nursing intervention is the
priority?
A) Allowing the client to choose their own primary nurse for each shift
B) Limiting the client's contact with other patients on the unit
C) Ignoring the behavior to avoid reinforcing the negative pattern
D) Ensuring consistent communication among the treatment team members
Correct Answer: Ensuring consistent communication among the treatment team members
Rationale: Consistency is the cornerstone of managing splitting behaviors in clients with
borderline personality disorder. By maintaining open communication, staff can present a united
front and prevent the client from manipulating individuals against each other. Allowing the
client to choose nurses reinforces splitting, while ignoring the behavior fails to address the
therapeutic need for consistency.
2. A nurse is assessing a client diagnosed with antisocial personality disorder. Which of the
following findings should the nurse expect? (Select all that apply.)
A) Demonstrates extreme anxiety when placed in a social situation
B) Often engages in magical thinking
,C) Attempts to convince other clients to relinquish their belongings
D) Becomes agitated if personal area is not neat and orderly
E) Blames others for personal past and current problems
Correct Answer: C, E
Rationale: Exploitation and manipulation of others (convincing others to relinquish belongings)
and failure to accept personal responsibility (blaming others) are expected findings in antisocial
personality disorder. Anxiety in social situations is expected in avoidant personality disorder;
magical thinking in schizotypal personality disorder; and perfectionism in obsessive-compulsive
personality disorder.
3. A client with schizophrenia suddenly stops focusing on the nurse's questions and begins
looking at the ceiling and talking to themselves. Which action should the nurse take?
A) Stop the interview and resume later when the client is better able to concentrate
B) Ask the client, "Are you seeing something on the ceiling?"
C) Tell the client, "You seem to be looking at something on the ceiling. I see something there,
too."
D) Continue the interview without comment on the client's behavior
Correct Answer: Ask the client, "Are you seeing something on the ceiling?"
Rationale: The nurse should address the client's current needs related to the possible
hallucination by asking directly about it to identify client needs and assess for potential risk for
injury. Stopping the interview ignores the behavior, agreeing with the client can promote
psychotic thinking, and continuing without comment fails to assess safety.
, 4. A client is admitted for alcohol detoxification. Which medication should the nurse anticipate
administering to prevent seizures and delirium tremens?
A) Disulfiram
B) Methadone
C) Naloxone
D) Chlordiazepoxide
Correct Answer: Chlordiazepoxide
Rationale: Chlordiazepoxide is a benzodiazepine commonly used in alcohol withdrawal
management. It works by enhancing GABA activity, providing cross-tolerance to alcohol and
preventing over-excitation of the central nervous system. Disulfiram is used for aversion
therapy, methadone for opioid withdrawal, and naloxone for opioid overdose.
5. A nurse is assessing a client with anorexia nervosa who is 30% below ideal body weight.
Which physical finding should the nurse expect?
A) Hypertension and tachycardia
B) Hyperthermia and moist skin
C) Hyperactive bowel sounds and diarrhea
D) Amenorrhea and lanugo
