NSG 526 Exam 09/22/2026
NSG 526 Exam 2 | Complete Question Bank
with Verified Answers | 2025/26| Review &
Next Gen Practice Questions with Answers,
Detailed Rationales
A client begins fighting and biting other clients. The practitioner prescribes a stat injection of haloperidol
(Haldol). How should the nurse implement this prescription?
1
Before the client realizes what is happening
2
After the client agrees to receive the injection
3
A+ TEST BANK 1
, NSG 526 Exam 09/22/2026
Quietly, without any explanation of the reason for it
4
Quickly, with an attitude of concern - Correct Answer :4
Quickness is used for safety; an attitude of concern may help reduce the client's anxiety. The client must be told
why sedation is being used; to do so surreptitiously will reduce the client's trust. A client who is this upset will not
agree to a sedative; the client may harm himself or others and must be sedated. The client must be told why
sedation is being used; to administer the medication surreptitiously will decrease trust.
nurse is assessing a client who has been emotionally immobilized since her husband requested a divorce and
moved out of their home. What should be determined first by the nurse in the crisis intervention center?
1
Her relationship with her husband
2
Whether she is receptive to suggestions
3
How she plans to support herself financially
4
What the divorce means to the client - Correct Answer :4
Determining the significance of the divorce to the client is a method of identifying the client's perception of the
event; it is critical to adequate assessment and appropriate intervention. The client's relationship with her
husband is secondary in importance and may divert attention from the client's perception of the problem and
the significance of the divorce to the client. Receptivity to suggestions should be explored later in therapy (i.e.,
in the planning stage). Although financial concerns are important, they should not be the first topic addressed.
The mother of an 18-year-old man comes to the local mental health center. She is extremely upset because of
her son's behavior since the young man returned from his freshman year at college. He takes his brother's
clothing, comes in at all hours, and refuses to get a job. Sometimes he is happy and outgoing, but at other times
he is withdrawn. The mother asks why her son is like this. While contemplating this situation, the nurse considers
that adolescents are usually:
1
Anxious and unhappy
2
Angry and irresponsible
3
A+ TEST BANK 2
, NSG 526 Exam 09/22/2026
Hyperactive and self-destructive
4
Impulsive and self-centered - Correct Answer :4
Adolescence is a time of great upheaval and maturation. Before this maturational process is completed,
adolescents act without thinking things through and are more concerned with their own needs, rather than the
needs of others. The rapid and complex biological, social, and emotional changes during adolescence do not
necessarily lead to these psychological responses.
During a group therapy session some members accuse another client of intellectualizing to avoid discussing
feelings. The client asks whether the nurse agrees with the others. What is the best response by the nurse?
1
"It seems that way to me, too."
2
"What's your perception of my behavior?"
3
"I'd rather not give my personal opinion at this time."
4
"Are you uncomfortable with what you were told?" - Correct Answer :4
Asking the confronted client whether he is uncomfortable with what he is being told will help the client identify
behaviors and feelings in a nonthreatening manner. Agreeing with the confronting group members indicates a
lack of acceptance of the client. The nurse's behavior is not the issue; the situation should be turned back to the
client's behavior. Evasion and refusal to answer will have the psychological effect of removing the nurse from the
group.
One morning, during the working phase of a therapeutic relationship after several sessions in which difficult
issues were discussed, the client suddenly becomes very hostile. What is the most appropriate interpretation of
this behavior by the nurse?
1
The client is exercising assertiveness, which implies improvement.
2
Flare-ups often occur even when there is a positive working relationship.
3
The behavior is a form of regression, which implies some deterioration in the client's condition.
A+ TEST BANK 3
, NSG 526 Exam 09/22/2026
4
Hostility is being used as a defense because previous self-disclosure has raised anxiety. - Correct Answer :4
Emotional closeness after self-disclosure increases anxiety, which cannot be tolerated; hostility is used to keep
the nurse at a distance. Hostility is more extreme than assertiveness and is not an indication of improvement.
Although flare-ups often occur even when there is a positive working relationship, the expression of hostility is
not a flare-up in this situation. Regressive behavior is the resumption of behavior characteristic of an earlier stage
of development; hostility does not fit this definition.
What is the most difficult initial task in the development of a nurse-client relationship?
1
Remaining therapeutic and professional
2
Being able to understand and accept a client's behavior
3
Accepting responsibility for identifying and evaluating the real needs of a client
4
Developing an awareness of self and the professional role in the relationship - Correct Answer :4
The nurse's major tool in mental health nursing is the therapeutic use of self. Mental health nurses must learn to
identify their own feelings and understand how they affect the situation. Although remaining therapeutic and
professional and being able to understand and accept a client's behavior may be difficult, an awareness of self is
still the most difficult part of developing a nurse-client relationship. Accepting responsibility for identifying and
evaluating the real needs of a client implies that the nurse is working alone in caring for the client.
A health care provider refers a 52-year-old man to the mental health clinic. The history reveals that the man lost
his wife to colon cancer 6 months ago and that since that time he has seen his health care provider seven times
with the concern that he has colon cancer. All tests have had negative results. Recently the client stopped
seeing friends, dropped his hobbies, and stayed home to rest. Which disorder should the nurse identify as
consistent with the client's preoccupation with the fear of having a serious disease?
1
Conversion disorder
2
Somatization disorder
3
Body dysmorphic disorder
A+ TEST BANK 4
NSG 526 Exam 2 | Complete Question Bank
with Verified Answers | 2025/26| Review &
Next Gen Practice Questions with Answers,
Detailed Rationales
A client begins fighting and biting other clients. The practitioner prescribes a stat injection of haloperidol
(Haldol). How should the nurse implement this prescription?
1
Before the client realizes what is happening
2
After the client agrees to receive the injection
3
A+ TEST BANK 1
, NSG 526 Exam 09/22/2026
Quietly, without any explanation of the reason for it
4
Quickly, with an attitude of concern - Correct Answer :4
Quickness is used for safety; an attitude of concern may help reduce the client's anxiety. The client must be told
why sedation is being used; to do so surreptitiously will reduce the client's trust. A client who is this upset will not
agree to a sedative; the client may harm himself or others and must be sedated. The client must be told why
sedation is being used; to administer the medication surreptitiously will decrease trust.
nurse is assessing a client who has been emotionally immobilized since her husband requested a divorce and
moved out of their home. What should be determined first by the nurse in the crisis intervention center?
1
Her relationship with her husband
2
Whether she is receptive to suggestions
3
How she plans to support herself financially
4
What the divorce means to the client - Correct Answer :4
Determining the significance of the divorce to the client is a method of identifying the client's perception of the
event; it is critical to adequate assessment and appropriate intervention. The client's relationship with her
husband is secondary in importance and may divert attention from the client's perception of the problem and
the significance of the divorce to the client. Receptivity to suggestions should be explored later in therapy (i.e.,
in the planning stage). Although financial concerns are important, they should not be the first topic addressed.
The mother of an 18-year-old man comes to the local mental health center. She is extremely upset because of
her son's behavior since the young man returned from his freshman year at college. He takes his brother's
clothing, comes in at all hours, and refuses to get a job. Sometimes he is happy and outgoing, but at other times
he is withdrawn. The mother asks why her son is like this. While contemplating this situation, the nurse considers
that adolescents are usually:
1
Anxious and unhappy
2
Angry and irresponsible
3
A+ TEST BANK 2
, NSG 526 Exam 09/22/2026
Hyperactive and self-destructive
4
Impulsive and self-centered - Correct Answer :4
Adolescence is a time of great upheaval and maturation. Before this maturational process is completed,
adolescents act without thinking things through and are more concerned with their own needs, rather than the
needs of others. The rapid and complex biological, social, and emotional changes during adolescence do not
necessarily lead to these psychological responses.
During a group therapy session some members accuse another client of intellectualizing to avoid discussing
feelings. The client asks whether the nurse agrees with the others. What is the best response by the nurse?
1
"It seems that way to me, too."
2
"What's your perception of my behavior?"
3
"I'd rather not give my personal opinion at this time."
4
"Are you uncomfortable with what you were told?" - Correct Answer :4
Asking the confronted client whether he is uncomfortable with what he is being told will help the client identify
behaviors and feelings in a nonthreatening manner. Agreeing with the confronting group members indicates a
lack of acceptance of the client. The nurse's behavior is not the issue; the situation should be turned back to the
client's behavior. Evasion and refusal to answer will have the psychological effect of removing the nurse from the
group.
One morning, during the working phase of a therapeutic relationship after several sessions in which difficult
issues were discussed, the client suddenly becomes very hostile. What is the most appropriate interpretation of
this behavior by the nurse?
1
The client is exercising assertiveness, which implies improvement.
2
Flare-ups often occur even when there is a positive working relationship.
3
The behavior is a form of regression, which implies some deterioration in the client's condition.
A+ TEST BANK 3
, NSG 526 Exam 09/22/2026
4
Hostility is being used as a defense because previous self-disclosure has raised anxiety. - Correct Answer :4
Emotional closeness after self-disclosure increases anxiety, which cannot be tolerated; hostility is used to keep
the nurse at a distance. Hostility is more extreme than assertiveness and is not an indication of improvement.
Although flare-ups often occur even when there is a positive working relationship, the expression of hostility is
not a flare-up in this situation. Regressive behavior is the resumption of behavior characteristic of an earlier stage
of development; hostility does not fit this definition.
What is the most difficult initial task in the development of a nurse-client relationship?
1
Remaining therapeutic and professional
2
Being able to understand and accept a client's behavior
3
Accepting responsibility for identifying and evaluating the real needs of a client
4
Developing an awareness of self and the professional role in the relationship - Correct Answer :4
The nurse's major tool in mental health nursing is the therapeutic use of self. Mental health nurses must learn to
identify their own feelings and understand how they affect the situation. Although remaining therapeutic and
professional and being able to understand and accept a client's behavior may be difficult, an awareness of self is
still the most difficult part of developing a nurse-client relationship. Accepting responsibility for identifying and
evaluating the real needs of a client implies that the nurse is working alone in caring for the client.
A health care provider refers a 52-year-old man to the mental health clinic. The history reveals that the man lost
his wife to colon cancer 6 months ago and that since that time he has seen his health care provider seven times
with the concern that he has colon cancer. All tests have had negative results. Recently the client stopped
seeing friends, dropped his hobbies, and stayed home to rest. Which disorder should the nurse identify as
consistent with the client's preoccupation with the fear of having a serious disease?
1
Conversion disorder
2
Somatization disorder
3
Body dysmorphic disorder
A+ TEST BANK 4
