NSG 526 Exam 09/22/2026
NSG 526 Exam 3 | Complete Question Bank
with Verified Answers | 2025/26| Review &
Next Gen Practice Questions with Answers,
Detailed Rationales
A male client who is diagnosed with schizophrenia, catatonic type, is admitted to the mental health unit and
does not verbally communicate to any of the staff. His wife states that he became increasingly anxious,
withdrawn, and stayed in bed staring at the wall since his recent job promotion. Which nursing diagnosis should
the PN implement of this client?
A. Impaired verbal communication related to severe anxiety
B. Personal identity disturbance related to workplace stress
C. Fear of responsibility related to a promotional opportunity
D. Ineffective individual coping related to unresolved conflict - Correct Answer :A. Impaired verbal
communication related to severe anxiety
A+ TEST BANK 1
, NSG 526 Exam 09/22/2026
rationale:
Impaired verbal communication can result from maladaptive neurobiological responses that results from a
precipitating stressor, which is mostly likely severe anxiety aroused by this client's recent job promotion (A). (B,
C, and D) do not address the concept of psych-cognitive functioning in schizophrenia
The practical nurse (PN) is interacting with a male client who is worried about being admitted to the mental
health unit. Which self-reported characteristic should the PN acknowledge as most indicative of the client's
healthy boundary of self-concept?
A. Lets others define his self-concept
B. Takes responsibility to meet his own needs
C. Gives to others for the sake of giving
D. Believes others should anticipate his needs - Correct Answer :B. Takes responsibility to meet his own needs
rationale:
The client who acts responsibly in meeting his own needs (B) best describes a client's healthy boundary, so
acknowledging this self-appraised self-concept provides the best feedback. Giving as much as possible for the
sake of giving (C), believing others can anticipate the client's own needs (D), and letting others define the client
(A) are examples of unhealthy boundaries, rather than assertive behavior
A male client arrives at the mental health clinic and tells the practical nurse (PN) that he is overwhelmed and
does not know who to talk to about his life. Based on the client's comments, what aspect of the client's life
should the practical nurse explore first with the client?
A. Coping mechanisms
B. Problem resolution
C. Support system
D. Perception of the event - Correct Answer :C. Support system
rationale:
The client is alluding to the lack of support, so determining if the client has family, friends, clergy, or coworkers
should be identified first (C). (A, B, and D) are other factors that should be explored after the nurse-client
relationship is established
A+ TEST BANK 2
, NSG 526 Exam 09/22/2026
A 35 year old male client is admitted after a suicide attempt, Which action should the practical nurse (PN)
implement when interacting with the client?
A. Redirect conversations that focus on the topic of suicide
B. Recommend that the client focus on peers rather than self-absorption
C. Encourage the client to express feelings rather than suppress them
D. Discuss the impact that suicidal behaviors have on his family - Correct Answer :C. Encourage the client to
express feelings rather than suppress them
rationale:
Expressing feelings in a therapeutic environment decreases hopelessness, so encouraging the client to express
any feelings (C), particularly suicidal thoughts, is the priority. Avoiding the discussion of suicide (A) impedes
recognition and early intervention for suicidal ideations, such as detail and lethality of a suicidal plan. A client who
is suicidal often finds it difficult to move from self-absorption to other's perspective (B and D) because of his
own feelings of unworthiness, fear of rejection by others, and low self-esteem.
The practical nurse (PN) is caring for a female client with borderline personality disorder and a history of self-
mutilation. The client tells the PN that another staff member makes her feel angry and unimportant. What
priority intervention should the PN implement?
A. Tell the client that she will be secluded if she acts out
B. Give the client a reward for expressing her anger
C. Explain that she should cope by doing something physical
D. Ask her if she feels like hurting herself when she is angry - Correct Answer :D. Ask her if she feels like hurting
herself when she is angry
rationale:
A client with borderline personality disorder uses splitting and self-inflicted trauma as attention seeking and
coping behaviors. The client's history of impulsivity and self-mutilation indicates she is at risk for self injury, so the
PN should first ask the client if she plans to hurt herself (D) so safety precautions and a contract for safety can be
implemented. (A) may be indicated of the client is unable to control impulsive acts. (B and C) are alternative
activities after determining if the client has thoughts of self-mutilation
The practical nurse is talking with a male client about his recent job loss. What is the most important factor to
explore with the client?
A. Importance of the job to the client
A+ TEST BANK 3
, NSG 526 Exam 09/22/2026
B. Size of his support system
C. Awareness of his options
D. His family's feelings about the loss - Correct Answer :A. Importance of the job to the client
rationale:
The client's perception of his loss is a key factor (A). What may be trivial to one person may seem overwhelming
to another. If the client does not perceive the event as problematic, a crisis may be averted. (B,C, and D) are less
relevant
A male client who believes he has a brain tumor after numerous diagnostic tests that indicate no evidence of
organic disease tells the practical nurse (PN), "No one believes me! I have the symptoms: terrible headaches and
episodes of blurred vision. Last week I felt weak and even vomited. I'm going to die." Which response by the PN
fosters cognitive restructuring?
A. "Tell me about your relationships with the significant women in your life"
B. " Sharing your thoughts and feelings about death can be helpful."
C." There are other possible explanations for your symptoms."
D. " Based on your diagnostic tests results, your concern is unfounded." - Correct Answer :C." There are other
possible explanations for your symptoms."
rationale:
Clients with illness anxiety disorder often ignore and possibilities except those that support their distorted
thinking, and questioning the evidence is a cognitive restructuring technique that can be effective. Learning that
his symptoms can have causes other than a brain tumor can help the client restructure his beliefs about his
health. Asking the client to examine his relationships (A) is an insight-oriented communication technique, not
cognitive restructuring. (B) acknowledges the client's statement about his death but does not help the client's
statement about his death but does not help the client reexamine his beliefs about his symptoms. (C) is
confrontational and ineffective.
The practical nurse (PN) is assessing a client who has been noncompliant with a prescribed diet and exercise
regimen. This client is using which defense mechanism?
A. Denial
B. Projection
C. Dissociation
D. Displacement - Correct Answer :A. Denial
A+ TEST BANK 4
NSG 526 Exam 3 | Complete Question Bank
with Verified Answers | 2025/26| Review &
Next Gen Practice Questions with Answers,
Detailed Rationales
A male client who is diagnosed with schizophrenia, catatonic type, is admitted to the mental health unit and
does not verbally communicate to any of the staff. His wife states that he became increasingly anxious,
withdrawn, and stayed in bed staring at the wall since his recent job promotion. Which nursing diagnosis should
the PN implement of this client?
A. Impaired verbal communication related to severe anxiety
B. Personal identity disturbance related to workplace stress
C. Fear of responsibility related to a promotional opportunity
D. Ineffective individual coping related to unresolved conflict - Correct Answer :A. Impaired verbal
communication related to severe anxiety
A+ TEST BANK 1
, NSG 526 Exam 09/22/2026
rationale:
Impaired verbal communication can result from maladaptive neurobiological responses that results from a
precipitating stressor, which is mostly likely severe anxiety aroused by this client's recent job promotion (A). (B,
C, and D) do not address the concept of psych-cognitive functioning in schizophrenia
The practical nurse (PN) is interacting with a male client who is worried about being admitted to the mental
health unit. Which self-reported characteristic should the PN acknowledge as most indicative of the client's
healthy boundary of self-concept?
A. Lets others define his self-concept
B. Takes responsibility to meet his own needs
C. Gives to others for the sake of giving
D. Believes others should anticipate his needs - Correct Answer :B. Takes responsibility to meet his own needs
rationale:
The client who acts responsibly in meeting his own needs (B) best describes a client's healthy boundary, so
acknowledging this self-appraised self-concept provides the best feedback. Giving as much as possible for the
sake of giving (C), believing others can anticipate the client's own needs (D), and letting others define the client
(A) are examples of unhealthy boundaries, rather than assertive behavior
A male client arrives at the mental health clinic and tells the practical nurse (PN) that he is overwhelmed and
does not know who to talk to about his life. Based on the client's comments, what aspect of the client's life
should the practical nurse explore first with the client?
A. Coping mechanisms
B. Problem resolution
C. Support system
D. Perception of the event - Correct Answer :C. Support system
rationale:
The client is alluding to the lack of support, so determining if the client has family, friends, clergy, or coworkers
should be identified first (C). (A, B, and D) are other factors that should be explored after the nurse-client
relationship is established
A+ TEST BANK 2
, NSG 526 Exam 09/22/2026
A 35 year old male client is admitted after a suicide attempt, Which action should the practical nurse (PN)
implement when interacting with the client?
A. Redirect conversations that focus on the topic of suicide
B. Recommend that the client focus on peers rather than self-absorption
C. Encourage the client to express feelings rather than suppress them
D. Discuss the impact that suicidal behaviors have on his family - Correct Answer :C. Encourage the client to
express feelings rather than suppress them
rationale:
Expressing feelings in a therapeutic environment decreases hopelessness, so encouraging the client to express
any feelings (C), particularly suicidal thoughts, is the priority. Avoiding the discussion of suicide (A) impedes
recognition and early intervention for suicidal ideations, such as detail and lethality of a suicidal plan. A client who
is suicidal often finds it difficult to move from self-absorption to other's perspective (B and D) because of his
own feelings of unworthiness, fear of rejection by others, and low self-esteem.
The practical nurse (PN) is caring for a female client with borderline personality disorder and a history of self-
mutilation. The client tells the PN that another staff member makes her feel angry and unimportant. What
priority intervention should the PN implement?
A. Tell the client that she will be secluded if she acts out
B. Give the client a reward for expressing her anger
C. Explain that she should cope by doing something physical
D. Ask her if she feels like hurting herself when she is angry - Correct Answer :D. Ask her if she feels like hurting
herself when she is angry
rationale:
A client with borderline personality disorder uses splitting and self-inflicted trauma as attention seeking and
coping behaviors. The client's history of impulsivity and self-mutilation indicates she is at risk for self injury, so the
PN should first ask the client if she plans to hurt herself (D) so safety precautions and a contract for safety can be
implemented. (A) may be indicated of the client is unable to control impulsive acts. (B and C) are alternative
activities after determining if the client has thoughts of self-mutilation
The practical nurse is talking with a male client about his recent job loss. What is the most important factor to
explore with the client?
A. Importance of the job to the client
A+ TEST BANK 3
, NSG 526 Exam 09/22/2026
B. Size of his support system
C. Awareness of his options
D. His family's feelings about the loss - Correct Answer :A. Importance of the job to the client
rationale:
The client's perception of his loss is a key factor (A). What may be trivial to one person may seem overwhelming
to another. If the client does not perceive the event as problematic, a crisis may be averted. (B,C, and D) are less
relevant
A male client who believes he has a brain tumor after numerous diagnostic tests that indicate no evidence of
organic disease tells the practical nurse (PN), "No one believes me! I have the symptoms: terrible headaches and
episodes of blurred vision. Last week I felt weak and even vomited. I'm going to die." Which response by the PN
fosters cognitive restructuring?
A. "Tell me about your relationships with the significant women in your life"
B. " Sharing your thoughts and feelings about death can be helpful."
C." There are other possible explanations for your symptoms."
D. " Based on your diagnostic tests results, your concern is unfounded." - Correct Answer :C." There are other
possible explanations for your symptoms."
rationale:
Clients with illness anxiety disorder often ignore and possibilities except those that support their distorted
thinking, and questioning the evidence is a cognitive restructuring technique that can be effective. Learning that
his symptoms can have causes other than a brain tumor can help the client restructure his beliefs about his
health. Asking the client to examine his relationships (A) is an insight-oriented communication technique, not
cognitive restructuring. (B) acknowledges the client's statement about his death but does not help the client's
statement about his death but does not help the client reexamine his beliefs about his symptoms. (C) is
confrontational and ineffective.
The practical nurse (PN) is assessing a client who has been noncompliant with a prescribed diet and exercise
regimen. This client is using which defense mechanism?
A. Denial
B. Projection
C. Dissociation
D. Displacement - Correct Answer :A. Denial
A+ TEST BANK 4
