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NR 326 EXAM 3 CHAMBERLAIN MENTAL HEALTH NURSING –
125 STUDY GUIDE – PRACTICE QUESTIONS WITH DETAILED
RATIONALES (LATEST EDITION)
Nursing / Mental Health Nursing
EXAM SUMMARY
Section A (Q1–Q25): Personality Disorders – Cluster A, B, and C
characteristics, nursing interventions, and medication
management.
Section B (Q26–Q50): Schizophrenia Spectrum & Psychotic
Disorders – positive and negative symptoms, antipsychotic
medications, and relapse prevention.
Section C (Q51–Q75): Substance Use Disorders – withdrawal
management, medication-assisted treatment, and nursing
interventions.
Section D (Q76–Q100): Eating Disorders & Neurocognitive
Disorders – anorexia, bulimia, binge-eating, delirium, dementia,
and Alzheimer's disease.
Section E (Q101–Q125): Anxiety, Trauma, & Somatic Disorders –
GAD, panic disorder, PTSD, OCD, somatic symptom disorders,
and crisis intervention.
1. A client diagnosed with borderline personality disorder uses
splitting techniques to divide the nursing staff. Which of the
following is the most appropriate nursing intervention?
, 2
A) Allow the client to manipulate staff to reduce anxiety
B) Encourage staff to openly discuss their feelings about the
client
C) Maintain consistent communication among staff about the
client's behavior
D) Confront the client about the manipulation in front of other
clients
CORRECT ANSWER: C) Maintain consistent communication
among staff about the client's behavior
RATIONALE: Option C is correct because consistent
communication among staff helps maintain a unified approach
and prevents splitting, where the client idealizes one staff
member and devalues another. Option A is incorrect because
allowing manipulation reinforces maladaptive behavior. Option
B is incorrect because staff discussions should be professional
and therapeutic, not about personal feelings. Option D is
incorrect because confronting the client in front of others is
humiliating and non-therapeutic.
2. A client with antisocial personality disorder spits at a nurse
during an assessment interview. Which nursing response is
most appropriate?
A) "You are very disrespectful. You need to learn to control
yourself."
B) "I understand that you are angry, but this behavior will not be
, 3
tolerated."
C) "What behaviors could you modify to improve this situation?"
D) "What anti-personality disorder medications have helped you
in the past?"
CORRECT ANSWER: B) "I understand that you are angry, but
this behavior will not be tolerated."
RATIONALE: Option B is correct because it sets a clear limit on
unacceptable behavior while acknowledging the client's
underlying emotion, which is essential for clients with antisocial
personality disorder. Option A is incorrect because it is
judgmental and confrontational. Option C is incorrect because
it does not address the immediate behavior. Option D is
incorrect because it is not relevant to the situation.
3. A nurse is assessing a client diagnosed with dependent
personality disorder. Which characteristic is a major component
of this disorder?
A) Grandiosity
B) Submissive and clinging behavior
C) Pervasive distrust
D) Detachment from social relationships
CORRECT ANSWER: B) Submissive and clinging behavior
RATIONALE: Option B is correct because dependent personality
disorder is characterized by a pervasive and excessive need to
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be taken care of, leading to submissive and clinging behavior
and fears of separation. Option A is incorrect because
grandiosity is characteristic of narcissistic personality disorder.
Option C is incorrect because pervasive distrust is
characteristic of paranoid personality disorder. Option D is
incorrect because detachment is characteristic of schizoid
personality disorder.
4. A client with borderline personality disorder is prescribed
phenelzine for decreasing impulsivity and self-destructive acts.
Which dietary instruction is essential?
A) Avoid foods high in potassium
B) Avoid foods containing tyramine
C) Avoid foods high in calcium
D) Avoid foods containing vitamin K
CORRECT ANSWER: B) Avoid foods containing tyramine
RATIONALE: Option B is correct because phenelzine is an
MAOI, and tyramine-rich foods can cause a hypertensive crisis.
Option A is incorrect because potassium is not restricted with
MAOIs. Option C is incorrect because calcium is not restricted.
Option D is incorrect because vitamin K is not restricted with
MAOIs.
NR 326 EXAM 3 CHAMBERLAIN MENTAL HEALTH NURSING –
125 STUDY GUIDE – PRACTICE QUESTIONS WITH DETAILED
RATIONALES (LATEST EDITION)
Nursing / Mental Health Nursing
EXAM SUMMARY
Section A (Q1–Q25): Personality Disorders – Cluster A, B, and C
characteristics, nursing interventions, and medication
management.
Section B (Q26–Q50): Schizophrenia Spectrum & Psychotic
Disorders – positive and negative symptoms, antipsychotic
medications, and relapse prevention.
Section C (Q51–Q75): Substance Use Disorders – withdrawal
management, medication-assisted treatment, and nursing
interventions.
Section D (Q76–Q100): Eating Disorders & Neurocognitive
Disorders – anorexia, bulimia, binge-eating, delirium, dementia,
and Alzheimer's disease.
Section E (Q101–Q125): Anxiety, Trauma, & Somatic Disorders –
GAD, panic disorder, PTSD, OCD, somatic symptom disorders,
and crisis intervention.
1. A client diagnosed with borderline personality disorder uses
splitting techniques to divide the nursing staff. Which of the
following is the most appropriate nursing intervention?
, 2
A) Allow the client to manipulate staff to reduce anxiety
B) Encourage staff to openly discuss their feelings about the
client
C) Maintain consistent communication among staff about the
client's behavior
D) Confront the client about the manipulation in front of other
clients
CORRECT ANSWER: C) Maintain consistent communication
among staff about the client's behavior
RATIONALE: Option C is correct because consistent
communication among staff helps maintain a unified approach
and prevents splitting, where the client idealizes one staff
member and devalues another. Option A is incorrect because
allowing manipulation reinforces maladaptive behavior. Option
B is incorrect because staff discussions should be professional
and therapeutic, not about personal feelings. Option D is
incorrect because confronting the client in front of others is
humiliating and non-therapeutic.
2. A client with antisocial personality disorder spits at a nurse
during an assessment interview. Which nursing response is
most appropriate?
A) "You are very disrespectful. You need to learn to control
yourself."
B) "I understand that you are angry, but this behavior will not be
, 3
tolerated."
C) "What behaviors could you modify to improve this situation?"
D) "What anti-personality disorder medications have helped you
in the past?"
CORRECT ANSWER: B) "I understand that you are angry, but
this behavior will not be tolerated."
RATIONALE: Option B is correct because it sets a clear limit on
unacceptable behavior while acknowledging the client's
underlying emotion, which is essential for clients with antisocial
personality disorder. Option A is incorrect because it is
judgmental and confrontational. Option C is incorrect because
it does not address the immediate behavior. Option D is
incorrect because it is not relevant to the situation.
3. A nurse is assessing a client diagnosed with dependent
personality disorder. Which characteristic is a major component
of this disorder?
A) Grandiosity
B) Submissive and clinging behavior
C) Pervasive distrust
D) Detachment from social relationships
CORRECT ANSWER: B) Submissive and clinging behavior
RATIONALE: Option B is correct because dependent personality
disorder is characterized by a pervasive and excessive need to
, 4
be taken care of, leading to submissive and clinging behavior
and fears of separation. Option A is incorrect because
grandiosity is characteristic of narcissistic personality disorder.
Option C is incorrect because pervasive distrust is
characteristic of paranoid personality disorder. Option D is
incorrect because detachment is characteristic of schizoid
personality disorder.
4. A client with borderline personality disorder is prescribed
phenelzine for decreasing impulsivity and self-destructive acts.
Which dietary instruction is essential?
A) Avoid foods high in potassium
B) Avoid foods containing tyramine
C) Avoid foods high in calcium
D) Avoid foods containing vitamin K
CORRECT ANSWER: B) Avoid foods containing tyramine
RATIONALE: Option B is correct because phenelzine is an
MAOI, and tyramine-rich foods can cause a hypertensive crisis.
Option A is incorrect because potassium is not restricted with
MAOIs. Option C is incorrect because calcium is not restricted.
Option D is incorrect because vitamin K is not restricted with
MAOIs.
