NR 326 Exam #3
1. A nurse in an acute men- A. Promote appropriate behavior during group
tal health facility is creat- therapy sessions.
ing a plan of care for a Rationale: Managing the client's behavior
new client who has a co-oc- within the group is the priority intervention for
curring histrionic personal- the client who has histrionic personality dis-
ity disorder. Which of the order because these clients display extreme
following is the priority in- attention-seeking behaviors and are often im-
tervention for the nurse to pulsive, which can be extremely disruptive in
make? a group setting with other members.
A. Promote appropriate be-
havior during group therapy
sessions.
B. Encourage client input in
the treatment plan.
C. Communicate with the
client using concrete lan-
guage.
D. Demonstrate assertive
behavior.
2. A nurse is reviewing the C. Suspended from school several times in the
history and physical of an past year
adolescent client who has Rationale: Conduct disorder is an im-
conduct disorder. Which of pulse-control disorder which includes a
the following is an expected long-term pattern of violating the rights of oth-
finding? ers and performing violent or hostile acts.
A. Death of client's father
two months ago
B. Experiences frequent fa-
cial tics
C. Suspended from school
several times in the past
year
D. Adheres strictly to rou-
tines
3. A nurse is planning dis- A. Dialectical behavior therapy
charge for a client who has Rationale: Dialectical behavior therapy is ap-
a co-occurring borderline propriate for the treatment of clients with bor-
, NR 326 Exam #3
personality disorder. Which derline personality disorder and is often a part
of the following interven- of the discharge plan.
tions should be included for
this client?
A. Dialectical behavior ther-
apy
B. Behavioral contract
C. Bibliotherapy
D. Safety plan
4. A nurse is planning care D. Give positive feedback when client is as-
for a client who has de- sertive with staff or clients.
pendent personality disor- Rationale: The client who has dependent per-
der. Which of the following sonality disorder has great difficulty demon-
actions should the nurse strating assertive behavior and commonly re-
plan to take? lies on others to make decisions. The nurse
A. Monitor the client closely should encourage the client to be more as-
to prevent self-mutilation. sertive and independent.
B. Set limits to prevent ex-
ploitation of other clients.
C. Discourage flamboyant
or seductive behaviors.
D. Give positive feedback
when client is assertive with
staff or clients.
5. A nurse is reviewing the A. The client has a co-occurring borderline
medical record of a client personality disorder.
who performs self-injury. Rationale: A diagnosis of borderline person-
Which of the following in- ality disorder is associated with an increased
formation should the nurse risk for self-harm.
identify as placing the client
at risk for self-harm behav-
iors?
A. The client has a co-occur-
ring borderline personality
disorder.
B. The client has a parent
who has dependent person-
, NR 326 Exam #3
ality disorder.
C. The client has a history of
bulimia nervosa.
D. The client has a diagno-
sis of anti-social personali-
ty disorder.
6. A nurse is caring for a client B. "You seem to be having very frightening
who has schizophrenia and thoughts."
tells the nurse, "They lie Rationale: When responding to a client who
about me all the time and is delusional, the nurse should avoid making
they are trying to poison my statements that directly confront or affirm the
food." Which of the follow- client's delusional beliefs. Instead of respond-
ing statements should the ing literally to the client's words, the nurse
nurse make? should respond to the feelings that the client is
A. "You are mistaken. No- attempting to communicate. By doing this, the
body is lying about you or nurse is shifting the focus from the delusional
trying to poison you." beliefs, which are not real, to the client's fear,
B. "You seem to be having which is real.
very frightening thoughts."
C. "Why do you think you
are being lied about and poi-
soned?"
D. "Who is lying about you
and trying to poison you?"
7. A nurse is conducting a C. Ideas of reference
group therapy session for Rationale: When ideas of reference are pre-
several clients. The group is sent, the client believes all events, situations,
laughing at a joke one of the or interactions are directly related to him.
clients told, when a client
who is schizophrenic jumps
up and runs out of the room
yelling, "You are all mak-
ing fun of me!" The nurse
should identify this behav-
ior as which of the follow-
ing characteristics of schiz-
ophrenia?
, NR 326 Exam #3
A. Magical thinking
B. Delusions of grandeur
C. Ideas of reference
D. Looseness of associa-
tion
8. A nurse is providing B. "Sleepiness should subside within a week."
teaching for a client Rationale: The nurse should inform the client
who has schizophrenia that fluphenazine, like other first-generation
and a new prescription antipsychotics, may cause sedation with early
for fluphenazine. Which of treatment, but should subside within a week
the following information or so.
should the nurse provide?
A. "This medication might
turn urine your orange."
B. "Sleepiness should sub-
side within a week."
C. "Stop the medication if
hypotension occurs."
D. "A low-grade fever is ex-
pected with first doses."
9. A nurse in a mental C. Anhedonia
health clinic is conducting E. Blunt affect
a staff education session Rationale: Delusions is incorrect. Delusions
on schizophrenia. Which are an example of a positive symptom
of the following manifes- of schizophrenia. Hallucinations is incorrect.
tations should the nurse Hallucinations are an example of a positive
include in the teaching symptom of schizophrenia. Anhedonia is cor-
plan as negative symp- rect. Anhedonia is an example of a negative
toms? (Select all that apply.) symptom of schizophrenia. Poor judgment is
A. Delusions incorrect. Poor judgment is an example of a
B. Hallucinations cognitive symptom of schizophrenia. Blunt af-
C. Anhedonia fect is correct. Blunt affect is an example of a
D. Poor judgment negative symptom of schizophrenia.
E. Blunt affect
10. A nurse is caring for an A. "You said that you feel guilty about your
adolescent client who has daughter's diagnosis. Let's talk about what is
1. A nurse in an acute men- A. Promote appropriate behavior during group
tal health facility is creat- therapy sessions.
ing a plan of care for a Rationale: Managing the client's behavior
new client who has a co-oc- within the group is the priority intervention for
curring histrionic personal- the client who has histrionic personality dis-
ity disorder. Which of the order because these clients display extreme
following is the priority in- attention-seeking behaviors and are often im-
tervention for the nurse to pulsive, which can be extremely disruptive in
make? a group setting with other members.
A. Promote appropriate be-
havior during group therapy
sessions.
B. Encourage client input in
the treatment plan.
C. Communicate with the
client using concrete lan-
guage.
D. Demonstrate assertive
behavior.
2. A nurse is reviewing the C. Suspended from school several times in the
history and physical of an past year
adolescent client who has Rationale: Conduct disorder is an im-
conduct disorder. Which of pulse-control disorder which includes a
the following is an expected long-term pattern of violating the rights of oth-
finding? ers and performing violent or hostile acts.
A. Death of client's father
two months ago
B. Experiences frequent fa-
cial tics
C. Suspended from school
several times in the past
year
D. Adheres strictly to rou-
tines
3. A nurse is planning dis- A. Dialectical behavior therapy
charge for a client who has Rationale: Dialectical behavior therapy is ap-
a co-occurring borderline propriate for the treatment of clients with bor-
, NR 326 Exam #3
personality disorder. Which derline personality disorder and is often a part
of the following interven- of the discharge plan.
tions should be included for
this client?
A. Dialectical behavior ther-
apy
B. Behavioral contract
C. Bibliotherapy
D. Safety plan
4. A nurse is planning care D. Give positive feedback when client is as-
for a client who has de- sertive with staff or clients.
pendent personality disor- Rationale: The client who has dependent per-
der. Which of the following sonality disorder has great difficulty demon-
actions should the nurse strating assertive behavior and commonly re-
plan to take? lies on others to make decisions. The nurse
A. Monitor the client closely should encourage the client to be more as-
to prevent self-mutilation. sertive and independent.
B. Set limits to prevent ex-
ploitation of other clients.
C. Discourage flamboyant
or seductive behaviors.
D. Give positive feedback
when client is assertive with
staff or clients.
5. A nurse is reviewing the A. The client has a co-occurring borderline
medical record of a client personality disorder.
who performs self-injury. Rationale: A diagnosis of borderline person-
Which of the following in- ality disorder is associated with an increased
formation should the nurse risk for self-harm.
identify as placing the client
at risk for self-harm behav-
iors?
A. The client has a co-occur-
ring borderline personality
disorder.
B. The client has a parent
who has dependent person-
, NR 326 Exam #3
ality disorder.
C. The client has a history of
bulimia nervosa.
D. The client has a diagno-
sis of anti-social personali-
ty disorder.
6. A nurse is caring for a client B. "You seem to be having very frightening
who has schizophrenia and thoughts."
tells the nurse, "They lie Rationale: When responding to a client who
about me all the time and is delusional, the nurse should avoid making
they are trying to poison my statements that directly confront or affirm the
food." Which of the follow- client's delusional beliefs. Instead of respond-
ing statements should the ing literally to the client's words, the nurse
nurse make? should respond to the feelings that the client is
A. "You are mistaken. No- attempting to communicate. By doing this, the
body is lying about you or nurse is shifting the focus from the delusional
trying to poison you." beliefs, which are not real, to the client's fear,
B. "You seem to be having which is real.
very frightening thoughts."
C. "Why do you think you
are being lied about and poi-
soned?"
D. "Who is lying about you
and trying to poison you?"
7. A nurse is conducting a C. Ideas of reference
group therapy session for Rationale: When ideas of reference are pre-
several clients. The group is sent, the client believes all events, situations,
laughing at a joke one of the or interactions are directly related to him.
clients told, when a client
who is schizophrenic jumps
up and runs out of the room
yelling, "You are all mak-
ing fun of me!" The nurse
should identify this behav-
ior as which of the follow-
ing characteristics of schiz-
ophrenia?
, NR 326 Exam #3
A. Magical thinking
B. Delusions of grandeur
C. Ideas of reference
D. Looseness of associa-
tion
8. A nurse is providing B. "Sleepiness should subside within a week."
teaching for a client Rationale: The nurse should inform the client
who has schizophrenia that fluphenazine, like other first-generation
and a new prescription antipsychotics, may cause sedation with early
for fluphenazine. Which of treatment, but should subside within a week
the following information or so.
should the nurse provide?
A. "This medication might
turn urine your orange."
B. "Sleepiness should sub-
side within a week."
C. "Stop the medication if
hypotension occurs."
D. "A low-grade fever is ex-
pected with first doses."
9. A nurse in a mental C. Anhedonia
health clinic is conducting E. Blunt affect
a staff education session Rationale: Delusions is incorrect. Delusions
on schizophrenia. Which are an example of a positive symptom
of the following manifes- of schizophrenia. Hallucinations is incorrect.
tations should the nurse Hallucinations are an example of a positive
include in the teaching symptom of schizophrenia. Anhedonia is cor-
plan as negative symp- rect. Anhedonia is an example of a negative
toms? (Select all that apply.) symptom of schizophrenia. Poor judgment is
A. Delusions incorrect. Poor judgment is an example of a
B. Hallucinations cognitive symptom of schizophrenia. Blunt af-
C. Anhedonia fect is correct. Blunt affect is an example of a
D. Poor judgment negative symptom of schizophrenia.
E. Blunt affect
10. A nurse is caring for an A. "You said that you feel guilty about your
adolescent client who has daughter's diagnosis. Let's talk about what is
