NSG 526 exam 3 questions and answers 2025-2026
update
Norms - ANS >are considered the "right" patterns of behavior for a society
Event interpretation - ANS >should be included for problem-solving therapy for a child with conduc
disorder.
Family therapy - ANS >can promote the greatest change in an adolescent's behavior.
The Developmental Theoretical approach - ANS >describes a family's progression through the lifecycle
Establishing a therapeutic alliance - ANS >is important because acceptance and trust convey a feeling o
security in an adolescent.
Most children will adopt the same world view - ANS >as their parents (ex. If a child was brought up b
parents who thought the world was hostile they would most likely adopt this view as they grow older.
Bibliotherapy - ANS >uses books and a librarian as resources.
When conducting a counseling session for a group of at risk adolescents on drug use - ANS >it
important to have their peers involved in teaching some problem-solving skills.
Play therapy is important - ANS >because it allows the child to play out their fears and frustrations.
Therapeutic drawing is a helpful technique - ANS >is a child feels self-blame regarding their parent
divorce.
Objective observations - ANS >help the most in evaluating outcomes of child therapy.
Schizoid personality disorder - ANS >Individual psychotherapy is the appropriate modality to use wit
this disorder.
,The best response by the PMHNP when speaking with a client with BPD who has been in counseling fo
management of self-harm behaviors who now wants to cut themselves is - ANS >to assist the client t
identify an appropriate coping strategy.
Understand that if a client with BPD who was making progress but recently had an anxiety producin
situation arise and now cut herself is that even though this behavior is dysfunctional, - ANS >it is most
the patient's best effort to cope.
Self-mutilation is mainly due to - ANS >fear of abandonment or the increase of independence
BPD is often characterized by - ANS >an inability to tolerate perceived rejection.
Patients will respond better to limit setting if - ANS >the PMHNP can reflect back to the client a
understanding and validation of their emotional distress.
Clients with BPD have not successfully achieved - ANS >the developmental stage of separation
individuation.
Paranoid Personality Disorder - ANS >do not trust others easily, and it's best to use a respectful neutra
approach.
Paranoid Personality Disorder are - ANS >critical of others because they project blame for their ow
shortcomings onto others.
Self-mutilation occurs because - ANS >a client may feel that pain is better than not feeling anything,
also results from feelings of abandonment, it can be a manipulative gesture, and it is also happens whe
a safety plan has been put in place.
DBT helps to - ANS >replace irrational thoughts.
Respecting a client's boundaries - ANS >important in establishing a therapeutic relationship with a patien
with BPD
providing a safe environment - ANS >is the priority for any client who is a victim of a serious crime/assau
MCI Expectant category - ANS >Injuries are extensive and chances of survival are unlikely even wit
definitive care. Persons in this group should be separated from other casualties, but not abandoned
Comfort measures should be provided when possible
, Black MCI CATEGORY - ANS >Unresponsive patients with penetrating head wounds, high spinal cor
injuries, wounds involving multiple anatomical sites and organs, 2nd/3rd degree burns in excess of 60%
of body surface area, seizures or vomiting within 24 hr after radiation exposure, profound shock wit
multiple injuries, agonal respirations; no pulse, no BP, pupils fixed and dilated.
Mindfulness - ANS >The essential part of all skills taught in skills group are the core mindfulness skills
Mindfulness is the capacity to pay attention, non-judgmentally to the present moment. It is derived from
teachings of the Buddha, the Zen tradition being perhaps one of its most well-known proponents
Mindfulness is all about living in the moment, experiencing your emotions and all your senses and bein
aware of them.
The psych NP needs to - ANS >foster a child's healthy characteristics and existing environmental support
no matter how negative (ex a child lives in a homeless shelter).
children from different cultures - ANS >develop at different rates
Most psychiatric disorders in children are - ANS >multifactorial.
Paranoid Personality Disorder characteristics - ANS >Characteristics: suspicious of others; fear other
will exploit, harm, or deceive them; fear of confiding in others (fear personal information will be use
against them); misread compliments as manipulation; hypervigilant; prone to counterattack; hostile; an
aloof. Psychotic episodes may occur in times of stress. Nurses should give straightforward explanation
of tests, history taking, and procedures, side effects of drugs, changes in treatment plan, and possibl
further procedures, to counteract client fear
Narcissistic Personality Disorder - ANS >Characteristics: grandiosity, fantasies of power or brilliance
need to be admired, sense of entitlement, arrogant, patronizing, rude, overestimates self an
underestimates others. This behavior covers a fragile ego. In health care setting demand the best o
everything. When client is corrected, when boundaries are defined, or when limits are set on client
behavior, client feels humiliated, degraded, and empty. To lower anxiety the client may launch
counterattack. The nurse should gently help the client identify attempts to seek and become perfec
exhibit grandiose behavior, and sense of entitlement
splitting - ANS >BPD A major defense is splitting (alternating between idealizing and devaluing).
client schemas - ANS >cognitive therapy is the modality that prioritizes a client's schema.
Schemas - ANS >stored bodies of knowledge that interact with incoming information to influence selectiv
attention and memory search
update
Norms - ANS >are considered the "right" patterns of behavior for a society
Event interpretation - ANS >should be included for problem-solving therapy for a child with conduc
disorder.
Family therapy - ANS >can promote the greatest change in an adolescent's behavior.
The Developmental Theoretical approach - ANS >describes a family's progression through the lifecycle
Establishing a therapeutic alliance - ANS >is important because acceptance and trust convey a feeling o
security in an adolescent.
Most children will adopt the same world view - ANS >as their parents (ex. If a child was brought up b
parents who thought the world was hostile they would most likely adopt this view as they grow older.
Bibliotherapy - ANS >uses books and a librarian as resources.
When conducting a counseling session for a group of at risk adolescents on drug use - ANS >it
important to have their peers involved in teaching some problem-solving skills.
Play therapy is important - ANS >because it allows the child to play out their fears and frustrations.
Therapeutic drawing is a helpful technique - ANS >is a child feels self-blame regarding their parent
divorce.
Objective observations - ANS >help the most in evaluating outcomes of child therapy.
Schizoid personality disorder - ANS >Individual psychotherapy is the appropriate modality to use wit
this disorder.
,The best response by the PMHNP when speaking with a client with BPD who has been in counseling fo
management of self-harm behaviors who now wants to cut themselves is - ANS >to assist the client t
identify an appropriate coping strategy.
Understand that if a client with BPD who was making progress but recently had an anxiety producin
situation arise and now cut herself is that even though this behavior is dysfunctional, - ANS >it is most
the patient's best effort to cope.
Self-mutilation is mainly due to - ANS >fear of abandonment or the increase of independence
BPD is often characterized by - ANS >an inability to tolerate perceived rejection.
Patients will respond better to limit setting if - ANS >the PMHNP can reflect back to the client a
understanding and validation of their emotional distress.
Clients with BPD have not successfully achieved - ANS >the developmental stage of separation
individuation.
Paranoid Personality Disorder - ANS >do not trust others easily, and it's best to use a respectful neutra
approach.
Paranoid Personality Disorder are - ANS >critical of others because they project blame for their ow
shortcomings onto others.
Self-mutilation occurs because - ANS >a client may feel that pain is better than not feeling anything,
also results from feelings of abandonment, it can be a manipulative gesture, and it is also happens whe
a safety plan has been put in place.
DBT helps to - ANS >replace irrational thoughts.
Respecting a client's boundaries - ANS >important in establishing a therapeutic relationship with a patien
with BPD
providing a safe environment - ANS >is the priority for any client who is a victim of a serious crime/assau
MCI Expectant category - ANS >Injuries are extensive and chances of survival are unlikely even wit
definitive care. Persons in this group should be separated from other casualties, but not abandoned
Comfort measures should be provided when possible
, Black MCI CATEGORY - ANS >Unresponsive patients with penetrating head wounds, high spinal cor
injuries, wounds involving multiple anatomical sites and organs, 2nd/3rd degree burns in excess of 60%
of body surface area, seizures or vomiting within 24 hr after radiation exposure, profound shock wit
multiple injuries, agonal respirations; no pulse, no BP, pupils fixed and dilated.
Mindfulness - ANS >The essential part of all skills taught in skills group are the core mindfulness skills
Mindfulness is the capacity to pay attention, non-judgmentally to the present moment. It is derived from
teachings of the Buddha, the Zen tradition being perhaps one of its most well-known proponents
Mindfulness is all about living in the moment, experiencing your emotions and all your senses and bein
aware of them.
The psych NP needs to - ANS >foster a child's healthy characteristics and existing environmental support
no matter how negative (ex a child lives in a homeless shelter).
children from different cultures - ANS >develop at different rates
Most psychiatric disorders in children are - ANS >multifactorial.
Paranoid Personality Disorder characteristics - ANS >Characteristics: suspicious of others; fear other
will exploit, harm, or deceive them; fear of confiding in others (fear personal information will be use
against them); misread compliments as manipulation; hypervigilant; prone to counterattack; hostile; an
aloof. Psychotic episodes may occur in times of stress. Nurses should give straightforward explanation
of tests, history taking, and procedures, side effects of drugs, changes in treatment plan, and possibl
further procedures, to counteract client fear
Narcissistic Personality Disorder - ANS >Characteristics: grandiosity, fantasies of power or brilliance
need to be admired, sense of entitlement, arrogant, patronizing, rude, overestimates self an
underestimates others. This behavior covers a fragile ego. In health care setting demand the best o
everything. When client is corrected, when boundaries are defined, or when limits are set on client
behavior, client feels humiliated, degraded, and empty. To lower anxiety the client may launch
counterattack. The nurse should gently help the client identify attempts to seek and become perfec
exhibit grandiose behavior, and sense of entitlement
splitting - ANS >BPD A major defense is splitting (alternating between idealizing and devaluing).
client schemas - ANS >cognitive therapy is the modality that prioritizes a client's schema.
Schemas - ANS >stored bodies of knowledge that interact with incoming information to influence selectiv
attention and memory search
