EXAM 3 NSG 526 QUESTIONS WITH CORRECT
ANSWERS 2025/2026
Norms - CORRECT ANSWER -are considered the "right" patterns of behavior for a society
Event interpretation - CORRECT ANSWER -should be included for problem-solving therapy for a
child with conduct disorder.
Family therapy - CORRECT ANSWER -can promote the greatest change in an adolescent's
behavior.
The Developmental Theoretical approach - CORRECT ANSWER -describes a family's progression
through the lifecycle.
Establishing a therapeutic alliance - CORRECT ANSWER -is important because acceptance and
trust convey a feeling of security in an adolescent.
Most children will adopt the same world view - CORRECT ANSWER -as their parents (ex. If a
child was brought up by parents who thought the world was hostile they would most likely
adopt this view as they grow older.
Bibliotherapy - CORRECT ANSWER -uses books and a librarian as resources.
When conducting a counseling session for a group of at risk adolescents on drug use - CORRECT
ANSWER -it is important to have their peers involved in teaching some problem-solving skills.
Play therapy is important - CORRECT ANSWER -because it allows the child to play out their fears
and frustrations.
,Therapeutic drawing is a helpful technique - CORRECT ANSWER -is a child feels self-blame
regarding their parent's divorce.
Objective observations - CORRECT ANSWER -help the most in evaluating outcomes of child
therapy.
Schizoid personality disorder - CORRECT ANSWER -Individual psychotherapy is the appropriate
modality to use with this disorder.
The best response by the PMHNP when speaking with a client with BPD who has been in
counseling for management of self-harm behaviors who now wants to cut themselves is -
CORRECT ANSWER -to assist the client to identify an appropriate coping strategy.
Understand that if a client with BPD who was making progress but recently had an anxiety
producing situation arise and now cut herself is that even though this behavior is dysfunctional,
- CORRECT ANSWER -it is mostly the patient's best effort to cope.
Self-mutilation is mainly due to - CORRECT ANSWER -fear of abandonment or the increase of
independence
BPD is often characterized by - CORRECT ANSWER -an inability to tolerate perceived rejection.
Patients will respond better to limit setting if - CORRECT ANSWER -the PMHNP can reflect back
to the client an understanding and validation of their emotional distress.
Clients with BPD have not successfully achieved - CORRECT ANSWER -the developmental stage
of separation-individuation.
,Paranoid Personality Disorder - CORRECT ANSWER -do not trust others easily, and it's best to
use a respectful neutral approach.
Paranoid Personality Disorder are - CORRECT ANSWER -critical of others because they project
blame for their own shortcomings onto others.
Self-mutilation occurs because - CORRECT ANSWER -a client may feel that pain is better than not
feeling anything, it also results from feelings of abandonment, it can be a manipulative gesture,
and it is also happens when a safety plan has been put in place.
DBT helps to - CORRECT ANSWER -replace irrational thoughts.
Respecting a client's boundaries - CORRECT ANSWER -important in establishing a therapeutic
relationship with a patient with BPD
providing a safe environment - CORRECT ANSWER -is the priority for any client who is a victim of
a serious crime/assault
MCI Expectant category - CORRECT ANSWER -Injuries are extensive and chances of survival are
unlikely even with 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 - CORRECT ANSWER -Unresponsive patients with penetrating head
wounds, high spinal cord 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 with multiple injuries, agonal respirations; no pulse,
no BP, pupils fixed and dilated.
Mindfulness - CORRECT ANSWER -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 being aware of them.
The psych NP needs to - CORRECT ANSWER -foster a child's healthy characteristics and existing
environmental supports no matter how negative (ex a child lives in a homeless shelter).
children from different cultures - CORRECT ANSWER -develop at different rates
Most psychiatric disorders in children are - CORRECT ANSWER -multifactorial.
Paranoid Personality Disorder characteristics - CORRECT ANSWER -Characteristics: suspicious of
others; fear others will exploit, harm, or deceive them; fear of confiding in others (fear personal
information will be used against them); misread compliments as manipulation; hypervigilant;
prone to counterattack; hostile; and aloof. Psychotic episodes may occur in times of stress.
Nurses should give straightforward explanations of tests, history taking, and procedures, side
effects of drugs, changes in treatment plan, and possible further procedures, to counteract
client fear
Narcissistic Personality Disorder - CORRECT ANSWER -Characteristics: grandiosity, fantasies of
power or brilliance, need to be admired, sense of entitlement, arrogant, patronizing, rude,
overestimates self and underestimates others. This behavior covers a fragile ego. In health care
setting demand the best of everything. When client is corrected, when boundaries are defined,
or when limits are set on client's behavior, client feels humiliated, degraded, and empty. To
lower anxiety the client may launch a counterattack. The nurse should gently help the client
identify attempts to seek and become perfect, exhibit grandiose behavior, and sense of
entitlement
splitting - CORRECT ANSWER -BPD A major defense is splitting (alternating between idealizing
and devaluing).
ANSWERS 2025/2026
Norms - CORRECT ANSWER -are considered the "right" patterns of behavior for a society
Event interpretation - CORRECT ANSWER -should be included for problem-solving therapy for a
child with conduct disorder.
Family therapy - CORRECT ANSWER -can promote the greatest change in an adolescent's
behavior.
The Developmental Theoretical approach - CORRECT ANSWER -describes a family's progression
through the lifecycle.
Establishing a therapeutic alliance - CORRECT ANSWER -is important because acceptance and
trust convey a feeling of security in an adolescent.
Most children will adopt the same world view - CORRECT ANSWER -as their parents (ex. If a
child was brought up by parents who thought the world was hostile they would most likely
adopt this view as they grow older.
Bibliotherapy - CORRECT ANSWER -uses books and a librarian as resources.
When conducting a counseling session for a group of at risk adolescents on drug use - CORRECT
ANSWER -it is important to have their peers involved in teaching some problem-solving skills.
Play therapy is important - CORRECT ANSWER -because it allows the child to play out their fears
and frustrations.
,Therapeutic drawing is a helpful technique - CORRECT ANSWER -is a child feels self-blame
regarding their parent's divorce.
Objective observations - CORRECT ANSWER -help the most in evaluating outcomes of child
therapy.
Schizoid personality disorder - CORRECT ANSWER -Individual psychotherapy is the appropriate
modality to use with this disorder.
The best response by the PMHNP when speaking with a client with BPD who has been in
counseling for management of self-harm behaviors who now wants to cut themselves is -
CORRECT ANSWER -to assist the client to identify an appropriate coping strategy.
Understand that if a client with BPD who was making progress but recently had an anxiety
producing situation arise and now cut herself is that even though this behavior is dysfunctional,
- CORRECT ANSWER -it is mostly the patient's best effort to cope.
Self-mutilation is mainly due to - CORRECT ANSWER -fear of abandonment or the increase of
independence
BPD is often characterized by - CORRECT ANSWER -an inability to tolerate perceived rejection.
Patients will respond better to limit setting if - CORRECT ANSWER -the PMHNP can reflect back
to the client an understanding and validation of their emotional distress.
Clients with BPD have not successfully achieved - CORRECT ANSWER -the developmental stage
of separation-individuation.
,Paranoid Personality Disorder - CORRECT ANSWER -do not trust others easily, and it's best to
use a respectful neutral approach.
Paranoid Personality Disorder are - CORRECT ANSWER -critical of others because they project
blame for their own shortcomings onto others.
Self-mutilation occurs because - CORRECT ANSWER -a client may feel that pain is better than not
feeling anything, it also results from feelings of abandonment, it can be a manipulative gesture,
and it is also happens when a safety plan has been put in place.
DBT helps to - CORRECT ANSWER -replace irrational thoughts.
Respecting a client's boundaries - CORRECT ANSWER -important in establishing a therapeutic
relationship with a patient with BPD
providing a safe environment - CORRECT ANSWER -is the priority for any client who is a victim of
a serious crime/assault
MCI Expectant category - CORRECT ANSWER -Injuries are extensive and chances of survival are
unlikely even with 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 - CORRECT ANSWER -Unresponsive patients with penetrating head
wounds, high spinal cord 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 with multiple injuries, agonal respirations; no pulse,
no BP, pupils fixed and dilated.
Mindfulness - CORRECT ANSWER -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 being aware of them.
The psych NP needs to - CORRECT ANSWER -foster a child's healthy characteristics and existing
environmental supports no matter how negative (ex a child lives in a homeless shelter).
children from different cultures - CORRECT ANSWER -develop at different rates
Most psychiatric disorders in children are - CORRECT ANSWER -multifactorial.
Paranoid Personality Disorder characteristics - CORRECT ANSWER -Characteristics: suspicious of
others; fear others will exploit, harm, or deceive them; fear of confiding in others (fear personal
information will be used against them); misread compliments as manipulation; hypervigilant;
prone to counterattack; hostile; and aloof. Psychotic episodes may occur in times of stress.
Nurses should give straightforward explanations of tests, history taking, and procedures, side
effects of drugs, changes in treatment plan, and possible further procedures, to counteract
client fear
Narcissistic Personality Disorder - CORRECT ANSWER -Characteristics: grandiosity, fantasies of
power or brilliance, need to be admired, sense of entitlement, arrogant, patronizing, rude,
overestimates self and underestimates others. This behavior covers a fragile ego. In health care
setting demand the best of everything. When client is corrected, when boundaries are defined,
or when limits are set on client's behavior, client feels humiliated, degraded, and empty. To
lower anxiety the client may launch a counterattack. The nurse should gently help the client
identify attempts to seek and become perfect, exhibit grandiose behavior, and sense of
entitlement
splitting - CORRECT ANSWER -BPD A major defense is splitting (alternating between idealizing
and devaluing).
