NR 326 MENTAL HEALTH NURSING
EXAM 3 ACTUAL QUESTIONS &
ANSWERS (GUARANTEE PASS)
CHAMBERLAIN
1. A nurse is caring for a client with Borderline Personality Disorder who is ‘splitting’ staff
members by praising one nurse and demeaning another. Which action is most appropriate?
A. Confront the client about their manipulative behavior immediately.
B. Inform the client that their behavior is unacceptable and will result in loss of privileges.
C. Agree with the client to maintain a positive therapeutic relationship.
D. Hold a staff meeting to ensure a consistent approach and set firm boundaries.
Answer: D
Conceptual Explanation: Consistency among staff is crucial when managing splitting to
prevent the client from manipulating staff members against one another.
2. A client with Anorexia Nervosa is being monitored for refeeding syndrome. Which
laboratory value is the priority for the nurse to monitor?
A. Serum Potassium
B. Serum Phosphorus
C. Serum Sodium
,D. Hemoglobin
Answer: B
Conceptual Explanation: Hypophosphatemia is a hallmark of refeeding syndrome and can
lead to fatal cardiac and respiratory complications.
3. Which assessment finding is most characteristic of a client with Antisocial Personality
Disorder?
A. Extreme social anxiety and fear of rejection.
B. Preoccupation with orderliness and perfectionism.
C. Excessive need to be taken care of by others.
D. Lack of remorse for violating the rights of others.
Answer: D
Conceptual Explanation: Antisocial Personality Disorder is characterized by a pervasive
pattern of disregard for and violation of the rights of others, often without remorse.
4. A client is admitted for alcohol withdrawal. Which medication should the nurse anticipate
administering to prevent seizures and delirium tremens?
A. Chlordiazepoxide
B. Methadone
C. Disulfiram
D. Naloxone
, Answer: A
Conceptual Explanation: Benzodiazepines like Chlordiazepoxide (Librium) are the gold
standard for managing alcohol withdrawal symptoms and preventing progression to
seizures.
5. A nurse is assessing a client with Bulimia Nervosa. Which physical finding is commonly
associated with repeated self-induced vomiting?
A. Parotid gland enlargement.
B. Lanugo on the back and arms.
C. Significant weight loss below 75% of ideal body weight.
D. Hypertension.
Answer: A
Conceptual Explanation: Repeated vomiting causes irritation and swelling of the parotid
glands, often referred to as ‘chipmunk cheeks.’
6. A client with Alzheimer’s disease is experiencing ‘sundowning.’ Which intervention is most
effective?
A. Administer a sedative-hypnotic every night at dusk.
B. Provide a high-caffeine beverage to increase alertness.
C. Restrict fluid intake after 6:00 PM.
D. Turn on bright lights in the client’s room during the evening.
EXAM 3 ACTUAL QUESTIONS &
ANSWERS (GUARANTEE PASS)
CHAMBERLAIN
1. A nurse is caring for a client with Borderline Personality Disorder who is ‘splitting’ staff
members by praising one nurse and demeaning another. Which action is most appropriate?
A. Confront the client about their manipulative behavior immediately.
B. Inform the client that their behavior is unacceptable and will result in loss of privileges.
C. Agree with the client to maintain a positive therapeutic relationship.
D. Hold a staff meeting to ensure a consistent approach and set firm boundaries.
Answer: D
Conceptual Explanation: Consistency among staff is crucial when managing splitting to
prevent the client from manipulating staff members against one another.
2. A client with Anorexia Nervosa is being monitored for refeeding syndrome. Which
laboratory value is the priority for the nurse to monitor?
A. Serum Potassium
B. Serum Phosphorus
C. Serum Sodium
,D. Hemoglobin
Answer: B
Conceptual Explanation: Hypophosphatemia is a hallmark of refeeding syndrome and can
lead to fatal cardiac and respiratory complications.
3. Which assessment finding is most characteristic of a client with Antisocial Personality
Disorder?
A. Extreme social anxiety and fear of rejection.
B. Preoccupation with orderliness and perfectionism.
C. Excessive need to be taken care of by others.
D. Lack of remorse for violating the rights of others.
Answer: D
Conceptual Explanation: Antisocial Personality Disorder is characterized by a pervasive
pattern of disregard for and violation of the rights of others, often without remorse.
4. A client is admitted for alcohol withdrawal. Which medication should the nurse anticipate
administering to prevent seizures and delirium tremens?
A. Chlordiazepoxide
B. Methadone
C. Disulfiram
D. Naloxone
, Answer: A
Conceptual Explanation: Benzodiazepines like Chlordiazepoxide (Librium) are the gold
standard for managing alcohol withdrawal symptoms and preventing progression to
seizures.
5. A nurse is assessing a client with Bulimia Nervosa. Which physical finding is commonly
associated with repeated self-induced vomiting?
A. Parotid gland enlargement.
B. Lanugo on the back and arms.
C. Significant weight loss below 75% of ideal body weight.
D. Hypertension.
Answer: A
Conceptual Explanation: Repeated vomiting causes irritation and swelling of the parotid
glands, often referred to as ‘chipmunk cheeks.’
6. A client with Alzheimer’s disease is experiencing ‘sundowning.’ Which intervention is most
effective?
A. Administer a sedative-hypnotic every night at dusk.
B. Provide a high-caffeine beverage to increase alertness.
C. Restrict fluid intake after 6:00 PM.
D. Turn on bright lights in the client’s room during the evening.
