NR 326 Exam 3 Questions with Verified
Correct Answers
A nurse in an acute mental health facility is creating a plan of care for a new client who
has a co-occurring histrionic personality disorder. Which of the following is the priority
intervention for the nurse to make?
A. Promote appropriate behavior during group therapy sessions.
B. Encourage client input in the treatment plan.
C. Communicate with the client using concrete language.
D. Demonstrate assertive behavior.
A. Promote appropriate behavior during group therapy sessions.
Rationale: Managing the client's behavior within the group is the priority intervention for the
client who has histrionic personality disorder because these clients display extreme attention-
seeking behaviors and are often impulsive, which can be extremely disruptive in a group
setting with other members.
A nurse is reviewing the history and physical of an adolescent client who has conduct
disorder. Which of the following is an expected finding?
A. Death of client's father two months ago
B. Experiences frequent facial tics
C. Suspended from school several times in the past year
D. Adheres strictly to routines
C. Suspended from school several times in the past year
,Rationale: Conduct disorder is an impulse-control disorder which includes a long-term
pattern of violating the rights of others and performing violent or hostile acts.
A nurse is planning discharge for a client who has a co-occurring borderline personality
disorder. Which of the following interventions should be included for this client?
A. Dialectical behavior therapy
B. Behavioral contract
C. Bibliotherapy
D. Safety plan
A. Dialectical behavior therapy
Rationale: Dialectical behavior therapy is appropriate for the treatment of clients with
borderline personality disorder and is often a part of the discharge plan.
A nurse is planning care for a client who has dependent personality disorder. Which of
the following actions should the nurse plan to take?
A. Monitor the client closely to prevent self-mutilation.
B. Set limits to prevent exploitation of other clients.
C. Discourage flamboyant or seductive behaviors.
D. Give positive feedback when client is assertive with staff or clients.
D. Give positive feedback when client is assertive with staff or clients.
Rationale: The client who has dependent personality disorder has great difficulty
demonstrating assertive behavior and commonly relies on others to make decisions. The
nurse should encourage the client to be more assertive and independent.
,A nurse is reviewing the medical record of a client who performs self-injury. Which of
the following information should the nurse identify as placing the client at risk for self-
harm behaviors?
A. The client has a co-occurring borderline personality disorder.
B. The client has a parent who has dependent personality disorder.
C. The client has a history of bulimia nervosa.
D. The client has a diagnosis of anti-social personality disorder.
A. The client has a co-occurring borderline personality disorder.
Rationale: A diagnosis of borderline personality disorder is associated with an increased risk
for self-harm.
A nurse is caring for a client who has schizophrenia and tells the nurse, "They lie about
me all the time and they are trying to poison my food." Which of the following
statements should the nurse make?
A. "You are mistaken. Nobody is lying about you or trying to poison you."
B. "You seem to be having very frightening thoughts."
C. "Why do you think you are being lied about and poisoned?"
D. "Who is lying about you and trying to poison you?"
B. "You seem to be having very frightening thoughts."
Rationale: When responding to a client who is delusional, the nurse should avoid making
statements that directly confront or affirm the client's delusional beliefs. Instead of
responding literally to the client's words, the nurse should respond to the feelings that the
, client is attempting to communicate. By doing this, the nurse is shifting the focus from the
delusional beliefs, which are not real, to the client's fear, which is real.
A nurse is conducting a group therapy session for several clients. The group is laughing
at a joke one of the clients told, when a client who is schizophrenic jumps up and runs
out of the room yelling, "You are all making fun of me!“ The nurse should identify this
behavior as which of the following characteristics of schizophrenia?
A. Magical thinking
B. Delusions of grandeur
C. Ideas of reference
D. Looseness of association
C. Ideas of reference
Rationale: When ideas of reference are present, the client believes all events, situations, or
interactions are directly related to him.
A nurse is providing teaching for a client who has schizophrenia and a new prescription
for fluphenazine. Which of the following information should the nurse provide?
A. "This medication might turn urine your orange."
B. "Sleepiness should subside within a week."
C. "Stop the medication if hypotension occurs."
D. "A low-grade fever is expected with first doses."
B. "Sleepiness should subside within a week."
Correct Answers
A nurse in an acute mental health facility is creating a plan of care for a new client who
has a co-occurring histrionic personality disorder. Which of the following is the priority
intervention for the nurse to make?
A. Promote appropriate behavior during group therapy sessions.
B. Encourage client input in the treatment plan.
C. Communicate with the client using concrete language.
D. Demonstrate assertive behavior.
A. Promote appropriate behavior during group therapy sessions.
Rationale: Managing the client's behavior within the group is the priority intervention for the
client who has histrionic personality disorder because these clients display extreme attention-
seeking behaviors and are often impulsive, which can be extremely disruptive in a group
setting with other members.
A nurse is reviewing the history and physical of an adolescent client who has conduct
disorder. Which of the following is an expected finding?
A. Death of client's father two months ago
B. Experiences frequent facial tics
C. Suspended from school several times in the past year
D. Adheres strictly to routines
C. Suspended from school several times in the past year
,Rationale: Conduct disorder is an impulse-control disorder which includes a long-term
pattern of violating the rights of others and performing violent or hostile acts.
A nurse is planning discharge for a client who has a co-occurring borderline personality
disorder. Which of the following interventions should be included for this client?
A. Dialectical behavior therapy
B. Behavioral contract
C. Bibliotherapy
D. Safety plan
A. Dialectical behavior therapy
Rationale: Dialectical behavior therapy is appropriate for the treatment of clients with
borderline personality disorder and is often a part of the discharge plan.
A nurse is planning care for a client who has dependent personality disorder. Which of
the following actions should the nurse plan to take?
A. Monitor the client closely to prevent self-mutilation.
B. Set limits to prevent exploitation of other clients.
C. Discourage flamboyant or seductive behaviors.
D. Give positive feedback when client is assertive with staff or clients.
D. Give positive feedback when client is assertive with staff or clients.
Rationale: The client who has dependent personality disorder has great difficulty
demonstrating assertive behavior and commonly relies on others to make decisions. The
nurse should encourage the client to be more assertive and independent.
,A nurse is reviewing the medical record of a client who performs self-injury. Which of
the following information should the nurse identify as placing the client at risk for self-
harm behaviors?
A. The client has a co-occurring borderline personality disorder.
B. The client has a parent who has dependent personality disorder.
C. The client has a history of bulimia nervosa.
D. The client has a diagnosis of anti-social personality disorder.
A. The client has a co-occurring borderline personality disorder.
Rationale: A diagnosis of borderline personality disorder is associated with an increased risk
for self-harm.
A nurse is caring for a client who has schizophrenia and tells the nurse, "They lie about
me all the time and they are trying to poison my food." Which of the following
statements should the nurse make?
A. "You are mistaken. Nobody is lying about you or trying to poison you."
B. "You seem to be having very frightening thoughts."
C. "Why do you think you are being lied about and poisoned?"
D. "Who is lying about you and trying to poison you?"
B. "You seem to be having very frightening thoughts."
Rationale: When responding to a client who is delusional, the nurse should avoid making
statements that directly confront or affirm the client's delusional beliefs. Instead of
responding literally to the client's words, the nurse should respond to the feelings that the
, client is attempting to communicate. By doing this, the nurse is shifting the focus from the
delusional beliefs, which are not real, to the client's fear, which is real.
A nurse is conducting a group therapy session for several clients. The group is laughing
at a joke one of the clients told, when a client who is schizophrenic jumps up and runs
out of the room yelling, "You are all making fun of me!“ The nurse should identify this
behavior as which of the following characteristics of schizophrenia?
A. Magical thinking
B. Delusions of grandeur
C. Ideas of reference
D. Looseness of association
C. Ideas of reference
Rationale: When ideas of reference are present, the client believes all events, situations, or
interactions are directly related to him.
A nurse is providing teaching for a client who has schizophrenia and a new prescription
for fluphenazine. Which of the following information should the nurse provide?
A. "This medication might turn urine your orange."
B. "Sleepiness should subside within a week."
C. "Stop the medication if hypotension occurs."
D. "A low-grade fever is expected with first doses."
B. "Sleepiness should subside within a week."
