NSG 526 Exam 09/22/2026
NSG 526 Exam Complete 3 Question Bank
with Verified Answers | 2025/26| Review &
Next Gen Practice Questions with Answers,
Detailed Rationales
Which client outcome during hospitalization indicates improvement for a client who is admitted with auditory
hallucinations?
A. Argues with the voices.
B. Tells when voices decrease.
C. Follows what the voices say.
A+ TEST BANK 1
, NSG 526 Exam 09/22/2026
D. Tells the nurse what the voices say. - Correct Answer :ANS: B. Tells when voices decrease.
Hallucinations are defined as false sensory perceptions. The goal of nursing interventions with clients who are
hallucinating is to help them to increase awareness of symptoms and distinguish between the world of psychosis
and reality. The client outcome that shows improvement is the client can tell when the voices decrease. The
other client behaviors do not indicate improvement towards a client outcome.
A young adult female client with panic disorder arrives in the Emergency Center with a 4-day history of chest pain
that began when her boyfriend left her. Initial assessment reveals normal cardiopulmonary findings. Which
information is most important for the nurse to obtain?
A. Drugs taken in last 7 days.
B. Family history of suicide.
C. Usual coping mechanisms.
D. Frequency of anxiety attacks. - Correct Answer :ANS: A. Drugs taken in last 7 days.
Use of prescribed, over-the-counter, and illicit drugs are the most important information to obtain when
planning care because drugs are likely to influence the client's behavior and ability to cope with stressful
situations. The other assessment findings are not the priority at this time.
A female client responds to the nurse with negative comments and antagonistic behavior. The nurse tells the
client that she is unconsciously casting the nurse in the role of the client's mother. The nurse's feedback is based
on which model of therapy?
A. Medical.
B. Existential.
C. Interpersonal.
A+ TEST BANK 2
, NSG 526 Exam 09/22/2026
D. Psychoanalytical. - Correct Answer :ANS: D. Psychoanalytical.
The psychoanalytical model uses concepts that interpret and focus on working through feelings and behaviors
related to previously unresolved conflicts. The other are related to other theoretical frameworks and treatments.
A client with panic disorder tells the nurse, "This illness is awful. I'm frightened that I will always be this way and
that there's no hope for me." What information should the nurse provide?
A. Panic disorder is treatable in a number of different ways, including medication.
B. Understanding the fact that a cure is not attainable helps the client learn to adjust.
C. This disorder is a biologically determined hereditary disease that has no cure.
D. Evidence based practice indicates that neuroleptic drugs can be used prophylactically. - Correct Answer :ANS:
A. Panic disorder is treatable in a number of different ways, including medication.
To foster the client's ability to cope, effective treatment options for panic disorder, such as desensitization,
cognitive restructuring, relaxation, and psychotropic medications, should be discussed. The other information
does not provide accurate information.
During an inpatient therapy group session, a client tells the members that he hears voices that say his doctor is
going to poison him. He continues, "I look around to see who's talking to me, and I can't see anybody." Another
client replies, "I used to hear voices, too. I found out they were my imagination. The voices you hear aren't real
either." Which phenomenon, common to groups, is exemplified in this interchange?
A. Catharsis.
B. Ventilation.
C. Universality.
A+ TEST BANK 3
, NSG 526 Exam 09/22/2026
D. Reality testing. - Correct Answer :ANS: D. Reality testing.
Reality testing is a process in which an individual validates one's perception of reality. Group members can
provide reality testing by monitoring each member's reactions and behaviors and providing feedback in an open
and nonthreatening manner. The other experiences occur during group sessions and not related to validating
psychotic phenomena, as in this situation.
Which technique is the most important therapeutic tool a nurse should use to provide quality care to a
psychiatric client?
A. Context.
B. Self-analysis.
C. Counter transference.
D. Therapeutic self-disclosure. - Correct Answer :ANS: B. Self-analysis.
Self-analysis is a tool for the nurse to examine oneself, view one's responses in various mental and emotional
moments, and provide a sense of how sensitive care should be provided relative to one's own needs. The
nurse's primary tool is self-analysis and use of the therapeutic self to establish therapeutic empathy and achieve
authentic, open, and personal communication with a client. The other techniques may occur in a nurse-client
relationship, but do not contribute to establishing a therapeutic relationship.
An adolescent female client is admitted to the Emergency Department because she reports being raped. When
the male unlicensed assistive personnel (UAP) enters the room to obtain her vital signs, she begins screaming
for her mother and curls up in the corner of the room. What action should the nurse implement?
A. Reassure client that the male UAP is a staff member who wants to help her.
B. Tell the client that her fear is understandable under these circumstances.
A+ TEST BANK 4
NSG 526 Exam Complete 3 Question Bank
with Verified Answers | 2025/26| Review &
Next Gen Practice Questions with Answers,
Detailed Rationales
Which client outcome during hospitalization indicates improvement for a client who is admitted with auditory
hallucinations?
A. Argues with the voices.
B. Tells when voices decrease.
C. Follows what the voices say.
A+ TEST BANK 1
, NSG 526 Exam 09/22/2026
D. Tells the nurse what the voices say. - Correct Answer :ANS: B. Tells when voices decrease.
Hallucinations are defined as false sensory perceptions. The goal of nursing interventions with clients who are
hallucinating is to help them to increase awareness of symptoms and distinguish between the world of psychosis
and reality. The client outcome that shows improvement is the client can tell when the voices decrease. The
other client behaviors do not indicate improvement towards a client outcome.
A young adult female client with panic disorder arrives in the Emergency Center with a 4-day history of chest pain
that began when her boyfriend left her. Initial assessment reveals normal cardiopulmonary findings. Which
information is most important for the nurse to obtain?
A. Drugs taken in last 7 days.
B. Family history of suicide.
C. Usual coping mechanisms.
D. Frequency of anxiety attacks. - Correct Answer :ANS: A. Drugs taken in last 7 days.
Use of prescribed, over-the-counter, and illicit drugs are the most important information to obtain when
planning care because drugs are likely to influence the client's behavior and ability to cope with stressful
situations. The other assessment findings are not the priority at this time.
A female client responds to the nurse with negative comments and antagonistic behavior. The nurse tells the
client that she is unconsciously casting the nurse in the role of the client's mother. The nurse's feedback is based
on which model of therapy?
A. Medical.
B. Existential.
C. Interpersonal.
A+ TEST BANK 2
, NSG 526 Exam 09/22/2026
D. Psychoanalytical. - Correct Answer :ANS: D. Psychoanalytical.
The psychoanalytical model uses concepts that interpret and focus on working through feelings and behaviors
related to previously unresolved conflicts. The other are related to other theoretical frameworks and treatments.
A client with panic disorder tells the nurse, "This illness is awful. I'm frightened that I will always be this way and
that there's no hope for me." What information should the nurse provide?
A. Panic disorder is treatable in a number of different ways, including medication.
B. Understanding the fact that a cure is not attainable helps the client learn to adjust.
C. This disorder is a biologically determined hereditary disease that has no cure.
D. Evidence based practice indicates that neuroleptic drugs can be used prophylactically. - Correct Answer :ANS:
A. Panic disorder is treatable in a number of different ways, including medication.
To foster the client's ability to cope, effective treatment options for panic disorder, such as desensitization,
cognitive restructuring, relaxation, and psychotropic medications, should be discussed. The other information
does not provide accurate information.
During an inpatient therapy group session, a client tells the members that he hears voices that say his doctor is
going to poison him. He continues, "I look around to see who's talking to me, and I can't see anybody." Another
client replies, "I used to hear voices, too. I found out they were my imagination. The voices you hear aren't real
either." Which phenomenon, common to groups, is exemplified in this interchange?
A. Catharsis.
B. Ventilation.
C. Universality.
A+ TEST BANK 3
, NSG 526 Exam 09/22/2026
D. Reality testing. - Correct Answer :ANS: D. Reality testing.
Reality testing is a process in which an individual validates one's perception of reality. Group members can
provide reality testing by monitoring each member's reactions and behaviors and providing feedback in an open
and nonthreatening manner. The other experiences occur during group sessions and not related to validating
psychotic phenomena, as in this situation.
Which technique is the most important therapeutic tool a nurse should use to provide quality care to a
psychiatric client?
A. Context.
B. Self-analysis.
C. Counter transference.
D. Therapeutic self-disclosure. - Correct Answer :ANS: B. Self-analysis.
Self-analysis is a tool for the nurse to examine oneself, view one's responses in various mental and emotional
moments, and provide a sense of how sensitive care should be provided relative to one's own needs. The
nurse's primary tool is self-analysis and use of the therapeutic self to establish therapeutic empathy and achieve
authentic, open, and personal communication with a client. The other techniques may occur in a nurse-client
relationship, but do not contribute to establishing a therapeutic relationship.
An adolescent female client is admitted to the Emergency Department because she reports being raped. When
the male unlicensed assistive personnel (UAP) enters the room to obtain her vital signs, she begins screaming
for her mother and curls up in the corner of the room. What action should the nurse implement?
A. Reassure client that the male UAP is a staff member who wants to help her.
B. Tell the client that her fear is understandable under these circumstances.
A+ TEST BANK 4
