@PROFDOCDIGITALLIBRARIES
NR 326/ NR326 EXAM 3 (NEW 2025/ 2026 UPDATE) MENTAL
HEALTH NURSING REVIEW | QUESTIONS & ANSWERS| GRADE A+|
100% CORRECT (VERIFIED SOLUTIONS)- CHAMBERLAIN
1. A nurse in an acute mental health facility is creating a plan
of care for a new client who has a co-occurring histrionic
PR
personality disorder. Which of the following is the priority
intervention for the nurse to make?
A. Promote appropriate behavior during group therapy
O
sessions.
FD
B. Encourage client input in the treatment plan.
C. Communicate with the client using concrete language.
D. Demonstrate assertive behavior.: A. Promote appropriate
O
behavior during group therapy sessions.
C
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.
,@PROFDOCDIGITALLIBRARIES
2. 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
PR
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.
O
3. A nurse is planning discharge for a client who has a co-
FD
occurring borderline personality disorder. Which of the
following interventions should be included for this client?
A. Dialectical behavior therapy
O
B. Behavioral contract
C
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.
4. A nurse is planning care for a client who has dependent
personality disorder. Which of the following actions should
,@PROFDOCDIGITALLIBRARIES
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
PR
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.
O
5. A nurse is reviewing the medical record of a client who
FD
performs self-injury. Which of the following information
should the nurse identify as placing the client at risk for self-
harm behaviors?
O
A. The client has a co-occurring borderline personality
C
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.
, @PROFDOCDIGITALLIBRARIES
Rationale: A diagnosis of borderline personality disorder is
associated with an increased risk for self-harm.
6. 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."
PR
B. "You seem to be having very frightening thoughts."
C. "Why do you think you are being lied about and
poisoned?"
O
D. "Who is lying about you and trying to poison you?": B.
FD
"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
O
affirm the client's delusional beliefs. Instead of responding literally
C
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.
7. 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
NR 326/ NR326 EXAM 3 (NEW 2025/ 2026 UPDATE) MENTAL
HEALTH NURSING REVIEW | QUESTIONS & ANSWERS| GRADE A+|
100% CORRECT (VERIFIED SOLUTIONS)- CHAMBERLAIN
1. A nurse in an acute mental health facility is creating a plan
of care for a new client who has a co-occurring histrionic
PR
personality disorder. Which of the following is the priority
intervention for the nurse to make?
A. Promote appropriate behavior during group therapy
O
sessions.
FD
B. Encourage client input in the treatment plan.
C. Communicate with the client using concrete language.
D. Demonstrate assertive behavior.: A. Promote appropriate
O
behavior during group therapy sessions.
C
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.
,@PROFDOCDIGITALLIBRARIES
2. 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
PR
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.
O
3. A nurse is planning discharge for a client who has a co-
FD
occurring borderline personality disorder. Which of the
following interventions should be included for this client?
A. Dialectical behavior therapy
O
B. Behavioral contract
C
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.
4. A nurse is planning care for a client who has dependent
personality disorder. Which of the following actions should
,@PROFDOCDIGITALLIBRARIES
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
PR
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.
O
5. A nurse is reviewing the medical record of a client who
FD
performs self-injury. Which of the following information
should the nurse identify as placing the client at risk for self-
harm behaviors?
O
A. The client has a co-occurring borderline personality
C
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.
, @PROFDOCDIGITALLIBRARIES
Rationale: A diagnosis of borderline personality disorder is
associated with an increased risk for self-harm.
6. 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."
PR
B. "You seem to be having very frightening thoughts."
C. "Why do you think you are being lied about and
poisoned?"
O
D. "Who is lying about you and trying to poison you?": B.
FD
"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
O
affirm the client's delusional beliefs. Instead of responding literally
C
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.
7. 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
