NSG 526 Exam 3 PREP
NSG 526 EXAM 3 PREP NEWEST 2026/2027 ACTUAL EXAM
COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY
GRADED A+||BRAND NEW VERSION!!
A nurse is providing psychological first aid to a disaster survivor who is pacing,
trembling, and unable to focus. Which intervention is the priority?
a) Encourage discussion of the traumatic event
b) Teach grounding and breathing techniques
c) Ask about family members
d) Assess thought content
b) Teach grounding and breathing techniques
Rationale:
This client is experiencing heightened arousal, the “A” in psychological first aid. The
priority is to reduce physiological distress through calming strategies like
grounding or controlled breathing. Addressing cognition or social needs comes
after stabilization of arousal.
A nurse is asked to implement mandatory debriefing after a traumatic event.
What is the best response?
a) It should be required for all clients
b) It prevents PTSD if done early
c) It should be optional based on client readiness
d) It should never be used
c) It should be optional based on client readiness
1|Page
, NSG 526 Exam 3 PREP
Rationale:
Research does not support mandatory debriefing for PTSD prevention and may
even worsen outcomes. However, some individuals benefit from voluntary
participation. Care must be individualized and not forced.
During disaster response, which intervention reflects the social domain role of the
PMH-APRN?
a) Processing trauma emotions
b) Reuniting families
c) Prescribing anxiolytics
d) Teaching coping skills
b) Reuniting families
Rationale:
The social domain focuses on restoring connections, providing information, and
supporting relationships. Reuniting families reduces distress and promotes
emotional stability more effectively than immediate psychological processing.
A client demonstrates suspicious behavior and avoids relationships but maintains
employment. How should this be interpreted?
a) Personality disorder
b) Psychotic disorder
c) Personality traits
d) Mood disorder
c) Personality traits
Rationale:
A personality disorder requires functional impairment. Since the client maintains
occupational functioning, these behaviors are considered traits, not a full disorder.
2|Page
, NSG 526 Exam 3 PREP
A client exhibits impulsivity, unstable relationships, and intense emotional
reactions. Which cluster does this presentation align with?
a) Cluster A
b) Cluster B
c) Cluster C
d) Neurocognitive disorders
b) Cluster B
Rationale:
Cluster B disorders are marked by dramatic, emotional, and erratic behaviors,
including impulsivity and unstable relationships, which are classic features seen
here.
A client states, “I feel helpless when I have to make decisions alone.” Which
disorder is most likely?
a) Avoidant personality disorder
b) Narcissistic personality disorder
c) Dependent personality disorder
d) Schizotypal personality disorder
c) Dependent personality disorder
Rationale:
Dependent personality disorder is characterized by difficulty making decisions,
need for reassurance, and fear of abandonment, often resulting in submissive
behaviors.
A client avoids relationships, appears detached, and shows little emotional
expression. What is the best nursing approach?
a) Encourage emotional disclosure immediately
b) Use clear and simple communication
3|Page
, NSG 526 Exam 3 PREP
c) Promote group therapy participation
d) Challenge cognitive distortions
b) Use clear and simple communication
Rationale:
Clients with schizoid personality disorder benefit from clarity and simplicity
because social interactions can increase anxiety and confusion.
A client with borderline personality disorder alternates between seeing others as
perfect or terrible. This is an example of:
a) Magical thinking
b) Flight of ideas
c) Dichotomous thinking
d) Perseveration
c) Dichotomous thinking
Rationale:
Dichotomous thinking involves black-and-white evaluations, a hallmark of BPD
that leads to unstable relationships and extreme reactions.
A client engages in self-cutting after an argument. What is the primary function of
this behavior?
a) To gain attention
b) To punish others
c) To regulate emotional distress
d) To manipulate relationships
c) To regulate emotional distress
4|Page
NSG 526 EXAM 3 PREP NEWEST 2026/2027 ACTUAL EXAM
COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY
GRADED A+||BRAND NEW VERSION!!
A nurse is providing psychological first aid to a disaster survivor who is pacing,
trembling, and unable to focus. Which intervention is the priority?
a) Encourage discussion of the traumatic event
b) Teach grounding and breathing techniques
c) Ask about family members
d) Assess thought content
b) Teach grounding and breathing techniques
Rationale:
This client is experiencing heightened arousal, the “A” in psychological first aid. The
priority is to reduce physiological distress through calming strategies like
grounding or controlled breathing. Addressing cognition or social needs comes
after stabilization of arousal.
A nurse is asked to implement mandatory debriefing after a traumatic event.
What is the best response?
a) It should be required for all clients
b) It prevents PTSD if done early
c) It should be optional based on client readiness
d) It should never be used
c) It should be optional based on client readiness
1|Page
, NSG 526 Exam 3 PREP
Rationale:
Research does not support mandatory debriefing for PTSD prevention and may
even worsen outcomes. However, some individuals benefit from voluntary
participation. Care must be individualized and not forced.
During disaster response, which intervention reflects the social domain role of the
PMH-APRN?
a) Processing trauma emotions
b) Reuniting families
c) Prescribing anxiolytics
d) Teaching coping skills
b) Reuniting families
Rationale:
The social domain focuses on restoring connections, providing information, and
supporting relationships. Reuniting families reduces distress and promotes
emotional stability more effectively than immediate psychological processing.
A client demonstrates suspicious behavior and avoids relationships but maintains
employment. How should this be interpreted?
a) Personality disorder
b) Psychotic disorder
c) Personality traits
d) Mood disorder
c) Personality traits
Rationale:
A personality disorder requires functional impairment. Since the client maintains
occupational functioning, these behaviors are considered traits, not a full disorder.
2|Page
, NSG 526 Exam 3 PREP
A client exhibits impulsivity, unstable relationships, and intense emotional
reactions. Which cluster does this presentation align with?
a) Cluster A
b) Cluster B
c) Cluster C
d) Neurocognitive disorders
b) Cluster B
Rationale:
Cluster B disorders are marked by dramatic, emotional, and erratic behaviors,
including impulsivity and unstable relationships, which are classic features seen
here.
A client states, “I feel helpless when I have to make decisions alone.” Which
disorder is most likely?
a) Avoidant personality disorder
b) Narcissistic personality disorder
c) Dependent personality disorder
d) Schizotypal personality disorder
c) Dependent personality disorder
Rationale:
Dependent personality disorder is characterized by difficulty making decisions,
need for reassurance, and fear of abandonment, often resulting in submissive
behaviors.
A client avoids relationships, appears detached, and shows little emotional
expression. What is the best nursing approach?
a) Encourage emotional disclosure immediately
b) Use clear and simple communication
3|Page
, NSG 526 Exam 3 PREP
c) Promote group therapy participation
d) Challenge cognitive distortions
b) Use clear and simple communication
Rationale:
Clients with schizoid personality disorder benefit from clarity and simplicity
because social interactions can increase anxiety and confusion.
A client with borderline personality disorder alternates between seeing others as
perfect or terrible. This is an example of:
a) Magical thinking
b) Flight of ideas
c) Dichotomous thinking
d) Perseveration
c) Dichotomous thinking
Rationale:
Dichotomous thinking involves black-and-white evaluations, a hallmark of BPD
that leads to unstable relationships and extreme reactions.
A client engages in self-cutting after an argument. What is the primary function of
this behavior?
a) To gain attention
b) To punish others
c) To regulate emotional distress
d) To manipulate relationships
c) To regulate emotional distress
4|Page
