NR 326 Exam #3 Test Questions with Answers Graded A
1. A nurse in an acute men- A. Promote appropriate behavior during group therapy ses-
tal health facility is creat- sions.
ing a plan of care for a Rationale: Managing the client's behavior within the group is the
new client who has a co-oc- priority intervention for the client who has histrionic personality
curring histrionic personal- disorder because these clients display extreme attention-seeking
ity disorder. Which of the behaviors and are often impulsive, which can be extremely dis-
following is the priority in- ruptive in a group setting with other members.
tervention for the nurse to
make?
A. Promote appropriate be-
havior during group therapy
sessions.
B. Encourage client input in
the treatment plan.
C. Communicate with the
client using concrete lan-
guage.
D. Demonstrate assertive
behavior.
2. A nurse is reviewing the C. Suspended from school several times in the past year
history and physical of an Rationale: Conduct disorder is an impulse-control disorder which
adolescent client who has includes a long-term pattern of violating the rights of others and
conduct disorder. Which of performing violent or hostile acts.
the following is an expected
finding?
A. Death of client's father
two months ago
B. Experiences frequent fa-
cial tics
C. Suspended from school
several times in the past
,NR 326 Exam #3 Test Questions with Answers Graded A
year
D. Adheres strictly to rou-
tines
3. A nurse is planning dis- A. Dialectical behavior therapy
charge for a client who has a Rationale: Dialectical behavior therapy is appropriate for the
co-occurring borderline per- treatment of clients with borderline personality disorder and is
sonality disorder. Which of often a part of the discharge plan.
the following interventions
should be included for this
client?
A. Dialectical behavior ther-
apy
B. Behavioral contract
C. Bibliotherapy
D. Safety plan
4. A nurse is planning care D. Give positive feedback when client is assertive with statt or
for a client who has de- clients.
pendent personality disor- Rationale: The client who has dependent personality disorder has
der. Which of the follow- great diflculty demonstrating assertive behavior and commonly
ing actions should the nurse relies on others to make decisions. The nurse should encourage
plan to take? the client to be more assertive and independent.
A. Monitor the client closely
to prevent self-mutilation.
B. Set limits to prevent ex-
ploitation of other clients.
C. Discourage flamboyant or
seductive behaviors.
D. Give positive feedback
when client is assertive with
staff or clients.
,NR 326 Exam #3 Test Questions with Answers Graded A
5. A nurse is reviewing the A. The client has a co-occurring borderline personality disorder.
medical record of a client Rationale: A diagnosis of borderline personality disorder is asso-
who performs self-injury. ciated with an increased risk for self-harm.
Which of the following in-
formation should the nurse
identify as placing the client
at risk for self-harm behav-
iors?
A. The client has a co-occur-
ring borderline personality
disorder.
B. The client has a parent
who has dependent person-
ality disorder.
C. The client has a history of
bulimia nervosa.
D. The client has a diagnosis
of anti-social personality dis-
order.
6. A nurse is caring for a client B. "You seem to be having very frightening thoughts."
who has schizophrenia and Rationale: When responding to a client who is delusional, the
tells the nurse, "They lie nurse should avoid making statements that directly confront or
about me all the time and aflrm the client's delusional beliefs. Instead of responding liter-
they are trying to poison my ally to the client's words, the nurse should respond to the feelings
food." Which of the follow- that the client is attempting to communicate. By doing this, the
ing statements should the nurse is shifting the focus from the delusional beliefs, which are
nurse make? not real, to the client's fear, which is real.
A. "You are mistaken. No-
body is lying about you or
trying to poison you."
B. "You seem to be having
, NR 326 Exam #3 Test Questions with Answers Graded A
very frightening thoughts."
C. "Why do you think you
are being lied about and poi-
soned?"
D. "Who is lying about you
and trying to poison you?"
7. A nurse is conducting a C. Ideas of reference
group therapy session for Rationale: When ideas of reference are present, the client be-
several clients. The group is lieves all events, situations, or interactions are directly related to
laughing at a joke one of the him.
clients told, when a client
who is schizophrenic jumps
up and runs out of the room
yelling, "You are all mak-
ing fun of me!" The nurse
should identify this behav-
ior as which of the follow-
ing characteristics of schizo-
phrenia?
A. Magical thinking
B. Delusions of grandeur
C. Ideas of reference
D. Looseness of association
8. A nurse is providing teach- B. "Sleepiness should subside within a week."
ing for a client who Rationale: The nurse should inform the client that fluphenazine,
has schizophrenia and like other first-generation antipsychotics, may cause sedation
a new prescription for with early treatment, but should subside within a week or so.
fluphenazine. Which of
the following information
should the nurse provide?
1. A nurse in an acute men- A. Promote appropriate behavior during group therapy ses-
tal health facility is creat- sions.
ing a plan of care for a Rationale: Managing the client's behavior within the group is the
new client who has a co-oc- priority intervention for the client who has histrionic personality
curring histrionic personal- disorder because these clients display extreme attention-seeking
ity disorder. Which of the behaviors and are often impulsive, which can be extremely dis-
following is the priority in- ruptive in a group setting with other members.
tervention for the nurse to
make?
A. Promote appropriate be-
havior during group therapy
sessions.
B. Encourage client input in
the treatment plan.
C. Communicate with the
client using concrete lan-
guage.
D. Demonstrate assertive
behavior.
2. A nurse is reviewing the C. Suspended from school several times in the past year
history and physical of an Rationale: Conduct disorder is an impulse-control disorder which
adolescent client who has includes a long-term pattern of violating the rights of others and
conduct disorder. Which of performing violent or hostile acts.
the following is an expected
finding?
A. Death of client's father
two months ago
B. Experiences frequent fa-
cial tics
C. Suspended from school
several times in the past
,NR 326 Exam #3 Test Questions with Answers Graded A
year
D. Adheres strictly to rou-
tines
3. A nurse is planning dis- A. Dialectical behavior therapy
charge for a client who has a Rationale: Dialectical behavior therapy is appropriate for the
co-occurring borderline per- treatment of clients with borderline personality disorder and is
sonality disorder. Which of often a part of the discharge plan.
the following interventions
should be included for this
client?
A. Dialectical behavior ther-
apy
B. Behavioral contract
C. Bibliotherapy
D. Safety plan
4. A nurse is planning care D. Give positive feedback when client is assertive with statt or
for a client who has de- clients.
pendent personality disor- Rationale: The client who has dependent personality disorder has
der. Which of the follow- great diflculty demonstrating assertive behavior and commonly
ing actions should the nurse relies on others to make decisions. The nurse should encourage
plan to take? the client to be more assertive and independent.
A. Monitor the client closely
to prevent self-mutilation.
B. Set limits to prevent ex-
ploitation of other clients.
C. Discourage flamboyant or
seductive behaviors.
D. Give positive feedback
when client is assertive with
staff or clients.
,NR 326 Exam #3 Test Questions with Answers Graded A
5. A nurse is reviewing the A. The client has a co-occurring borderline personality disorder.
medical record of a client Rationale: A diagnosis of borderline personality disorder is asso-
who performs self-injury. ciated with an increased risk for self-harm.
Which of the following in-
formation should the nurse
identify as placing the client
at risk for self-harm behav-
iors?
A. The client has a co-occur-
ring borderline personality
disorder.
B. The client has a parent
who has dependent person-
ality disorder.
C. The client has a history of
bulimia nervosa.
D. The client has a diagnosis
of anti-social personality dis-
order.
6. A nurse is caring for a client B. "You seem to be having very frightening thoughts."
who has schizophrenia and Rationale: When responding to a client who is delusional, the
tells the nurse, "They lie nurse should avoid making statements that directly confront or
about me all the time and aflrm the client's delusional beliefs. Instead of responding liter-
they are trying to poison my ally to the client's words, the nurse should respond to the feelings
food." Which of the follow- that the client is attempting to communicate. By doing this, the
ing statements should the nurse is shifting the focus from the delusional beliefs, which are
nurse make? not real, to the client's fear, which is real.
A. "You are mistaken. No-
body is lying about you or
trying to poison you."
B. "You seem to be having
, NR 326 Exam #3 Test Questions with Answers Graded A
very frightening thoughts."
C. "Why do you think you
are being lied about and poi-
soned?"
D. "Who is lying about you
and trying to poison you?"
7. A nurse is conducting a C. Ideas of reference
group therapy session for Rationale: When ideas of reference are present, the client be-
several clients. The group is lieves all events, situations, or interactions are directly related to
laughing at a joke one of the him.
clients told, when a client
who is schizophrenic jumps
up and runs out of the room
yelling, "You are all mak-
ing fun of me!" The nurse
should identify this behav-
ior as which of the follow-
ing characteristics of schizo-
phrenia?
A. Magical thinking
B. Delusions of grandeur
C. Ideas of reference
D. Looseness of association
8. A nurse is providing teach- B. "Sleepiness should subside within a week."
ing for a client who Rationale: The nurse should inform the client that fluphenazine,
has schizophrenia and like other first-generation antipsychotics, may cause sedation
a new prescription for with early treatment, but should subside within a week or so.
fluphenazine. Which of
the following information
should the nurse provide?
