NR 326 Mental Health Nursing Exam 7 Study Guide 2026
|Chamberlain College
1. A client with Borderline Personality Disorder (BPD) is praising one nurse while
telling another nurse that they are incompetent. What defense mechanism is
this client using?
A. Rationalization
B. Projection
C. Reaction Formation
D. Splitting
Answer: D
Rationale: Splitting is a common defense mechanism in BPD where the individual views
people or situations as either all good or all bad, unable to integrate positive and negative
qualities.
2. Which physiological finding is most commonly associated with a client
suffering from severe Anorexia Nervosa?
A. Lanugo
B. Hypertension
C. Tachycardia
D. Hyperthermia
Answer: A
Rationale: Lanugo is the growth of fine, downy hair on the face and back, which is the
body’s attempt to insulate itself due to the loss of subcutaneous fat.
,3. A nurse is assessing a client with Antisocial Personality Disorder. Which
behavior should the nurse expect?
A. Extreme social anxiety
B. Lack of remorse for actions
C. Submissive and clinging behavior
D. Preoccupation with details and rules
Answer: B
Rationale: Antisocial Personality Disorder is characterized by a disregard for the rights of
others, impulsivity, and a lack of remorse or guilt for their harmful actions.
4. A client with Bulimia Nervosa is found to have calluses on the knuckles of
their hand. What is this clinical sign called?
A. Russell’s sign
B. Cullen’s sign
C. Chvostek’s sign
D. Murphy’s sign
Answer: A
Rationale: Russell’s sign refers to calluses on the knuckles or back of the hand due to
repeated self-induced vomiting.
5. Which personality disorder is characterized by a pervasive pattern of
grandiosity, a need for admiration, and a lack of empathy?
A. Avoidant Personality Disorder
B. Histrionic Personality Disorder
C. Schizotypal Personality Disorder
D. Narcissistic Personality Disorder
Answer: D
Rationale: Narcissistic Personality Disorder involves an inflated sense of self-importance
and a lack of concern for others’ feelings.
, 6. What is the primary nursing intervention when a client with Somatic
Symptom Disorder complains of physical pain?
A. Tell the client the pain is not real
B. Acknowledge the pain while focusing on feelings
C. Ignore the complaint to avoid reinforcing behavior
D. Administer high doses of opioids immediately
Answer: B
Rationale: The nurse should acknowledge the client’s physical discomfort as real to them
but shift the focus to the underlying emotional stressors or coping mechanisms.
7. A child is diagnosed with Oppositional Defiant Disorder (ODD). Which
characteristic is most typical of this diagnosis?
A. Physical cruelty to animals
B. Theft and destruction of property
C. Severe deficits in social communication
D. Persistent pattern of anger and irritability
Answer: D
Rationale: ODD is characterized by a frequent and persistent pattern of anger, irritability,
arguing, and defiance toward authority figures.
8. Which medication is a central nervous system stimulant frequently used to
treat ADHD?
A. Diazepam
B. Fluoxetine
C. Haloperidol
D. Methylphenidate
Answer: D
Rationale: Methylphenidate (Ritalin) is a stimulant medication that helps increase focus
and decrease impulsivity in patients with ADHD.
|Chamberlain College
1. A client with Borderline Personality Disorder (BPD) is praising one nurse while
telling another nurse that they are incompetent. What defense mechanism is
this client using?
A. Rationalization
B. Projection
C. Reaction Formation
D. Splitting
Answer: D
Rationale: Splitting is a common defense mechanism in BPD where the individual views
people or situations as either all good or all bad, unable to integrate positive and negative
qualities.
2. Which physiological finding is most commonly associated with a client
suffering from severe Anorexia Nervosa?
A. Lanugo
B. Hypertension
C. Tachycardia
D. Hyperthermia
Answer: A
Rationale: Lanugo is the growth of fine, downy hair on the face and back, which is the
body’s attempt to insulate itself due to the loss of subcutaneous fat.
,3. A nurse is assessing a client with Antisocial Personality Disorder. Which
behavior should the nurse expect?
A. Extreme social anxiety
B. Lack of remorse for actions
C. Submissive and clinging behavior
D. Preoccupation with details and rules
Answer: B
Rationale: Antisocial Personality Disorder is characterized by a disregard for the rights of
others, impulsivity, and a lack of remorse or guilt for their harmful actions.
4. A client with Bulimia Nervosa is found to have calluses on the knuckles of
their hand. What is this clinical sign called?
A. Russell’s sign
B. Cullen’s sign
C. Chvostek’s sign
D. Murphy’s sign
Answer: A
Rationale: Russell’s sign refers to calluses on the knuckles or back of the hand due to
repeated self-induced vomiting.
5. Which personality disorder is characterized by a pervasive pattern of
grandiosity, a need for admiration, and a lack of empathy?
A. Avoidant Personality Disorder
B. Histrionic Personality Disorder
C. Schizotypal Personality Disorder
D. Narcissistic Personality Disorder
Answer: D
Rationale: Narcissistic Personality Disorder involves an inflated sense of self-importance
and a lack of concern for others’ feelings.
, 6. What is the primary nursing intervention when a client with Somatic
Symptom Disorder complains of physical pain?
A. Tell the client the pain is not real
B. Acknowledge the pain while focusing on feelings
C. Ignore the complaint to avoid reinforcing behavior
D. Administer high doses of opioids immediately
Answer: B
Rationale: The nurse should acknowledge the client’s physical discomfort as real to them
but shift the focus to the underlying emotional stressors or coping mechanisms.
7. A child is diagnosed with Oppositional Defiant Disorder (ODD). Which
characteristic is most typical of this diagnosis?
A. Physical cruelty to animals
B. Theft and destruction of property
C. Severe deficits in social communication
D. Persistent pattern of anger and irritability
Answer: D
Rationale: ODD is characterized by a frequent and persistent pattern of anger, irritability,
arguing, and defiance toward authority figures.
8. Which medication is a central nervous system stimulant frequently used to
treat ADHD?
A. Diazepam
B. Fluoxetine
C. Haloperidol
D. Methylphenidate
Answer: D
Rationale: Methylphenidate (Ritalin) is a stimulant medication that helps increase focus
and decrease impulsivity in patients with ADHD.
