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NUR 326 EXAM 4 PRACTICE QUESTIONS NEWEST 2026
EXAM QUESTIONS LATEST VERSION SOLVED
QUESTIONS & ANSWERS VERIFIED 100 %
Which of the following conditions is likely to coexist in clients with a diagnosis
of borderline personality disorder?
A. Avoidance
B. Delirium
C. Depression
D. Disorientation
C (Chronic feelings of emptiness and sadness predispose a client to depression.
About 40% of the clients with borderline struggle with depression.)
Which of the following nursing interventions has priority for a client with
borderline personality disorder?
A. Maintain consistent and realistic limits
B. Give instructions for meeting basic self-care needs
C. Engage in daytime activities to stimulate wakefulness
D. Have the client attend group therapy on a daily basis
A (Clients with borderline who are needy, dependent, and manipulative will benefit
greatly from maintaining consistent and realistic limits. They don't tend to have
difficulty meeting their self-care needs. They enjoy attending group therapy because
they often attempt to use the opportunity to become the center of attention. They
don't tend to have sleeping difficulties.)
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Which of the following behaviors by a client with dependent personality
disorder shows the client has made progress toward the goal of increasing
problem solving skills?
A. The client is courteous
B. The client asks questions
C. The client stops acting out
D. The client controls emotions
B (The client with dependent personality disorder is passive and tries to please
others. By asking questions, the client is beginning to gather information, the first
step of decision making.)
A client with schizotypal personality disorder is sitting in a puddle of urine.
She's playing in it, smiling, and softly singing a child's song. Which action
would be best?
A. Admonish the client for not using the bathroom
B. Firmly tell the client that her behavior is unacceptable
C. Ask the client if she's ready to get cleaned up now
D. Help the client to the shower, and change the bedclothes.
D (A client with schizotypal personality disorder can experience high levels of anxiety
and regress to childlike behaviors. This client may require help needing self-care
needs. The client may not respond to the other options or those options may
generate more anxiety.)
A client with avoidant personality disorder says occupational therapy is boring
and doesn't want to go. Which action would be best?
A. State firmly that you'll escort him to OT.
B. Arrange with OT for the client to do a project on the unit.
C. Ask the client to talk about why OT is boring
D. Arrange for the client not to attend OT until he is feeling better
A (If given the chance, a client with avoidant personality disorder typically elects to
remain immobilized. The nurse should insist that the client participate in OT.
Arranging for the client to do a project on the unit validates and reinforces the client's
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desire to avoid getting to OT. Addressing an invalid issue such as the client's
perceived boredom avoids the real issue: the client's need for therapy.)
A nurse discusses job possibilities with a client with schizoid personality
disorder. Which suggestion by the nurse would be helpful?
A. "You can work in a family restaurant part-time on the weekend and
holidays."
B. "Maybe your friend could get you that customer service job where you work
only on the weekends."
C. "Your idea of applying for the position of filing and organizing records is
worth pursuing."
D. "Being an introvert limits the employment opportunities you can pursue."
C (Clients with schizoid personality disorder prefer solitary activities, such as filing, to
working with others. Working as a cashier or in customer service would involve
interacting with many people.)
A nurse is caring for a client who has avoidant personality disorder. Which of
the following statements is expected from a client who has this type of
personality disorder?
a. "I'm scared that you're going to leave me."
b. "I'll go to group therapy if you'll let me smoke."
c. "I need to feel that everyone admires me."
d. "I sometimes feel better if I cut myself."
A
A charge nurse is preparing a staff education session on personality
disorders. Which of the following personality characteristics associated with
all of the personality disorders should the charge nurse include in the
teaching? (Select all that apply.)
a. Difficulty getting along with other members of a group
b. Belief in the ability to become invisible during times of stress
c. Display of defense mechanisms when routines are changed
d. Claiming to be more important that other persons
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e. Difficulty understanding why it is inappropriate to have a personal
relationship with staff
A C E (Difficulty with social and professional relationships is a personality
characteristic that can be seen with all personality disorder types. Clients who has
schizotypal personality disorder can display magical thinking or delusions. However,
this is not associated with all personality types. Maladaptive response to stress is a
personality characteristic that can be seen with all personality disorder types. Clients
who have narcissistic personality disorder can display grandiose thinking. However,
this is not associated with all personality disorder types. Difficulty understand
personal boundaries is a personality characteristic that can be seen with all
personality disorder types.)
A nurse is preparing to obtain a nursing history from a client who has a new
diagnosis of anorexia nervosa. Which of the following questions should the
nurse include in the assessment? (Select all that apply.)
a. "What is your relationship like with your family?"
b. "Why do you want to lose weight?"
c. "Would you describe your current eating habits?"
d. "At what weight do you believe you will look better?"
e. "Can you discuss your feelings about your appearance?"
ACE
A nurse is caring for an adolescent client who has anorexia nervosa with
recent rapid weight loss and a current weight of 90 lb. Which of the following
statements indicates the client is experiencing the cognitive distortion of
catastrophizing?
a. "Life isn't worth living if I gain weight."
b. "Don't pretend like you don't know how fat I am."
c. "If I could be skinny, I know I'd be popular."
d. "When I look in the mirror, I see myself as obese."
A (This statement reflects the cognitive distortion of catastrophizing because the
client's perception of her appearance or situation is much worse than her current
condition. B reflects the cognitive distortion of personalization. C reflects the
NUR 326 EXAM 4 PRACTICE QUESTIONS NEWEST 2026
EXAM QUESTIONS LATEST VERSION SOLVED
QUESTIONS & ANSWERS VERIFIED 100 %
Which of the following conditions is likely to coexist in clients with a diagnosis
of borderline personality disorder?
A. Avoidance
B. Delirium
C. Depression
D. Disorientation
C (Chronic feelings of emptiness and sadness predispose a client to depression.
About 40% of the clients with borderline struggle with depression.)
Which of the following nursing interventions has priority for a client with
borderline personality disorder?
A. Maintain consistent and realistic limits
B. Give instructions for meeting basic self-care needs
C. Engage in daytime activities to stimulate wakefulness
D. Have the client attend group therapy on a daily basis
A (Clients with borderline who are needy, dependent, and manipulative will benefit
greatly from maintaining consistent and realistic limits. They don't tend to have
difficulty meeting their self-care needs. They enjoy attending group therapy because
they often attempt to use the opportunity to become the center of attention. They
don't tend to have sleeping difficulties.)
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Which of the following behaviors by a client with dependent personality
disorder shows the client has made progress toward the goal of increasing
problem solving skills?
A. The client is courteous
B. The client asks questions
C. The client stops acting out
D. The client controls emotions
B (The client with dependent personality disorder is passive and tries to please
others. By asking questions, the client is beginning to gather information, the first
step of decision making.)
A client with schizotypal personality disorder is sitting in a puddle of urine.
She's playing in it, smiling, and softly singing a child's song. Which action
would be best?
A. Admonish the client for not using the bathroom
B. Firmly tell the client that her behavior is unacceptable
C. Ask the client if she's ready to get cleaned up now
D. Help the client to the shower, and change the bedclothes.
D (A client with schizotypal personality disorder can experience high levels of anxiety
and regress to childlike behaviors. This client may require help needing self-care
needs. The client may not respond to the other options or those options may
generate more anxiety.)
A client with avoidant personality disorder says occupational therapy is boring
and doesn't want to go. Which action would be best?
A. State firmly that you'll escort him to OT.
B. Arrange with OT for the client to do a project on the unit.
C. Ask the client to talk about why OT is boring
D. Arrange for the client not to attend OT until he is feeling better
A (If given the chance, a client with avoidant personality disorder typically elects to
remain immobilized. The nurse should insist that the client participate in OT.
Arranging for the client to do a project on the unit validates and reinforces the client's
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desire to avoid getting to OT. Addressing an invalid issue such as the client's
perceived boredom avoids the real issue: the client's need for therapy.)
A nurse discusses job possibilities with a client with schizoid personality
disorder. Which suggestion by the nurse would be helpful?
A. "You can work in a family restaurant part-time on the weekend and
holidays."
B. "Maybe your friend could get you that customer service job where you work
only on the weekends."
C. "Your idea of applying for the position of filing and organizing records is
worth pursuing."
D. "Being an introvert limits the employment opportunities you can pursue."
C (Clients with schizoid personality disorder prefer solitary activities, such as filing, to
working with others. Working as a cashier or in customer service would involve
interacting with many people.)
A nurse is caring for a client who has avoidant personality disorder. Which of
the following statements is expected from a client who has this type of
personality disorder?
a. "I'm scared that you're going to leave me."
b. "I'll go to group therapy if you'll let me smoke."
c. "I need to feel that everyone admires me."
d. "I sometimes feel better if I cut myself."
A
A charge nurse is preparing a staff education session on personality
disorders. Which of the following personality characteristics associated with
all of the personality disorders should the charge nurse include in the
teaching? (Select all that apply.)
a. Difficulty getting along with other members of a group
b. Belief in the ability to become invisible during times of stress
c. Display of defense mechanisms when routines are changed
d. Claiming to be more important that other persons
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e. Difficulty understanding why it is inappropriate to have a personal
relationship with staff
A C E (Difficulty with social and professional relationships is a personality
characteristic that can be seen with all personality disorder types. Clients who has
schizotypal personality disorder can display magical thinking or delusions. However,
this is not associated with all personality types. Maladaptive response to stress is a
personality characteristic that can be seen with all personality disorder types. Clients
who have narcissistic personality disorder can display grandiose thinking. However,
this is not associated with all personality disorder types. Difficulty understand
personal boundaries is a personality characteristic that can be seen with all
personality disorder types.)
A nurse is preparing to obtain a nursing history from a client who has a new
diagnosis of anorexia nervosa. Which of the following questions should the
nurse include in the assessment? (Select all that apply.)
a. "What is your relationship like with your family?"
b. "Why do you want to lose weight?"
c. "Would you describe your current eating habits?"
d. "At what weight do you believe you will look better?"
e. "Can you discuss your feelings about your appearance?"
ACE
A nurse is caring for an adolescent client who has anorexia nervosa with
recent rapid weight loss and a current weight of 90 lb. Which of the following
statements indicates the client is experiencing the cognitive distortion of
catastrophizing?
a. "Life isn't worth living if I gain weight."
b. "Don't pretend like you don't know how fat I am."
c. "If I could be skinny, I know I'd be popular."
d. "When I look in the mirror, I see myself as obese."
A (This statement reflects the cognitive distortion of catastrophizing because the
client's perception of her appearance or situation is much worse than her current
condition. B reflects the cognitive distortion of personalization. C reflects the
