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NSG 526 Exam 3 | Actual Questions & Verified Answers | Borderline Personality Disorder (BPD) & Emergency Nursing | 2025 Updated Complete Study Guide | Graded A+

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This NSG 526 Exam 3 Study Guide (2025 update) contains verified questions and correct answers that have been graded A+. It is a complete, up-to-date exam solution pack covering mental health nursing, borderline personality disorder (BPD), self-harm behaviors, psychological assessment, mass casualty triage (MCI), and psychiatric nursing interventions. Content Includes: MCI (Mass Casualty Incident) Triage: Minimal category injuries → fractures, sprains, small burns, minor lacerations, behavioral disorders. Guidelines on delayed treatment, moving victims away from triage area. Psychological Assessment in Trauma & Crisis: Identifying depression, confusion, uncontrolled emotions, disorientation, aggressive behaviors. Evaluating coping strategies and resilience. Borderline Personality Disorder (BPD) Nursing Management: Self-mutilation causes → fear of abandonment, independence issues, coping attempts. PMH-APRN interventions → encouraging alternative coping strategies, relationship building, safety planning, and limit setting. Anger in BPD → pervasive, intense, requires anger management techniques. Developmental stage deficits → failure to achieve separation-individuation, lack of object constancy, difficulty integrating good/bad aspects of self. Projective identification → attributing own unacceptable impulses/feelings to others. Therapeutic Nursing Responses: How to respond when a client relapses into self-harm. Differentiating manipulative gestures from genuine emotional coping. Focus on empathy, safety, and skill-building. This complete exam guide is perfect for students preparing for: NSG 526 Psychiatric Nursing PMHNP Advanced Practice Exams Mental Health Nursing (BPD focus) Emergency & Trauma Nursing (MCI focus) NCLEX Psych & Emergency Care Review

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EXAM 3 NSG 526 QUESTIONS with ANSWERS

MCI Category: Minimal - <<<Answers>>>Injuries are minor
and treatment can be delayed hours to days.
Individuals in this group should be moved away from the main
triage
area.
o
Upper extremity fractures, minor burns, sprains, small
lacerations without significant bleeding, behavioral disorders or
psychological disturbances


Psychological Assessment - <<<Answers>>>Assess the victim
for behaviors that indicate a
depressed state, presence of confusion, uncontrolled weeping or
screaming,
disorientation, or aggressive behavior. Ideally, the PMH-APRN
should assess the
coping strategies the victim uses to normally manage stressful
situations.
Self mutilation occurs: - <<<Answers>>>because a client
may feel that pain is better than not feeling
anything, it also results from feelings of abandonment, it
can be a manipulative gesture,
and it is also happens when a safety plan has been put in
place.

, EXAM 3 NSG 526 QUESTIONS with ANSWERS


Self mutilation is mainly due to: - <<<Answers>>>fear of
abandonment or the increase of independence


Note: - <<<Answers>>>If a client with BPD who was
making progress but recently had an anxiety producing
situation arise and now cut herself is that even though this
behavior is dysfunctional, it is
mostly the patient's best effort to cope


Best response from PMH-APRN in BPD -
<<<Answers>>>The best response by the PMHNP when
speaking with a client with BPD who has been in
counseling for management of self-harm behaviors who
now wants to cut themselves is
to assist the client to identify an appropriate coping strategy


Anger in BPD - <<<Answers>>>Anger is intense and
pervasive and help with anger management is an important
intervention


Other focuses of BPD Management -
<<<Answers>>>Relationship building, safety, and limit setting
are other foci.

, EXAM 3 NSG 526 QUESTIONS with ANSWERS


Clients with BPD have not successfully -
<<<Answers>>>achieved the developmental stage of
separation-
individuation during which a child normally develops a
sense of self, a permanent sense of
significant others (object constancy), and integration of
seeing both bad and good components
of self


Projective Identification: - <<<Answers>>>falsely attribute
to others their own unacceptable feelings, impulses, or
thoughts


Boundries and BPD - <<<Answers>>>Respecting a client's
boundaries is important in establishing a therapeutic relationship
with a
patient with BPD.
Flooding - <<<Answers>>>Know an example of flooding
in a child.


When conducting a counseling session for a group of at-
risk adolescents on drug use - <<<Answers>>>it is

, EXAM 3 NSG 526 QUESTIONS with ANSWERS

important to have their peers involved in teaching some of
the problem-solving skills


ODD - <<<Answers>>>Play Therapy (1 question)


Play therapy is important because it allows the child to play
out their fears and frustrations.


Play therapy is child-centered and typically builds on the
foundation of the psychodynamic,
object-relations, and attachment theories.


Used for children 3 years or older


Nondirective play is normally viewed as the best way to
begin play therapy.


Structured play is rarely used until nondirective play has
enabled a full assessment of relevant
themes and issues, and the child's trust around anxiety-
laden issues has been developed.

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