NR326 Exam 3 Mental Health Actual
Questions and Answers Latest Update
2025/2026 (Graded A+) – Chamberlain
A nurse in an acute mental health facility is creating a plan of care for a
new client who has a co-occurring histrionic personality disorder. Which
of the following is the priority intervention for the nurse to make?
A. Promote appropriate behavior during group therapy sessions.
B. Encourage client input in the treatment plan.
C. Communicate with the client using concrete language.
D. Demonstrate assertive behavior. - correct answer A. Promote
appropriate behavior during group therapy sessions.
Rationale: Managing the client's behavior within the group is the priority
intervention for the client who has histrionic personality disorder because
these clients display extreme attention-seeking behaviors and are often
impulsive, which can be extremely disruptive in a group setting with
other members.
A nurse is reviewing the history and physical of an adolescent client who
has conduct disorder. Which of the following is an expected finding?
A. Death of client's father two months ago
B. Experiences frequent facial tics
C. Suspended from school several times in the past year
, NR326 Exam 3 Mental Health Actual
Questions and Answers Latest Update
2025/2026 (Graded A+) – Chamberlain
D. Adheres strictly to routines - correct answer C. Suspended from school
several times in the past year
Rationale: Conduct disorder is an impulse-control disorder which
includes a long-term pattern of violating the rights of others and
performing violent or hostile acts.
A nurse is planning discharge for a client who has a co-occurring
borderline personality disorder. Which of the following interventions
should be included for this client?
A. Dialectical behavior therapy
B. Behavioral contract
C. Bibliotherapy
D. Safety plan - correct answer A. Dialectical behavior therapy
Rationale: Dialectical behavior therapy is appropriate for the treatment of
clients with borderline personality disorder and is often a part of the
discharge plan.
A nurse is planning care for a client who has dependent personality
disorder. Which of the following actions should the nurse plan to take?
, NR326 Exam 3 Mental Health Actual
Questions and Answers Latest Update
2025/2026 (Graded A+) – Chamberlain
A. Monitor the client closely to prevent self-mutilation.
B. Set limits to prevent exploitation of other clients.
C. Discourage flamboyant or seductive behaviors.
D. Give positive feedback when client is assertive with staff or clients. -
correct answer D. Give positive feedback when client is assertive with
staff or clients.
Rationale: The client who has dependent personality disorder has great
difficulty demonstrating assertive behavior and commonly relies on
others to make decisions. The nurse should encourage the client to be
more assertive and independent.
A nurse is reviewing the medical record of a client who performs self-
injury. Which of the following information should the nurse identify as
placing the client at risk for self-harm behaviors?
A. The client has a co-occurring borderline personality disorder.
B. The client has a parent who has dependent personality disorder.
C. The client has a history of bulimia nervosa.
D. The client has a diagnosis of anti-social personality disorder. - correct
answer A. The client has a co-occurring borderline personality disorder.
, NR326 Exam 3 Mental Health Actual
Questions and Answers Latest Update
2025/2026 (Graded A+) – Chamberlain
Rationale: A diagnosis of borderline personality disorder is associated
with an increased risk for self-harm.
A nurse is caring for a client who has schizophrenia and tells the nurse,
"They lie about me all the time and they are trying to poison my food."
Which of the following statements should the nurse make?
A. "You are mistaken. Nobody is lying about you or trying to poison
you."
B. "You seem to be having very frightening thoughts."
C. "Why do you think you are being lied about and poisoned?"
D. "Who is lying about you and trying to poison you?" - correct answer B.
"You seem to be having very frightening thoughts."
Rationale: When responding to a client who is delusional, the nurse
should avoid making statements that directly confront or affirm the
client's delusional beliefs. Instead of responding literally to the client's
words, the nurse should respond to the feelings that the client is
attempting to communicate. By doing this, the nurse is shifting the focus
from the delusional beliefs, which are not real, to the client's fear, which
is real.
Questions and Answers Latest Update
2025/2026 (Graded A+) – Chamberlain
A nurse in an acute mental health facility is creating a plan of care for a
new client who has a co-occurring histrionic personality disorder. Which
of the following is the priority intervention for the nurse to make?
A. Promote appropriate behavior during group therapy sessions.
B. Encourage client input in the treatment plan.
C. Communicate with the client using concrete language.
D. Demonstrate assertive behavior. - correct answer A. Promote
appropriate behavior during group therapy sessions.
Rationale: Managing the client's behavior within the group is the priority
intervention for the client who has histrionic personality disorder because
these clients display extreme attention-seeking behaviors and are often
impulsive, which can be extremely disruptive in a group setting with
other members.
A nurse is reviewing the history and physical of an adolescent client who
has conduct disorder. Which of the following is an expected finding?
A. Death of client's father two months ago
B. Experiences frequent facial tics
C. Suspended from school several times in the past year
, NR326 Exam 3 Mental Health Actual
Questions and Answers Latest Update
2025/2026 (Graded A+) – Chamberlain
D. Adheres strictly to routines - correct answer C. Suspended from school
several times in the past year
Rationale: Conduct disorder is an impulse-control disorder which
includes a long-term pattern of violating the rights of others and
performing violent or hostile acts.
A nurse is planning discharge for a client who has a co-occurring
borderline personality disorder. Which of the following interventions
should be included for this client?
A. Dialectical behavior therapy
B. Behavioral contract
C. Bibliotherapy
D. Safety plan - correct answer A. Dialectical behavior therapy
Rationale: Dialectical behavior therapy is appropriate for the treatment of
clients with borderline personality disorder and is often a part of the
discharge plan.
A nurse is planning care for a client who has dependent personality
disorder. Which of the following actions should the nurse plan to take?
, NR326 Exam 3 Mental Health Actual
Questions and Answers Latest Update
2025/2026 (Graded A+) – Chamberlain
A. Monitor the client closely to prevent self-mutilation.
B. Set limits to prevent exploitation of other clients.
C. Discourage flamboyant or seductive behaviors.
D. Give positive feedback when client is assertive with staff or clients. -
correct answer D. Give positive feedback when client is assertive with
staff or clients.
Rationale: The client who has dependent personality disorder has great
difficulty demonstrating assertive behavior and commonly relies on
others to make decisions. The nurse should encourage the client to be
more assertive and independent.
A nurse is reviewing the medical record of a client who performs self-
injury. Which of the following information should the nurse identify as
placing the client at risk for self-harm behaviors?
A. The client has a co-occurring borderline personality disorder.
B. The client has a parent who has dependent personality disorder.
C. The client has a history of bulimia nervosa.
D. The client has a diagnosis of anti-social personality disorder. - correct
answer A. The client has a co-occurring borderline personality disorder.
, NR326 Exam 3 Mental Health Actual
Questions and Answers Latest Update
2025/2026 (Graded A+) – Chamberlain
Rationale: A diagnosis of borderline personality disorder is associated
with an increased risk for self-harm.
A nurse is caring for a client who has schizophrenia and tells the nurse,
"They lie about me all the time and they are trying to poison my food."
Which of the following statements should the nurse make?
A. "You are mistaken. Nobody is lying about you or trying to poison
you."
B. "You seem to be having very frightening thoughts."
C. "Why do you think you are being lied about and poisoned?"
D. "Who is lying about you and trying to poison you?" - correct answer B.
"You seem to be having very frightening thoughts."
Rationale: When responding to a client who is delusional, the nurse
should avoid making statements that directly confront or affirm the
client's delusional beliefs. Instead of responding literally to the client's
words, the nurse should respond to the feelings that the client is
attempting to communicate. By doing this, the nurse is shifting the focus
from the delusional beliefs, which are not real, to the client's fear, which
is real.
