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NR 326 EXAM 3 NEWEST 2025 ACTUAL EXAM|
COMPLETE 200 QUESTIONS WITH CORRECT
DETAILED ANSWERS (VER IFIED ANSWERS)
ALREADY GRADED A+| MENTAL HEALTH
NURSING EXAM 3| BRAND NEW!!
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?
- Dialectical behavior therapy
- Behavioral contract
- Bibliotherapy
- 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?
- Monitor the client closely to prevent self-mutilation.
- Set limits to prevent exploitation of other clients.
- Discourage flamboyant or seductive behaviors. 1 / 4
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- 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 conducting a group therapy session for several clients. The group is laughing at a joke one of the clients told, when a client who is schizophrenic jumps up and runs out of the room yelling, "You are all making fun of me!“ The nurse should identify this behavior as which of the following characteristics of schizophrenia?
- Magical thinking
- Delusions of grandeur
- Ideas of reference
- Looseness of association - Correct Answer - C. Ideas of reference
Rationale:
When ideas of reference are present, the client believes all events, situations, or interactions are directly related to him.
A nurse is providing teaching for a client who has schizophrenia and a new prescription for fluphenazine. Which of the following information should the nurse provide?
- "This medication might turn urine your orange."
- "Sleepiness should subside within a week. 2 / 4
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- "Stop the medication if hypotension occurs."
- "A low-grade fever is expected with first doses." - Correct Answer -
- "Sleepiness should subside within a week."
Rationale:
The nurse should inform the client that fluphenazine, like other first- generation antipsychotics, may cause sedation with early treatment, but should subside within a week or so.
A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse include in the teaching plan as negative symptoms? (Select all that apply.)
- Delusions
- Hallucinations
- Anhedonia
- Poor judgment
- Blunt affect - Correct Answer - C. Anhedonia
- Blunt affect
Rationale:
Delusions is incorrect. Delusions are an example of a positive symptom of schizophrenia. Hallucinations is incorrect. Hallucinations are an example of a positive symptom of schizophrenia. Anhedonia is correct.Anhedonia is an example of a negative symptom of schizophrenia. Poor judgment is incorrect. Poor judgment is an example of a cognitive symptom of schizophrenia. Blunt affect is correct. Blunt affect is an example of a negative symptom of schizophrenia.
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pg. 4 A nurse is caring for a client who has schizophrenia and is having difficulty with performing ADLs. The nurse should consult with which of the following members of the interdisciplinary team to assist the client?
- Occupational therapist
- Psychiatric social worker
- Recreational therapist
- Psychiatric clinical nurse specialist - Correct Answer - A.
Occupational therapist
Rationale:
An occupational therapist's primary focus is client's achieving independence with ADLs.
A client presents with psychosis. The nurse is preparing to administer Clozapine. Which of the following nursing actions is the highest priority with monitoring complications of Clozapine?
- Monitor for respirations and potential for respiratory complications
- Monitor for flu-like symptoms and potential for agranulocytosis
- Monitor for thoughts of lethality and potential side effects of
- Monitor for platelet counts and potential for bleeding - Correct
suicidality
Answer - B. Monitor for flu-like symptoms and potential for agranulocytosis
The nurse planning on discharge of the client with Neurocognitive Disorder who was admitted for an acute exacerbation will include which of the following caregiver education?
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