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Nclex Practice Questions Mental Health Questions

Question 1 of 5

The nurse is counseling a family with a child who has been abused by an adult family friend in the past. When explaining about the child's needs, which of the following would be most important for the nurse to stress?

Correct Answer: A

Rationale:
Step 1: A supportive relationship with an adult is crucial for the child to rebuild trust and feel safe after experiencing abuse.

Step 2: Long-term psychotherapy may be beneficial, but establishing a supportive relationship is the primary focus.

Step 3: Antidepressant medications may be used if necessary, but the primary need is emotional support.

Step 4: Short-term separation from parents can further traumatize the child; maintaining a supportive family environment is key.
Summary:
Choice A is correct because it addresses the immediate emotional needs of the child post-abuse, while the other choices focus on secondary or potentially harmful interventions.

Question 2 of 5

Mrs. Rodriguez, a sixty-year-old female, is struggling with an addiction to alcohol. What community services could support Mrs. Rodriguez?

Correct Answer: C

Rationale: The correct answer is C, a community program for substance use, as it offers specialized support for individuals struggling with alcohol addiction. These programs provide counseling, therapy, and resources tailored to address addiction issues. State hospitalization (
A) is not appropriate for Mrs. Rodriguez unless she is in immediate danger. Family support groups (
B) may not address Mrs. Rodriguez's specific needs. Narcotics Anonymous (
D) is geared towards drug addiction, not alcohol addiction. In summary, choice C is the best option for Mrs. Rodriguez as it offers comprehensive support and resources specifically for alcohol addiction.

Question 3 of 5

A female consumer with severe and recurrent mania argues with outpatient staff about her medication. She does not believe she has a mental illness. Although she takes medication during hospitalizations, she stops taking them after discharge. Which intervention is most helpful in promoting medication adherence?

Correct Answer: D

Rationale: The correct answer is D because it focuses on exploring the patient's perceptions and experiences regarding medication and linking medication adherence to her personal goals. By understanding the patient's beliefs and motivations, the healthcare provider can tailor interventions to address her specific concerns and increase her willingness to take medication. This approach respects the patient's autonomy and empowers her to make informed decisions about her treatment.


Choice A is incorrect because changing staff members may not address the underlying issues contributing to medication non-adherence.
Choice B is not as effective as it focuses solely on explaining the benefits and side effects of medication without considering the patient's individual beliefs and concerns.
Choice C, while providing education, does not address the patient's personal experiences and motivations, which are crucial in promoting medication adherence.

Question 4 of 5

A student nurse is studying for an exam on the recovery process. What is an example of a statement that demonstrates their understanding to their study group?

Correct Answer: C

Rationale: The correct answer is C: "Recovery is a nonlinear process based on instilling hope." This answer demonstrates a deep understanding of the recovery process as it acknowledges that recovery is not a straightforward path and emphasizes the importance of instilling hope in individuals undergoing recovery. Recovery from mental illness or substance use is a complex and individualized journey that may involve setbacks and progress. Instilling hope is crucial in motivating individuals to continue working towards their recovery goals.


Choice A is incorrect because it presents a pessimistic view that the majority of people do not recover, which is not aligned with the recovery-oriented approach.
Choice B is incorrect as it implies that the healthcare team solely dictates the recovery process, disregarding the individual's autonomy and empowerment.
Choice D is incorrect as it overlooks the collaborative nature of the recovery process and places the responsibility solely on the client.

Question 5 of 5

Which of the following clients does not have the ability to refuse medications or treatments? Select all that apply.

Correct Answer: C

Rationale: The correct answer is C: A client who has been deemed incompetent by the court. This client does not have the ability to refuse medications or treatments because they have been legally declared incompetent to make decisions regarding their own healthcare. This determination is made by the court based on the individual's mental capacity. In contrast, choices A and B pertain to clients who are under different forms of commitment, but maintain the right to refuse treatment unless there is an emergency or specific legal circumstance.
Choice D, a client with antisocial personality disorder, still retains the right to refuse medications or treatments unless they are deemed a danger to themselves or others.

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