NCLEX-PN
Mental Health and Mental Illness NCLEX Questions Questions
Question 1 of 5
When one older adult at reminiscence therapy says, 'If I had it to do all over again, I wouldn't change a thing,' the nurse is most accurate in interpreting this to mean that the client has acquired which developmental characteristic?
Correct Answer: B
Rationale: Accepting one's life without regret reflects integrity, per Erikson's stage of integrity vs. despair in late adulthood.
Question 2 of 5
The nurse is planning care for the client who has a cognitive deficit and a history of violence following head trauma. What is the primary effect of a cognitive deficit that can contribute to the client having a catastrophically violent reaction?
Correct Answer: B
Rationale: Decreased ability to tolerate sensory stimuli (
B) triggers catastrophic reactions. Processing (
A) boundaries (
C) and staff attention (
D) are not primary contributors.
Question 3 of 5
The nurse is teaching the client with a substance abuse disorder about 12-step self-help programs such as AA. The nurse informs the client that the major principle associated with this 12-step program is what principle?
Correct Answer: C
Rationale: AA’s first step is admitting powerlessness (
C). Addiction is a disease not curable (
A) or resumable (
B) and not a weakness; higher power is personal (
D).
Question 4 of 5
The mother of the 14-year-old tells the clinic nurse that she is concerned that her child may be “doing some sort of drugs.” The adolescent is confused and has difficulty answering questions clearly but admits to sniffing solvents in the family’s garage. Which statement by the nurse is correct?
Correct Answer: A
Rationale: Inhalants cause neurotoxicity and respiratory damage (
A). They pose harm (
B) early help (
C) lacks context and insomnia follows (
D).
Question 5 of 5
If this client is typical of others with phobias, which coping mechanism has the client most likely been using to deal with the fear of flying?
Correct Answer: C
Rationale: Avoidance is the primary coping mechanism in phobias, as clients steer clear of the feared stimulus, such as refusing to fly.