NCLEX-PN
Mental Health NCLEX Questions
Question 1 of 5
The new nurse is working with the cognitively impaired client who has a history of violent behavior. Which statement made by the new nurse reflects an immediate need for follow-up by the mentor?
Correct Answer: C
Rationale: Talking during aggression (
C) adds stimuli and requires mentor follow-up. Safety focus (
A) reducing stimuli (
B) and consistent staff (
D) are appropriate.
Question 2 of 5
Which initial reaction would the nurse expect if the client is typical of others who just received news of this diagnosis?
Correct Answer: B
Rationale: Shock is the most common initial reaction to an HIV diagnosis, as it reflects the overwhelming and unexpected nature of the news.
Question 3 of 5
Which assessment finding by the nurse is most suggestive to the obese client is taking dextroamphetamine (Dexedrine) at this time?
Correct Answer: B
Rationale: Monopolizing discussions reflects the hyperactivity and talkativeness associated with stimulant use like dextroamphetamine.
Question 4 of 5
The client receiving treatment for substance dependence has not been attending group therapy. Which response by the nurse to confront this behavior is best?
Correct Answer: D
Rationale: Confronting nonattendance nonjudgmentally (
D) addresses denial. “Why” questions (
A) suggesting alternatives (
B) or threats (
C) are less effective.
Question 5 of 5
The client often avoids talking about cocaine use by refocusing on other problems such as losing a job and family discord. Which is the most helpful response by the nurse when the client avoids discussing using cocaine?
Correct Answer: C
Rationale: Linking drug use to problems (
C) builds insight. Coping (
A) is inaccurate opinions (
B) cause defensiveness and avoiding issues (
D) is unhelpful.