Mental Health NCLEX Practice Questions

Question 1 of 5

The client is admitted to an ED with facial bruises a broken arm and rib fractures. The client states “I fell down the stairs.” During assessment the nurse notes bruises and lacerations in various stages of healing. Which nursing questions are appropriate? Select all that apply.

A. “Has anyone hurt you?”B. “Are you afraid of anyone at home?”C. “Have you been falling down a lot lately?”D. “Have you had any fainting spells or times that you have been weak?”E. “I noticed you have more bruises. Can you tell me how they happened?”F. “You look abused. Why haven’t you reported that you have been abused?”

Correct Answer: A ,B ,C ,D, E

Rationale: Appropriate questions explore abuse falls and health issue. Accusing or presuming (F) is insensitive.

Question 2 of 5

The client with a history of poly substance abuse is being medically detoxified in an acute care hospital. The client reported recently using alcohol oxycodone crack cocaine and marijuana. In planning for detoxification which substance for detoxification should be the nurse’s priority?

A. AlcoholB. MarijuanaC. OxycodoneD. Crack cocaine

Correct Answer: A

Rationale: Alcohol (
A) has the most severe potentially fatal withdrawal. Marijuana (
B) oxycodone (
C) and cocaine (
D) are less life-threatening.

Question 3 of 5

The client who is addicted to cocaine states “I don’t really need treatment. Things just got a little out of hand causing some problems. I can handle things on my own. I really need to get back to my business.” Which response by the nurse best assists the client to break through denial and get insight into the severity of the addiction?

A. “Tell me more about the business you feel you must return to at this time.”B. “You don’t really need to be here? Tell me more about what you are thinking.”C. “You don’t feel you need treatment. How often have you been using cocaine?”D. “You say you can handle things but you found yourself with a lot of problems.”

Correct Answer: D

Rationale: Confronting denial with problems (
D) builds insight. Business (
A) or usage (
C) shifts focus parroting (
B) risks defensiveness.

Question 4 of 5

When the rape victim arrives at the emergency department, which nursing action is best for relieving the client's anxiety?

A. Determine the victim's last date of menstruation.B. Collect evidence for criminal prosecution.C. Assess the extent of the client's injuries.D. Stay with the client at all times.

Correct Answer: D

Rationale: Remaining with the victim provides emotional support and a sense of safety, directly addressing anxiety during a traumatic experience.

Question 5 of 5

Which statement regarding the effects of chronic marijuana smoking is most accurate? Select all that apply.

A. It suppresses motivation.B. It is physically addicting.C. It can cause lung cancer.D. It can suppress respirations.E. It can suppress reproductive hormones.

Correct Answer: A,C,E

Rationale: Chronic marijuana use is associated with amotivational syndrome, increased lung cancer risk due to carcinogens, and suppression of reproductive hormones like testosterone.

Mental Health NCLEX Practice Questions | Nurselytic

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