Mental Health NCLEX Questions with Rationale

Question 1 of 5

The client states “I don’t see any problem with smoking a little weed. It isn’t addictive.” Which response by the nurse is most accurate?

A. “Marijuana is a natural chemical that has many therapeutic uses but it is still illegal to use.”B. “Marijuana is not addictive. The danger is that it often leads to abuse of more illicit drugs.”C. “Marijuana has effects similar to alcohol hallucinogens and sedatives that are addictive.”D. “There are no withdrawal symptoms so it is controversial whether marijuana is addictive.”

Correct Answer: C

Rationale: Marijuana’s addictive effects mimic CNS depressants and hallucinogens (
C). It’s addictive with withdrawal (
D) not just a gateway (
B) and legality (
A) is irrelevant.

Question 2 of 5

The client has been placed in restraints for violent behavior. Which statement best indicates the nurse’s understanding of the risk for client injury while being restrained?

A. “Can you arrange to order the client’s favorite sandwich for his lunch?”B. “I need to make sure the restraints’ release mechanisms are working properly.”C. “I need someone to continuous monitor the client and relieve me for a few minutes.”D. “The client’s feet feel a little cool but they have a good pulse. I’ll get a pair of socks.”

Correct Answer: C

Rationale: Continuous monitoring (
C) prevents injury during restraint. Nutrition (
A) release mechanisms (
B) and circulation checks (
D) are secondary to constant observation.

Question 3 of 5

The client who sustained a brain injury from an MVA is now experiencing aggression impulsivity and poor judgment. In teaching the family which area of the brain illustrated should the nurse identify as being affected?

A. Line AB. Line BC. Line CD. Line D

Correct Answer: B

Rationale: The prefrontal cortex (Line
B) modulates judgment aggression and impulsivity. Cortex (
A) controls motor functions hypothalamus (
C) regulates temperature/fluids and cerebellum (
D) manages balance. image4.png

Question 4 of 5

The emergency department nurse describes procedures and their purposes to the rape victim before they are implemented. What is the rationale for the nurse's action?

A. It diminishes feelings of powerlessness.B. It tends to reduce the client's anxiety.C. It is a policy of the emergency department.D. It meets the client's need for teaching.

Correct Answer: A

Rationale: Explaining procedures empowers the victim by restoring some control, counteracting the powerlessness experienced during the assault.

Question 5 of 5

Which findings strongly suggest that the client is experiencing an exacerbation of the bipolar disorder? Select all that apply.

A. The client has been spending money extravagantly.B. The client has been avoiding social activities.C. The client has been methodically cleaning the house.D. The client has been staying up late to read.E. The client demonstrates increased sexual promiscuity.F. The client has increased anxiety when going outside the house.

Correct Answer: A,E

Rationale: Extravagant spending and sexual promiscuity are indicative of mania, a key feature of bipolar disorder exacerbation.

Mental Health NCLEX Questions with Rationale | Nurselytic

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