NCLEX Mental Health Questions

Extract:

Question 1 of 5

If the client has been taking an antidepressant for several weeks, which outcome would be the most desired therapeutic effect?

Correct Answer: C

Rationale: Reducing binge episodes is the primary goal for bulimia treatment, as antidepressants target the compulsive behaviors associated with the disorder.

Question 2 of 5

The client is being admitted to the ICU with drug overdose that resulted in extreme hypertension and an unstable cardiac rhythm. The client suddenly becomes physically combative and is kicking shoving throwing items in the room and threatening staff. The charge nurse calls a behavioral situation code and 4-point restraints are applied by the team. Which intervention is most important for the nurse to implement next?

A. Have staff members who were harmed complete an incident report. B. Contact the health care provider to obtain an order for restraint use. C. Document the client’s behavior and action taken in the nurse’s notes. D. Check that the client’s wrist restraints are tightly secured to the HOB.

Correct Answer: B

Rationale: A physician or licensed independent practitioner must prescribe restraints and assess the client within 1 hour of restraint placement for client and staff safety. Incident reports (
A) follow treatment documentation (
C) follows HCP contact and securing restraints to the HOB (
D) risks circulation impairment.

Question 3 of 5

The nurse is collecting information from the family in which Munchausen Syndrome by Proxy (MSP) is suspected. Which finding should the nurse expect?

A. The abusing parent is likely the father. B. The abusing parent and child have a strong bond. C. The abusing parent has little medical knowledge. D. The child will provide insight into what is occurring.

Correct Answer: B

Rationale: MSP involves a strong parent-child bond (
B) typically with the mother (not father
A) who has medical knowledge (not little
C). Children rarely provide insight (
D).

Question 4 of 5

The nurse is teaching home health aides about monitoring for alcohol abuse in older adults. Which response by a home health aide indicates a need for further teaching?

A. “Alcohol abuse is the largest category of substance abuse problems in older adults.” B. “I should monitor more closely for alcohol abuse in single male clients who smoke.” C. “Retirement and freedom from work and family pressures tend to decrease alcohol use.” D. “Confusion malnutrition and self-neglect may be signs of alcohol abuse in the elderly.”

Correct Answer: C

Rationale: Retirement can increase alcohol use due to isolation (C is incorrect). Alcohol is a major issue (
A) risk factors include male smokers (
B) and signs include confusion (
D).

Question 5 of 5

The client is experiencing withdrawal symptoms leading to sleep deprivation. The nurse should recognize that the client is at greatest risk for violent behavior due to which assessment finding?

A. Poor coping mechanisms B. Physical pain from withdrawal C. A sense of guilt/shame regarding family D. Anxiety over lack of access to the substance of choice.

Correct Answer: D

Rationale: Anxiety from lack of substance access (
D) is the primary violence risk in withdrawal. Poor coping (
A) pain (
B) and guilt (
C) are secondary contributors.

NCLEX Mental Health Questions | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN