Mental Health NCLEX Questions

Extract:

Question 1 of 5

If the older adult's sons and daughters are visiting on the day of the scheduled nurse's visit, which action is most appropriate before beginning the assessment?

Correct Answer: B

Rationale: A private setting ensures confidentiality and encourages honest responses, critical for an accurate health assessment.

Question 2 of 5

Which explanation by the nurse is most accurate?

A. The client was frightened of them as a child. B. The client is frightened of being injured. C. The client associates the sound of the fireworks with gunfire. D. The client is afraid it will trigger memories.

Correct Answer: C

Rationale: The veteran's startled reaction likely stems from associating fireworks with gunfire, a common PTSD trigger due to past combat exposure.

Question 3 of 5

The client states “I go out just about every weekend and drink pretty heavily with my friends. Does that mean I’m dependent on alcohol?” Which is the best response by the nurse?

A. “You’re not dependent on alcohol if you never drink to the point of intoxication.” B. “It sounds like you feel guilty about how much you drink. Tell me more about this.” C. “With dependence you have a strong need to drink and feel uncomfortable if you don’t.” D. “You could be dependent. Consuming alcohol pretty heavily every weekend is excessive.”

Correct Answer: C

Rationale: Dependence involves a compulsive need causing distress if unmet (
C). Intoxication (
A) or frequency (
D) don’t define it and guilt (
B) is irrelevant.

Question 4 of 5

The nurse is preparing to document the client’s violent episode. Which statements should be included specifically about the violent episode? Select all that apply.

A. Client’s wife called during the escalation cycle. B. Client refused to voluntarily enter into seclusion. C. Client stated “All of you are just evil people.” D. Attempts to identify the cause of client’s agitation failed. E. Five staff members responded to “Emergency Code.” F. Client asked to leave seclusion room after 30 minutes.

Correct Answer: B ,C, D, F

Rationale: Documentation includes refusal of seclusion (
B) client statements (
C) failed interventions (
D) and reintegration (F). Wife’s call (
A) and staff numbers (E) are irrelevant.

Question 5 of 5

The client is placed in seclusion for exhibiting violent behavior. Which should be the nurse’s primary goal of this seclusion?

A. Assist the client in regaining self-control B. Assure the safety of the client and others C. Regain control over the unit’s environment D. Provide a consequence for the client’s behavior

Correct Answer: B

Rationale: Safety of client and others (
B) is the primary seclusion goal by reducing stimuli. Self-control (
A) and unit control (
C) are outcomes and punishment (
D) is inappropriate.

Mental Health NCLEX Questions | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN