NCLEX-PN
Mental Health and Mental Illness NCLEX Questions Questions
Extract:
Question 1 of 5
If the rape victim shares all of the following information during a group session, which findings are most indicative of a severe adjustment reaction? Select all that apply.
Correct Answer: B,C,E,F
Rationale: Nightmares, weight loss, sexual avoidance, and new alcohol use indicate significant distress and maladaptive coping, suggestive of a severe adjustment reaction.
Question 2 of 5
The experienced nurse determines that the new nurse’s actions are therapeutic when managing the cognitively impaired client whose agitated behavior is escalating. Which nursing actions should have occurred? Select all that apply.
Correct Answer: A ,B, D
Rationale: Using the client’s name (
A) acknowledging upset (
B) and reducing stimuli (
D) calm agitation. Detailed expectations (
C) challenging anger (E) or loud speech (F) may escalate.
Question 3 of 5
Which question best assesses the client's long-term memory?
Correct Answer: C
Rationale: Recalling date of birth tests long-term memory, as it requires retrieving well-established, distant personal information.
Question 4 of 5
When the depressed client is scheduled for a series of electroconvulsive therapy (ECT) treatments, which reaction is most likely to be manifested in the immediate recovery period?
Correct Answer: C
Rationale: Short-term memory loss and headaches are common post-ECT effects due to temporary brain disruption.
Question 5 of 5
The nurse is conducting an admission history on the client being hospitalized with symptoms characteristic of schizophrenia. Which interview question demonstrates that the nurse can identify the most prevalent comorbid substance abuse issue for the client with schizophrenia?
Correct Answer: D
Rationale: Nicotine use (
D) is most prevalent (70-90%) in schizophrenia. Marijuana (
A) street drugs (
B) and alcohol (
C) are less common.