NCLEX-PN
Mental Health and Mental Illness NCLEX Questions Questions
Extract:
Question 1 of 5
If this client is typical of others with phobias, which coping mechanism has the client most likely been using to deal with the fear of flying?
Correct Answer: C
Rationale: Avoidance is the primary coping mechanism in phobias, as clients steer clear of the feared stimulus, such as refusing to fly.
Question 2 of 5
The nurse is unavoidably late in changing the dressing on the client’s leg. The client reacts by becoming verbally aggressive and telling the nurse “None of you can be trusted. You all just make promises you never intend to keep.” Which should be the nurse’s initial action?
Correct Answer: D
Rationale: Apologizing (
D) validates the client’s distress and acknowledges the nurse’s role de-escalating the situation. Alerting staff (
A) is secondary asking why (
B) may escalate defensiveness and leaving (
C) avoids communication.
Question 3 of 5
The nurse is discharging the client from an inpatient treatment program for cocaine abuse. Which statement by the client indicates an accurate understanding about the disease process of addiction?
Correct Answer: D
Rationale: Lifestyle change via NA (
D) is key to recovery. Other substances (
A) risk dependency recovery is lifelong (
B) and addiction is primary not emotional (
C).
Question 4 of 5
On the basis of this change in the client's condition, which nursing action is most appropriate to perform next?
Correct Answer: C
Rationale: Notifying the physician promptly addresses the acute change (delirium tremens), ensuring rapid intervention for a potentially life-threatening condition.
Question 5 of 5
When a client with dementia says, 'I want to go home,' which response by the nurse is most appropriate?
Correct Answer: C
Rationale: Acknowledging homesickness validates the client's feelings, redirecting the conversation therapeutically without causing distress.