Mental Health and Mental Illness NCLEX Questions

Extract:

Question 1 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 2 of 5

The nurse is teaching the client with a substance abuse disorder about 12-step self-help programs such as AA. The nurse informs the client that the major principle associated with this 12-step program is what principle?

A. Substance abuse disorders can be cured with total abstinence. B. Normal substance use can resume with the guidance and support of others. C. Acceptance of powerlessness over a substance is the first step in recovery. D. Substance abuse is a weakness that can be overcome through a belief in God.

Correct Answer: C

Rationale: AA’s first step is admitting powerlessness (
C). Addiction is a disease not curable (
A) or resumable (
B) and not a weakness; higher power is personal (
D).

Question 3 of 5

The nurse is planning care for the client who has a cognitive deficit and a history of violence following head trauma. What is the primary effect of a cognitive deficit that can contribute to the client having a catastrophically violent reaction?

A. The client’s ability to process information including instructions is limited. B. The client has a decreased ability to interpret and tolerate sensory stimuli. C. The staff has a more difficult time providing appropriate milieu boundaries. D. The staff’s attention is oftentimes diverted to other more manipulative clients.

Correct Answer: B

Rationale: Decreased ability to tolerate sensory stimuli (
B) triggers catastrophic reactions. Processing (
A) boundaries (
C) and staff attention (
D) are not primary contributors.

Question 4 of 5

If the client admits that incidences of domestic abuse are occurring, which nursing intervention is most beneficial?

A. Offering the victim money to leave home B. Identifying resources for shelter and safety C. Recommending termination of the abusive relationship D. Suggesting joint counseling with a therapist or clergyman

Correct Answer: B

Rationale: Providing resources for shelter and safety ensures the victim's immediate protection and access to support, addressing the urgent need for security.

Question 5 of 5

The nurse educator is orienting new nursing staff to the behavioral care unit when one nurse asks “How will I know which clients are potentially violent?” Which response by the nurse educator is best?

A. “Just be alert and aware of your client’s behavioral clues.” B. “The client prone to violence will usually tell you they are angry about something.” C. “As you plan care review the clients’ charts to determine who has a history of violence.” D. “Your orientation will include an in-service on violent clients and how to identify them.”

Correct Answer: C

Rationale: Reviewing charts for violence history (
C) identifies risk as history and impulsivity predict violence. Vague alertness (
A) verbal cues (
B) or delayed training (
D) are less effective.

Mental Health and Mental Illness NCLEX Questions | Nurselytic

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