NCLEX-PN
Mental Health NCLEX Questions
Extract:
Question 1 of 5
The 19-year-old is given a court order to enter treatment for cocaine abuse. The client threatens to leave the treatment facility AMA. Which statement by the nurse demonstrates an accurate understanding of the client’s options?
Correct Answer: D
Rationale: Court-ordered clients cannot leave voluntarily (
D). Age (
A) is irrelevant seclusion (
B) is illegal informing court (
C) doesn’t allow leaving.
Question 2 of 5
The client receiving treatment for substance dependence has not been attending group therapy. Which response by the nurse to confront this behavior is best?
Correct Answer: D
Rationale: Confronting nonattendance nonjudgmentally (
D) addresses denial. “Why” questions (
A) suggesting alternatives (
B) or threats (
C) are less effective.
Question 3 of 5
The client who recently emigrated from Iran is on the mental health unit and has been placed in seclusion. The nurse assesses that the client is now calm and ready to be assimilated back into the mental health milieu. Which action by the nurse demonstrates cultural insensitivity?
Correct Answer: A
Rationale: A thumbs-up (
A) is offensive in Iranian culture akin to a vulgar gesture. Avoiding clocks (
B) offering tea (
C) and providing the Quran (
D) are culturally appropriate.
Question 4 of 5
The nurse reviews various treatment options with the group members. Which of the following are considered most therapeutic in treating obsessive-compulsive disorder (OCD)? Select all that apply.
Correct Answer: A,C
Rationale: SSRIs and cognitive-behavioral therapy, particularly exposure and response prevention, are evidence-based treatments for OCD, targeting symptoms effectively.
Question 5 of 5
The nurse performs a physical assessment and collects the client's health history. Which assessment findings would the nurse expect to note as the client discusses the phobia related to flying? Select all that apply.
Correct Answer: B,C,D
Rationale: Discussing the phobia triggers anxiety, leading to tachycardia, tremors, and shortness of breath due to sympathetic activation.