Mental Health NCLEX Practice Questions

Extract:

Question 1 of 5

The 28-year-old is being seen in the ED with injuries after being assaulted by her live-in boyfriend. The client acknowledges that this is not the first time that she has been assaulted and that she is afraid. Which client action indicates that an outcome for the client has been achieved?

Correct Answer: B

Rationale: Accepting shelter arrangements (
B) ensures safety a key outcome. Returning to the abuser (
A) staying overnight (
C) or requesting reporting (D nurse’s duty) are not optimal.

Question 2 of 5

Multiple clients are being cared for on the behavioral health unit. In which circumstances should the nurse plan the therapeutic use of seclusion and/or restraints? Select all that apply.

A. The client asks to be placed in seclusion. B. The client expresses the likelihood of self-injury. C. The staff feels the client is likely to harm others. D. A legally detained client is threatening to “escape.” E. The staff identifies seclusion as a consequence of the client’s behavior. F. The client’s threatening behavior is negatively affecting the therapeutic milieu.

Correct Answer: A, B ,C, D

Rationale: Seclusion/restraints are therapeutic for client request (
A) self-injury risk (
B) harm to others (
C) or escape threats (
D). Punishment (E) or milieu disruption (F) alone are not indications.

Question 3 of 5

When interacting with a client experiencing a panic attack, which technique by the nurse is most likely to help reduce the client's anxiety level?

A. Stand less than an arm's length away. B. State that everything is going to be okay. C. Instruct the client to take shallow breaths. D. Explain all actions and procedures.

Correct Answer: D

Rationale: Explaining actions provides predictability, reducing anxiety by enhancing the client's sense of control during a panic attack.

Question 4 of 5

What is the best approach for reorienting a confused client who wanders into other clients' rooms?

A. Place a large sign with the client's name on the door. B. Keep the room doors on the unit locked at all times. C. Restrain the client in a wheelchair when unattended. D. Speak to the client about invading other people's privacy.

Correct Answer: C

Rationale: Restraining in a wheelchair prevents wandering while respecting dignity, though it must be used cautiously and per protocol.

Question 5 of 5

The nurse is preparing to administer thiamine (vitamin B1) to the client receiving treatment for alcohol dependence. Which statement best describes the rationale for the use of thiamine?

A. Thiamine improves the absorption of other essential vitamins and folic acid. B. Thiamine helps to reverse the malnutrition often associated with alcohol abuse. C. Thiamine reduces the risk of seizures occurring during withdrawal from alcohol. D. Thiamine prevents neuropathy and confusion associated with chronic alcohol use.

Correct Answer: D

Rationale: Thiamine prevents neuropathy and confusion from deficiency (
D). It doesn’t aid absorption (
A) malnutrition reversal (
B) is secondary and seizures (
C) need anticonvulsants.

Mental Health NCLEX Practice Questions | Nurselytic

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