NCLEX-PN
Mental Health and Mental Illness NCLEX Questions Questions
Extract:
Question 1 of 5
The client has developed paranoia as a result of regular methamphetamine use. The nurse uses cognitive reappraisal to confront the client’s persecutory thoughts. Which question should the nurse ask the client?
Correct Answer: A
Rationale: Reappraisal via alternative perspectives (
A) aids restructuring. “Why” (
B) or blame (
C) reinforce distortion feelings (
D) aren’t cognitive.
Question 2 of 5
The client is hospitalized after sustaining a head injury and a fractured wrist from a fall. The client admits to drinking alcohol in moderation several times per week. Which assessment finding should the nurse associate with early alcohol withdrawal?
Correct Answer: C
Rationale: Slight BP elevation (
C) is an early withdrawal sign. Agitation and DTs (A
D) occur later somnolence (
B) is unrelated.
Question 3 of 5
When one older adult at reminiscence therapy says, 'If I had it to do all over again, I wouldn't change a thing,' the nurse is most accurate in interpreting this to mean that the client has acquired which developmental characteristic?
Correct Answer: B
Rationale: Accepting one's life without regret reflects integrity, per Erikson's stage of integrity vs. despair in late adulthood.
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
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.