NCLEX-PN
NCLEX Mental Health Questions Questions
Extract:
Question 1 of 5
The client is being admitted to the ICU with drug overdose that resulted in extreme hypertension and an unstable cardiac rhythm. The client suddenly becomes physically combative and is kicking shoving throwing items in the room and threatening staff. The charge nurse calls a behavioral situation code and 4-point restraints are applied by the team. Which intervention is most important for the nurse to implement next?
Correct Answer: B
Rationale: A physician or licensed independent practitioner must prescribe restraints and assess the client within 1 hour of restraint placement for client and staff safety. Incident reports (
A) follow treatment documentation (
C) follows HCP contact and securing restraints to the HOB (
D) risks circulation impairment.
Question 2 of 5
The nurse is collecting information from the family in which Munchausen Syndrome by Proxy (MSP) is suspected. Which finding should the nurse expect?
Correct Answer: B
Rationale: MSP involves a strong parent-child bond (
B) typically with the mother (not father
A) who has medical knowledge (not little
C). Children rarely provide insight (
D).
Question 3 of 5
When a new member to the group tells the nursing leader about sensing the presence of the dead spouse in the home, which nursing intervention is most appropriate?
Correct Answer: C
Rationale: Listening and acknowledging feelings validates the client's experience, supporting grief processing in a therapeutic manner.
Question 4 of 5
Which nursing action is especially important when administering medications to a depressed client?
Correct Answer: B
Rationale: Ensuring medications are swallowed prevents hoarding, a risk in depressed clients with suicidal ideation.
Question 5 of 5
The client with Alzheimer’s disease becomes increasingly agitated and states “I must go and clean out the barn!” Which nursing response is most therapeutic?
Correct Answer: B
Rationale: Redirecting to memories (
B) calms agitation without confrontation. Asking why (
A) or stating facts (
D) may escalate and delaying (
C) blocks communication.