NCLEX-PN
Mental Health and Mental Illness NCLEX Questions Questions
Extract:
Question 1 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 2 of 5
If a schizophrenic client says, 'Wing ding, the world is a ring,' which response by the nurse is most therapeutic?
Correct Answer: B
Rationale: Acknowledging the nurse's lack of understanding gently prompts clarification, fostering communication without reinforcing delusional content.
Question 3 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?
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.
Question 4 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?
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 5 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.