NCLEX-PN
Mental Health NCLEX Questions
Extract:
Question 1 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 2 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 3 of 5
Which nursing intervention is most beneficial for the client's spouse at this time?
Correct Answer: B
Rationale: Modifying caregiving time reduces exhaustion, supporting the spouse's well-being while maintaining care responsibilities.
Question 4 of 5
The new nurse is working with the cognitively impaired client who has a history of violent behavior. Which statement made by the new nurse reflects an immediate need for follow-up by the mentor?
Correct Answer: C
Rationale: Talking during aggression (
C) adds stimuli and requires mentor follow-up. Safety focus (
A) reducing stimuli (
B) and consistent staff (
D) are appropriate.
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.