NCLEX-PN
Mental Health NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The client who is addicted to cocaine states “I don’t really need treatment. Things just got a little out of hand causing some problems. I can handle things on my own. I really need to get back to my business.” Which response by the nurse best assists the client to break through denial and get insight into the severity of the addiction?
Correct Answer: D
Rationale: Confronting denial with problems (
D) builds insight. Business (
A) or usage (
C) shifts focus parroting (
B) risks defensiveness.
Question 2 of 5
When the older client with Alzheimer's disease is confused about how to use a fork, which nursing action is best for prolonging an ability to maintain self-care?
Correct Answer: B
Rationale: Mimicking others leverages social cues, encouraging independent eating and prolonging self-care abilities.
Question 3 of 5
When asked to identify the characteristics of post-traumatic stress disorder (PTSD), the nurse correctly responds that most people with this disorder report which findings? Select all that apply.
Correct Answer: A,D,E,F
Rationale: PTSD symptoms include nightmares, flashbacks, hyperarousal (easily startled), and concentration difficulties, reflecting trauma-related distress.
Question 4 of 5
What is the best approach for reorienting a confused client who wanders into other clients' rooms?
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
While reviewing the client's psychiatric history, the nurse would expect to note which major characteristic of bipolar disorder?
Correct Answer: C
Rationale: Cyclic mood swings, alternating between mania and depression, are the hallmark of bipolar disorder, defining its clinical presentation.