NCLEX-PN
Mental Health NCLEX Questions with Rationale Questions
Extract:
Question 1 of 5
The client with a history of aggressive behavior toward staff and peers states to the nurse “Everyone is just so touchy; I don’t see where I’m being too aggressive.” Which nursing action should be included in the therapeutic plan of care to best effect a difference in perceptions?
Correct Answer: C
Rationale: Dialogue (
C) clarifies differing perceptions of aggression. Rules (
A) or behaviors (
B) are less effective without addressing perceptions and patience (
D) risks safety.
Question 2 of 5
When the counselor asks the members of the post-traumatic stress disorder (PTSD) support group to draw pictures of their traumatic experiences, the nurse understands that the primary purpose for drawing is to achieve what outcome?
Correct Answer: A
Rationale: Drawing traumatic experiences externalizes memories, helping clients confront and process painful events in a controlled, therapeutic way.
Question 3 of 5
The student participating in college sports is suspected of abusing anabolic steroids and is referred to the college’s health service. Which nursing assessment findings are consistent with anabolic steroid abuse? Select all that apply.
Correct Answer: A ,B ,D, E
Rationale: Anabolic steroids cause acne (
A) aggression (
B) UTIs (
D) and hair thinning (E not thickening). Heavy menstruation (
C) is incorrect; menses cease. Edema (F) may occur but isn’t selected.
Question 4 of 5
The emergency department nurse describes procedures and their purposes to the rape victim before they are implemented. What is the rationale for the nurse's action?
Correct Answer: A
Rationale: Explaining procedures empowers the victim by restoring some control, counteracting the powerlessness experienced during the assault.
Question 5 of 5
The nurse is counseling the client with a substance abuse disorder. Which defense mechanism is the nurse most likely to observe the client using in response to a stressful event?
Correct Answer: B
Rationale: Regression (
B) is common in substance abuse showing childlike behaviors. Repression (
A) sublimation (
C) and reaction formation (
D) are less typical.