NCLEX Mental Health Questions

Extract:

Question 1 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.

Question 2 of 5

The nurse is teaching home health aides about monitoring for alcohol abuse in older adults. Which response by a home health aide indicates a need for further teaching?

A. “Alcohol abuse is the largest category of substance abuse problems in older adults.” B. “I should monitor more closely for alcohol abuse in single male clients who smoke.” C. “Retirement and freedom from work and family pressures tend to decrease alcohol use.” D. “Confusion malnutrition and self-neglect may be signs of alcohol abuse in the elderly.”

Correct Answer: C

Rationale: Retirement can increase alcohol use due to isolation (C is incorrect). Alcohol is a major issue (
A) risk factors include male smokers (
B) and signs include confusion (
D).

Question 3 of 5

Which therapeutic activity is most helpful in facilitating reminiscence therapy among older adult clients?

A. Discussing a current event topic B. Singing popular songs from the 1960s C. Reading an article from the newspaper D. Making decorations for a future holiday

Correct Answer: B

Rationale: Singing familiar songs from the past stimulates memories, enhancing engagement in reminiscence therapy.

Question 4 of 5

In this situation, which nursing action is most appropriate?

A. Placing restraints on the client's arms and legs B. Reassuring the client that the bugs are imaginary C. Reporting the behavior to the doctor to obtain a sedative order D. Closing the client's door so that others are not alarmed

Correct Answer: C

Rationale: Reporting delirium tremens symptoms, like hallucinations, to the physician ensures timely medical intervention for alcohol withdrawal.

Question 5 of 5

If the client has been taking an antidepressant for several weeks, which outcome would be the most desired therapeutic effect?

A. The client is feeling less depressed. B. The client is eating more nutritiously. C. The client is having fewer food binges. D. The client is feeling less suicidal.

Correct Answer: C

Rationale: Reducing binge episodes is the primary goal for bulimia treatment, as antidepressants target the compulsive behaviors associated with the disorder.

NCLEX Mental Health Questions | Nurselytic

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