NCLEX-PN
Mental Health NCLEX Questions with Rationale Questions
Extract:
Question 1 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 2 of 5
The client experiencing severe withdrawal symptoms due to alcohol dependence is prescribed chlordiazepoxide 100 mg oral x 1 then 50 mg every 2 hours until symptoms are controlled. The medication is supplied in 50-mg tablets. The nurse administered the initial dose 2 hours ago and the client is still agitated and tremulous. How many tablets should the nurse prepare to administer at this time?_ tablet(s) (Record your answer as a whole number.)
Correct Answer: 1
Rationale: Proportion: 50 mg/1 tablet = 50 mg/X tablets; X = 1 tablet.
Question 3 of 5
The client uses methamphetamine regularly. Which subjective quote documented by the nurse demonstrates the client using pathological projection as a coping mechanism?
Correct Answer: B
Rationale: Blaming dad for failure (
B) is projection. Simplifying issues (
A) is ignoring dismissing alcohol (
C) is denial embarrassment (
D) is perfectionism.
Question 4 of 5
Which findings strongly suggest that the client is experiencing an exacerbation of the bipolar disorder? Select all that apply.
Correct Answer: A,E
Rationale: Extravagant spending and sexual promiscuity are indicative of mania, a key feature of bipolar disorder exacerbation.
Question 5 of 5
Which technique is most therapeutic for helping clients with dementia remain oriented?
Correct Answer: D
Rationale: Large calendars provide a constant visual cue, aiding orientation to time in clients with dementia.