NCLEX-PN
Mental Health and Mental Illness NCLEX Questions Questions
Extract:
Question 1 of 5
The experienced nurse determines that the new nurse’s actions are therapeutic when managing the cognitively impaired client whose agitated behavior is escalating. Which nursing actions should have occurred? Select all that apply.
Correct Answer: A ,B, D
Rationale: Using the client’s name (
A) acknowledging upset (
B) and reducing stimuli (
D) calm agitation. Detailed expectations (
C) challenging anger (E) or loud speech (F) may escalate.
Question 2 of 5
The nurse is unavoidably late in changing the dressing on the client’s leg. The client reacts by becoming verbally aggressive and telling the nurse “None of you can be trusted. You all just make promises you never intend to keep.” Which should be the nurse’s initial action?
Correct Answer: D
Rationale: Apologizing (
D) validates the client’s distress and acknowledges the nurse’s role de-escalating the situation. Alerting staff (
A) is secondary asking why (
B) may escalate defensiveness and leaving (
C) avoids communication.
Question 3 of 5
The nurse is discharging the client from an inpatient treatment program for cocaine abuse. Which statement by the client indicates an accurate understanding about the disease process of addiction?
Correct Answer: D
Rationale: Lifestyle change via NA (
D) is key to recovery. Other substances (
A) risk dependency recovery is lifelong (
B) and addiction is primary not emotional (
C).
Question 4 of 5
When a client with dementia says, 'I want to go home,' which response by the nurse is most appropriate?
Correct Answer: C
Rationale: Acknowledging homesickness validates the client's feelings, redirecting the conversation therapeutically without causing distress.
Question 5 of 5
If a schizophrenic client says, 'Wing ding, the world is a ring,' which response by the nurse is most therapeutic?
Correct Answer: B
Rationale: Acknowledging the nurse's lack of understanding gently prompts clarification, fostering communication without reinforcing delusional content.