Mental Health NCLEX PN Questions

Extract:

Question 1 of 5

The nurse accurately explains that cognitive therapy involves which of the following?

Correct Answer: A

Rationale: Cognitive therapy focuses on identifying and modifying irrational beliefs to change maladaptive thought patterns, a key approach for phobias.

Question 2 of 5

The nurse observes that the client diagnosed with intermittent explosive disorder is becoming aggressive and that lorazepam was prescribed. The client is now exhibiting a tense posture a clenched fist and a defiant affect. Prioritize the nurse’s actions to de-escalate the client’s aggression.

Order the Items

Source Container

Call other staff for assistance.

Attempt to talk the client down.

Apply wrist restraints.

Offer client choice of taking medication voluntarily.

Provide alternate use of physical energy such as suggesting punching a pillow.

Correct Answer: B ,E ,D ,A, C

Rationale: Talk down (
B) builds trust offering physical outlets (E) releases tension medication choice (
D) calms staff assistance (
A) ensures safety and restraints (
C) are last resort for harm prevention.

Question 3 of 5

The nurse is aware that such attitudes and statements can have damaging consequences for a mentally ill client. What is the most significant consequence of the remark in this situation?

A. It violates the client's right to treatment. B. It disregards the client's individuality. C. It interferes with continuity of client care. D. It disrupts good staff relationships.

Correct Answer: B

Rationale: Labeling the client as a hypochondriac dismisses their unique experiences, undermining person-centered care and trust.

Question 4 of 5

The older disheveled client is admitted to the ED with hypertension severe dehydration and malnourishment. During the admission interview the daughter notes that she and her husband who is temporarily out of work have been living with the client. Which nursing action is most important?

A. Report the suspected elder abuse to Adult Health Protective Services. B. Ask additional questions of the client in private without the family present. C. Ask the daughter whether her father has been eating and taking his medication. D. Call the resource hotline to ask whether abuse and neglect should be considered.

Correct Answer: B

Rationale: Private questioning (
B) elicits abuse/neglect details. Reporting (
A) needs more evidence asking the daughter (
C) is less direct and calling a hotline (
D) is secondary.

Question 5 of 5

If the home health nurse documented all of the following findings, which one is most suggestive that the client is depressed?

A. The client is irritable after grandchildren visit. B. The client has multiple, unrelated physical complaints. C. The client takes lengthy naps in the late afternoon. D. The client cries when talking about a dead spouse.

Correct Answer: B

Rationale: Multiple somatic complaints are a hallmark of depression in older adults, often masking emotional symptoms.

Mental Health NCLEX PN Questions | Nurselytic

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