NCLEX Mental Health Questions

Extract:

Question 1 of 5

The nurse explains to the client's family the alcoholic's recovery process. What is the first step in recovering from alcohol?

Correct Answer: A

Rationale: Admitting powerlessness over alcohol is the foundational step in recovery models like Alcoholics Anonymous, as it acknowledges the problem and initiates the commitment to change.

Question 2 of 5

Which question during the client interview is likely to generate the most information?

A. Tell me about your family. B. Are you currently married? C. Who is your nearest relative? D. Give me a list of your family members.

Correct Answer: A

Rationale: An open-ended question about family prompts detailed responses, providing comprehensive insight into social support and history.

Question 3 of 5

The client is being admitted to the ICU with drug overdose that resulted in extreme hypertension and an unstable cardiac rhythm. The client suddenly becomes physically combative and is kicking shoving throwing items in the room and threatening staff. The charge nurse calls a behavioral situation code and 4-point restraints are applied by the team. Which intervention is most important for the nurse to implement next?

A. Have staff members who were harmed complete an incident report. B. Contact the health care provider to obtain an order for restraint use. C. Document the client’s behavior and action taken in the nurse’s notes. D. Check that the client’s wrist restraints are tightly secured to the HOB.

Correct Answer: B

Rationale: A physician or licensed independent practitioner must prescribe restraints and assess the client within 1 hour of restraint placement for client and staff safety. Incident reports (
A) follow treatment documentation (
C) follows HCP contact and securing restraints to the HOB (
D) risks circulation impairment.

Question 4 of 5

The client taking disulfiram has a throbbing headache diaphoresis and sudden vomiting. Which possible conclusions by the nurse should be explored first?

A. The client may have developed influenza. B. The client may have recently consumed alcohol. C. The client may have recently taken a cough suppressant. D. The client may have eaten foods that interact with disulfiram.

Correct Answer: B

Rationale: Alcohol ingestion (
B) causes disulfiram reaction (headache diaphoresis vomiting). Influenza (
A) cough suppressants (
C)

Question 5 of 5

The nurse is developing the answer key to a post test that will be given to participants following a workshop about caffeine abuse among older adult clients. Which statement about caffeine abuse should be excluded from the answer key?

A. Caffeine withdrawal symptoms include headache fatigue and depression. B. Caffeine withdrawal is a medical diagnosis and treatment can be provided. C. Caffeine abuse causes hypoglycemia tachycardia and decreased lipid levels. D. Caffeine withdrawal symptoms begin 12-24 hours after discontinuing its use.

Correct Answer: C

Rationale: Caffeine causes hyperglycemia tachycardia and increased lipids (C is false). Withdrawal symptoms (A
D) and diagnosis (
B) are correct.

NCLEX Mental Health Questions | Nurselytic

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