NCLEX-PN
Mental Health and Mental Illness NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is caring for the toddler who has been hospitalized for observation because of apnea spells that have led to cardiac arrest at home three times in the past 6 months. The nurse suspects Munchausen Syndrome by Proxy (MSP) and contacts the HCP who does not believe that this is a correct assessment of the condition of the child or of the family dynamics. What should the nurse do?
Correct Answer: B
Rationale: Consulting the charge nurse (
B) follows the chain of command for suspected MSP a hard-to-confirm abuse. Bypassing to the department head (
A) calling a conference (
C) or filing a variance (
D) skips protocol.
Question 2 of 5
When the depressed client is scheduled for a series of electroconvulsive therapy (ECT) treatments, which reaction is most likely to be manifested in the immediate recovery period?
Correct Answer: C
Rationale: Short-term memory loss and headaches are common post-ECT effects due to temporary brain disruption.
Question 3 of 5
The nurse educator is orienting new nursing staff to the behavioral care unit when one nurse asks “How will I know which clients are potentially violent?” Which response by the nurse educator is best?
Correct Answer: C
Rationale: Reviewing charts for violence history (
C) identifies risk as history and impulsivity predict violence. Vague alertness (
A) verbal cues (
B) or delayed training (
D) are less effective.
Question 4 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.
Question 5 of 5
If the rape victim shares all of the following information during a group session, which findings are most indicative of a severe adjustment reaction? Select all that apply.
Correct Answer: B,C,E,F
Rationale: Nightmares, weight loss, sexual avoidance, and new alcohol use indicate significant distress and maladaptive coping, suggestive of a severe adjustment reaction.