Mental Health NCLEX PN Questions

Extract:

Question 1 of 5

The nurse is developing the plan of care for the client diagnosed with schizophrenia who is having an alcohol-induced crisis. Which specific client outcome best reflects the primary goal of crisis intervention for this client?

Correct Answer: B

Rationale: Returning to pre-crisis functioning like work (
B) is the crisis intervention goal. Detox (
A) stating coping mechanisms (
C) and medication administration (
D) are secondary.

Question 2 of 5

The female client tells the nurse “I usually have a few drinks after work but I always limit it to three. I’m not risking becoming addicted am I?” What is the nurse’s best response?

A. “There is no harm in social drinking as long as you know your limits and you are not driving while intoxicated.” B. “As long as you don’t have any social problems associated with your use of alcohol you do not need to be concerned.” C. “If you are concerned about the frequency and the number of drinks consumed then you might be developing a dependency.” D. “Three drinks a day or seven drinks in a week is high-risk drinking for women. You seem concerned that you might have an alcohol dependency.”

Correct Answer: D

Rationale: Three drinks daily or seven weekly is high-risk for women (
D). Social drinking (
A) or social problems (
B) don’t address risk and concern alone (
C) misses education.

Question 3 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 4 of 5

The nurse suspects that a coworker is working while impaired. Which initial action should be taken by the nurse?

A. Contact the Drug Enforcement Agency (DEA). B. Contact the nurse manager to report the incident. C. Confront the nurse and suggest that the nurse “get help.” D. File an anonymous report with the state’s board of nursing.

Correct Answer: B

Rationale: Reporting to the nurse manager (
B) initiates investigation. DEA (
A) is for diversion confronting (
C) risks denial board reporting (
D) follows manager.

Question 5 of 5

The nurse is developing the plan of care for the client diagnosed with schizophrenia who is having an alcohol-induced crisis. Which specific client outcome best reflects the primary goal of crisis intervention for this client?

A. Client will be successfully detoxified within 20 days. B. Client will return to his or her part-time job within 20 days. C. Client will state two effective coping mechanisms prior to discharge. D. Client will demonstrate self-administration of medications prior to discharge.

Correct Answer: B

Rationale: Returning to pre-crisis functioning like work (
B) is the crisis intervention goal. Detox (
A) stating coping mechanisms (
C) and medication administration (
D) are secondary.

Mental Health NCLEX PN Questions | Nurselytic

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