Mental Health NCLEX | Nurselytic

Extract:

Question 1 of 5

The nurse is planning care for the client receiving treatment for benzodiazepine abuse. Rank the interventions in the order that they should be implemented during the client’s course of treatment.

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

Rationale: VS (
B) assess withdrawal lorazepam (
C) reduces risks fluids (F) maintain hydration withdrawal info (E) educates responsibility (
D) follows stability lifestyle changes (
A) are last.

Question 2 of 5

The client often avoids talking about cocaine use by refocusing on other problems such as losing a job and family discord. Which is the most helpful response by the nurse when the client avoids discussing using cocaine?

A. “Has your cocaine use helped you to cope with these problems in the past?” B. “You need to consider that all these problems are related to your cocaine use.” C. “How do you think these problems will change once you no longer use cocaine?” D. “You can’t do anything about these while here. Just focus on getting off of cocaine.”

Correct Answer: C

Rationale: Linking drug use to problems (
C) builds insight. Coping (
A) is inaccurate opinions (
B) cause defensiveness and avoiding issues (
D) is unhelpful.

Question 3 of 5

The client receiving treatment for substance dependence has not been attending group therapy. Which response by the nurse to confront this behavior is best?

A. “Why don’t you want to go to group therapy? Other users are there waiting for you to attend.” B. “Talking about personal issues with others can be difficult. Try talking to the therapist alone.” C. “Therapy is important to your treatment. You need to attend therapy if you want to get better.” D. “You say you want to get better but you are not actively participating in your treatment plan.”

Correct Answer: D

Rationale: Confronting nonattendance nonjudgmentally (
D) addresses denial. “Why” questions (
A) suggesting alternatives (
B) or threats (
C) are less effective.

Question 4 of 5

Which response by the nurse is best in this situation?

A. That is something to discuss with your physician. B. It sounds like you're feeling discouraged. C. But you're about your lack of progress. D. You need to practice a little more patience.

Correct Answer: B

Rationale: Acknowledging discouragement validates the client's feelings, fostering therapeutic communication and emotional support.

Question 5 of 5

The client is admitted to the ED with multiple lacerations and broken bones after being assaulted. The client’s spouse barges into the client’s ED room with a gun and states “I’m going to kill you and anyone else who gets in my way.” Which action should be taken by the nurse initially?

A. Yell for help to distract the person’s attention away from the client. B. Firmly state “You don’t want to hurt anyone else. Let’s talk about it.” C. Use gestures to alert another nurse to clear others who may be nearby. D. Use a nonaggressive posture and tone to state “Put the gun on the floor.”

Correct Answer: D

Rationale: Using a nonaggressive posture and tone (
D) to request the gun be placed down de-escalates the situation safely. Yelling (
A) may startle and escalate assuming intent (
B) blocks communication and gesturing (
C) risks escalation if noticed.

Mental Health NCLEX | Nurselytic

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Mental Health NCLEX Questions

Extract:

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

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