NCLEX-PN
Mental Health and Mental Illness NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is planning care for the client who has a cognitive deficit and a history of violence following head trauma. What is the primary effect of a cognitive deficit that can contribute to the client having a catastrophically violent reaction?
Correct Answer: B
Rationale: Decreased ability to tolerate sensory stimuli (
B) triggers catastrophic reactions. Processing (
A) boundaries (
C) and staff attention (
D) are not primary contributors.
Question 2 of 5
The experienced nurse determines that the new nurse’s actions are therapeutic when managing the cognitively impaired client whose agitated behavior is escalating. Which nursing actions should have occurred? Select all that apply.
Correct Answer: A ,B, D
Rationale: Using the client’s name (
A) acknowledging upset (
B) and reducing stimuli (
D) calm agitation. Detailed expectations (
C) challenging anger (E) or loud speech (F) may escalate.
Question 3 of 5
The nurse is unavoidably late in changing the dressing on the client’s leg. The client reacts by becoming verbally aggressive and telling the nurse “None of you can be trusted. You all just make promises you never intend to keep.” Which should be the nurse’s initial action?
Correct Answer: D
Rationale: Apologizing (
D) validates the client’s distress and acknowledges the nurse’s role de-escalating the situation. Alerting staff (
A) is secondary asking why (
B) may escalate defensiveness and leaving (
C) avoids communication.
Question 4 of 5
The best rationale for having the client reflect on the statements is that during the middle years of life, adults tend to do what?
Correct Answer: A
Rationale: Middle adulthood involves evaluating life achievements, per Erikson's generativity vs. stagnation stage, often prompting reflection on regrets.
Question 5 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.