NCLEX-PN
Mental Health NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is preparing to document the client’s violent episode. Which statements should be included specifically about the violent episode? Select all that apply.
Correct Answer: B ,C, D, F
Rationale: Documentation includes refusal of seclusion (
B) client statements (
C) failed interventions (
D) and reintegration (F). Wife’s call (
A) and staff numbers (E) are irrelevant.
Question 2 of 5
The client is placed in seclusion for exhibiting violent behavior. Which should be the nurse’s primary goal of this seclusion?
Correct Answer: B
Rationale: Safety of client and others (
B) is the primary seclusion goal by reducing stimuli. Self-control (
A) and unit control (
C) are outcomes and punishment (
D) is inappropriate.
Question 3 of 5
The client has been placed in involuntary seclusion. Which assessment observation best indicates to the nurse the client’s readiness to leave involuntary seclusion?
Correct Answer: C
Rationale: Sitting in the doorway and requesting a drink (
C) shows tolerance to stimuli. Statements (
A) vital signs (
B) and records (
D) are less definitive than observed behavior.
Question 4 of 5
The nurse is reviewing the medical records of children who have been abused. Which main common characteristic of parents who abuse children is the nurse most likely to identify?
Correct Answer: C
Rationale: Social isolation (
C) is a common trait in abusive families. Mental illness (
A) affects ~10% most abusers aren’t overtly violent (
B) and abuse links to younger parents (
D).
Question 5 of 5
The client states “I go out just about every weekend and drink pretty heavily with my friends. Does that mean I’m dependent on alcohol?” Which is the best response by the nurse?
Correct Answer: C
Rationale: Dependence involves a compulsive need causing distress if unmet (
C). Intoxication (
A) or frequency (
D) don’t define it and guilt (
B) is irrelevant.