NCLEX-PN
Mental Health and Mental Illness NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is teaching the client with a substance abuse disorder about 12-step self-help programs such as AA. The nurse informs the client that the major principle associated with this 12-step program is what principle?
Correct Answer: C
Rationale: AA’s first step is admitting powerlessness (
C). Addiction is a disease not curable (
A) or resumable (
B) and not a weakness; higher power is personal (
D).
Question 2 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 3 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 4 of 5
If this client is typical of others with phobias, which coping mechanism has the client most likely been using to deal with the fear of flying?
Correct Answer: C
Rationale: Avoidance is the primary coping mechanism in phobias, as clients steer clear of the feared stimulus, such as refusing to fly.
Question 5 of 5
The client's family asks the nurse for a list of organizations where they can go for support during this difficult time. Which resource is most appropriate in this situation?
Correct Answer: C
Rationale: Al-Anon is specifically designed to support family members of individuals with alcoholism, providing them with coping strategies and emotional support.