Mental Health NCLEX PN Questions

Extract:

Question 1 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.

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 2 of 5

The nurse manager concerned about the potential for staff harm on a behavioral health unit is assessing the unit’s milieu. Which milieu situation should the nurse manager address because it is a predictive factor for violence?

A. Two clients have a history of spousal abuse. B. Several clients have lost smoking privileges. C. The unit is currently at less than full client capacity. D. The nurse from a medical unit is assigned to work on the unit.

Correct Answer: D

Rationale: Staff inexperience (
D) predicts violence. Client history (
A) and privileges (
B) are client-focused and low capacity (
C) reduces not increases risk.

Question 3 of 5

Which action by the client is most suggestive of denial about the illness?

A. The client conceals the information from family members. B. The client avoids contact with homosexual friends. C. The client responds to the former group of the nurse. D. The client has intercourse without using condoms.

Correct Answer: D

Rationale: Engaging in unprotected intercourse indicates denial of the HIV diagnosis, as it disregards the risk of transmission and personal health implications.

Question 4 of 5

The nurse is educating the client on the methadone prescribed for replacement therapy while in an outpatient treatment program for heroin addicts. The client asks how taking a pill is going to help the client stay substance-free. Which statement is the nurse’s best reply?

A. “The methadone will give you the same high so you won’t want heroin anymore.” B. “The methadone will cause you to become very sick if you take heroin at the same time” C. “The methadone ‘replaces’ heroin in your body so you will have fewer cravings for heroin.” D. “The methadone causes sedation; you’ll sleep better so you can participate in your treatment.”

Correct Answer: C

Rationale: Methadone displaces heroin reducing cravings (
C). It doesn’t produce a high (
A) cause sickness (
B) or sedate (
D).

Question 5 of 5

Which finding in the client's history strongly suggests lack of achieving the characteristic developmental level expected at this age in the life cycle?

A. The client drifts in and out of relationships. B. The client worries about financial security. C. The client questions personal sexual identity. D. The client hesitates to be assertive.

Correct Answer: A

Rationale: Drifting in and out of relationships indicates difficulty achieving intimacy, a key developmental task of young adulthood per Erikson's stages.

Mental Health NCLEX PN Questions | Nurselytic

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