NCLEX-PN
Mental Health NCLEX Questions
Extract:
Question 1 of 5
The nurse reviews various treatment options with the group members. Which of the following are considered most therapeutic in treating obsessive-compulsive disorder (OCD)? Select all that apply.
Correct Answer: A,C
Rationale: SSRIs and cognitive-behavioral therapy, particularly exposure and response prevention, are evidence-based treatments for OCD, targeting symptoms effectively.
Question 2 of 5
Which action by the nurse can best determine if an older client's inappropriate responses to several questions are due to miscommunication or to impaired cognition?
Correct Answer: A
Rationale: Having the client repeat the question clarifies whether misunderstanding or cognitive impairment caused the inappropriate response.
Question 3 of 5
Which response by the nurse is best in this situation?
Correct Answer: B
Rationale: Acknowledging discouragement validates the client's feelings, fostering therapeutic communication and emotional support.
Question 4 of 5
The nurse performs a physical assessment and collects the client's health history. Which assessment findings would the nurse expect to note as the client discusses the phobia related to flying? Select all that apply.
Correct Answer: B,C,D
Rationale: Discussing the phobia triggers anxiety, leading to tachycardia, tremors, and shortness of breath due to sympathetic activation.
Question 5 of 5
The new nurse is working with the cognitively impaired client who has a history of violent behavior. Which statement made by the new nurse reflects an immediate need for follow-up by the mentor?
Correct Answer: C
Rationale: Talking during aggression (
C) adds stimuli and requires mentor follow-up. Safety focus (
A) reducing stimuli (
B) and consistent staff (
D) are appropriate.