Mental Health NCLEX PN Questions

Extract:

Question 1 of 5

The nurse suspects that a coworker is working while impaired. Which initial action should be taken by the nurse?

Correct Answer: B

Rationale: Reporting to the nurse manager (
B) initiates investigation. DEA (
A) is for diversion confronting (
C) risks denial board reporting (
D) follows manager.

Question 2 of 5

The indigent client with both emotional and physical diagnoses has just attended a discharge planning session with the nurse. Which client behavior shows the greatest commitment to the client’s self-management?

A. Correctly stating the medications prescribed and the administration schedule B. Asking to stay with a relative until an affordable place to live can be found C. Researching the names of and calling contact people at local support centers D. Promising the nurse to keep the scheduled follow-up appointments at the clinic

Correct Answer: C

Rationale: Calling support centers (
C) shows proactive engagement. Stating medications (
A) seeking housing (
B) and promising appointments (
D) are less indicative of commitment.

Question 3 of 5

If the home health nurse documented all of the following findings, which one is most suggestive that the client is depressed?

A. The client is irritable after grandchildren visit. B. The client has multiple, unrelated physical complaints. C. The client takes lengthy naps in the late afternoon. D. The client cries when talking about a dead spouse.

Correct Answer: B

Rationale: Multiple somatic complaints are a hallmark of depression in older adults, often masking emotional symptoms.

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

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.

Mental Health NCLEX PN Questions | Nurselytic

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