Mental Health NCLEX PN Questions

Extract:

Question 1 of 5

The older disheveled client is admitted to the ED with hypertension severe dehydration and malnourishment. During the admission interview the daughter notes that she and her husband who is temporarily out of work have been living with the client. Which nursing action is most important?

Correct Answer: B

Rationale: Private questioning (
B) elicits abuse/neglect details. Reporting (
A) needs more evidence asking the daughter (
C) is less direct and calling a hotline (
D) is secondary.

Question 2 of 5

The nurse completed an admission interview and assessment of the client who is under the influence of cocaine. Which finding should the nurse attribute to the client being under the influence of cocaine?

A. Decreased blood pressure and heart rate B. Lack of attention to the interview process C. Hypersensitivity in response to personal questions D. Underreporting the amount of cocaine used on a regular basis.

Correct Answer: C

Rationale: Cocaine causes hypersensitivity (
C). It increases BP/HR (
A) causes hypervigilance (not inattention
B) and underreporting (
D) is general not specific.

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 older disheveled client is admitted to the ED with hypertension severe dehydration and malnourishment. During the admission interview the daughter notes that she and her husband who is temporarily out of work have been living with the client. Which nursing action is most important?

A. Report the suspected elder abuse to Adult Health Protective Services. B. Ask additional questions of the client in private without the family present. C. Ask the daughter whether her father has been eating and taking his medication. D. Call the resource hotline to ask whether abuse and neglect should be considered.

Correct Answer: B

Rationale: Private questioning (
B) elicits abuse/neglect details. Reporting (
A) needs more evidence asking the daughter (
C) is less direct and calling a hotline (
D) is secondary.

Question 5 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).

Mental Health NCLEX PN Questions | Nurselytic

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