NCLEX-PN
Mental Health and Mental Illness NCLEX Questions Questions
Extract:
Question 1 of 5
When a client with dementia says, 'I want to go home,' which response by the nurse is most appropriate?
Correct Answer: C
Rationale: Acknowledging homesickness validates the client's feelings, redirecting the conversation therapeutically without causing distress.
Question 2 of 5
The nurse educator is orienting new nursing staff to the behavioral care unit when one nurse asks “How will I know which clients are potentially violent?” Which response by the nurse educator is best?
Correct Answer: C
Rationale: Reviewing charts for violence history (
C) identifies risk as history and impulsivity predict violence. Vague alertness (
A) verbal cues (
B) or delayed training (
D) are less effective.
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
The nurse is planning care for the client who has a cognitive deficit and a history of violence following head trauma. What is the primary effect of a cognitive deficit that can contribute to the client having a catastrophically violent reaction?
Correct Answer: B
Rationale: Decreased ability to tolerate sensory stimuli (
B) triggers catastrophic reactions. Processing (
A) boundaries (
C) and staff attention (
D) are not primary contributors.
Question 5 of 5
When the depressed client is scheduled for a series of electroconvulsive therapy (ECT) treatments, which reaction is most likely to be manifested in the immediate recovery period?
Correct Answer: C
Rationale: Short-term memory loss and headaches are common post-ECT effects due to temporary brain disruption.