NCLEX-PN
NCLEX Mental Health Questions Questions
Extract:
Question 1 of 5
When a new member to the group tells the nursing leader about sensing the presence of the dead spouse in the home, which nursing intervention is most appropriate?
Correct Answer: C
Rationale: Listening and acknowledging feelings validates the client's experience, supporting grief processing in a therapeutic manner.
Question 2 of 5
The client is being admitted to the ICU with drug overdose that resulted in extreme hypertension and an unstable cardiac rhythm. The client suddenly becomes physically combative and is kicking shoving throwing items in the room and threatening staff. The charge nurse calls a behavioral situation code and 4-point restraints are applied by the team. Which intervention is most important for the nurse to implement next?
Correct Answer: B
Rationale: A physician or licensed independent practitioner must prescribe restraints and assess the client within 1 hour of restraint placement for client and staff safety. Incident reports (
A) follow treatment documentation (
C) follows HCP contact and securing restraints to the HOB (
D) risks circulation impairment.
Question 3 of 5
The client is visibly upset pounding on the desk at the nurses’ station and shouting “You’re the nurse so you have to fix this now.” What should be the nurse’s primary rationale for recognizing that the client is a danger to staff and other clients?
Correct Answer: D
Rationale: Intimidation and anger as primary strategies (
D) indicate danger. No verbal threat (
A) role acknowledgment (
B) or recognition of inappropriateness (
C) is evident.
Question 4 of 5
The nurse is developing the answer key to a post test that will be given to participants following a workshop about caffeine abuse among older adult clients. Which statement about caffeine abuse should be excluded from the answer key?
Correct Answer: C
Rationale: Caffeine causes hyperglycemia tachycardia and increased lipids (C is false). Withdrawal symptoms (A
D) and diagnosis (
B) are correct.
Question 5 of 5
The client in group therapy states “I’ve enjoyed using methylphenidate because of how it makes me feel.” The nurse should identify which additional statement with methylphenidate use?
Correct Answer: D
Rationale: Methylphenidate aids focus (
D). Energy (
A) is amphetamine it doesn’t aid sleep (
B) and causes weight loss (
C).