Mental Health NCLEX | Nurselytic

Questions 24

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Mental Health NCLEX Questions

Extract:


Question 1 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 2 of 5

While caring for a client who is withdrawing from alcohol, the nurse must assess for what additional complication?

Correct Answer: B

Rationale: Seizures are a serious complication of alcohol withdrawal, requiring vigilant monitoring due to their potential for harm.

Question 3 of 5

The client is admitted to the ED with multiple lacerations and broken bones after being assaulted. The client’s spouse barges into the client’s ED room with a gun and states “I’m going to kill you and anyone else who gets in my way.” Which action should be taken by the nurse initially?

Correct Answer: D

Rationale: Using a nonaggressive posture and tone (
D) to request the gun be placed down de-escalates the situation safely. Yelling (
A) may startle and escalate assuming intent (
B) blocks communication and gesturing (
C) risks escalation if noticed.

Question 4 of 5

If a client is typical of other victims who remain in abusive relationships, what is the client most likely to believe?

Correct Answer: C

Rationale: Victims often believe they can control or prevent the abuse, reflecting denial or rationalization that keeps them in the abusive situation.

Question 5 of 5

The nurse is caring for the client who is 2 days postadmission to a medical unit and has a long history of heavy alcohol abuse. The nurse should monitor for which acute complications related to alcohol abuse? Select all that apply.

Correct Answer: A ,B ,C, E

Rationale: Seizures (
A) pancreatitis (
B) GI bleeding (
C) and delirium tremens (E) are acute risks. Exophthalmos (
D) is unrelated.

Similar Questions

The nurse is planning care for the client receiving treatment for benzodiazepine abuse. Rank the interventions in the order that they should be implemented during the client’s course of treatment.
The client expresses ambivalence about quitting smoking and also the fear of “getting fat” and “looking like a cow.” The client wonders if that is worse than smoking. Which response by the nurse is most helpful?
The client often avoids talking about cocaine use by refocusing on other problems such as losing a job and family discord. Which is the most helpful response by the nurse when the client avoids discussing using cocaine?
When debriefing the unit’s staff after the client’s catastrophic reaction the nurse stresses the need for the staff to remain calm during the event. Which statement should be the basis for the nurse’s comment?
Which response by the nurse is best in this situation?

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