Mental Health NCLEX Questions and Answers

Extract:

Question 1 of 5

Which action is most appropriate for the nurse to take first?

Correct Answer: D

Rationale: Taking the client to a private room ensures dignity and safety, addressing the immediate need without public confrontation.

Question 2 of 5

The newly admitted client is expressing anger with increasing intensity. Which therapeutic site should the nurse recommend to the client for gaining control over the increasing anger?

A. The client’s own private room down the hall B. The unit’s common television dayroom C. An outdoor sheltered client smoking area D. An out-of-the-way corner near the nursing station

Correct Answer: D

Rationale: A quiet visible corner near the station (
D) aids de-escalation. Private rooms (
A) and outdoor areas (
C) lack visibility and the dayroom (
B) is too stimulating.

Question 3 of 5

Which nursing action is the highest priority during the immediate care of a rape victim?

A. Documenting the circumstances of the rape B. Keeping contact with strangers to a minimum C. Offering the victim a choice of sedatives D. Providing a bath basin, gown, towel, and washcloth

Correct Answer: B

Rationale: Minimizing contact with strangers protects the victim's privacy and reduces distress, prioritizing emotional safety in the immediate aftermath.

Question 4 of 5

The parent expresses concern that her son newly admitted to the mental health unit may be using methamphetamine. Which nursing assessment findings are consistent with methamphetamine abuse?

A. Hypotension and bradycardia B. Constricted pupils and fatigue C. Anorexia and recent weight loss D. Bruises and scrapes on extremities

Correct Answer: C

Rationale: Anorexia and weight loss (
C) are methamphetamine signs. It causes hypertension/tachycardia (
A) dilated pupils (
B) and bruises (
D) are less specific.

Question 5 of 5

The client has been violent toward other clients on a mental health unit and interventions have failed. During the application of restraints which action by the team leader will gain the greatest cooperation from the client?

A. Showing sympathy by apologizing for the need to restrain the client B. Dispassionately explaining why and how the restraints will be applied C. Affording the client one last opportunity to avoid restraints by “behaving” D. Offering to remove the restraints as soon as the client can “control the anger”

Correct Answer: B

Rationale: Explaining why and how restraints are applied (
B) reduces resistance. Apologizing (
A) implies mistreatment negotiating (
C) undermines the decision and promising removal (
D) is ineffective.

Mental Health NCLEX Questions and Answers | Nurselytic

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