NCLEX-PN
Mental Health NCLEX Questions with Rationale Questions
Extract:
Question 1 of 5
Which approach is best for managing the client's care?
Correct Answer: A
Rationale: A nonjudgmental approach preserves the client's dignity, reducing embarrassment and supporting self-esteem during hygiene care.
Question 2 of 5
The nurse is caring for an unresponsive toddler in a PICU. The child’s parent was arrested for alleged child abuse but released on bail. The parent is pounding at the door belligerent and demanding to visit the child. Which is the most appropriate nursing plan of action?
Correct Answer: D
Rationale: Initiating the emergency response (
D) ensures safety. Allowing entry (
A) deferring to HCP (
B) or reporting to Social Services (C likely already done) are inappropriate.
Question 3 of 5
The nurse assesses the client every 15 minutes. What objective evidence will the nurse detect that indicates that the restraints are too tight? Select all that apply.
Correct Answer: B,D,F
Rationale: Pallor, prolonged capillary refill, and numbness indicate impaired circulation, suggesting restraints are too tight and compromising blood flow.
Question 4 of 5
The client uses methamphetamine regularly. Which subjective quote documented by the nurse demonstrates the client using pathological projection as a coping mechanism?
Correct Answer: B
Rationale: Blaming dad for failure (
B) is projection. Simplifying issues (
A) is ignoring dismissing alcohol (
C) is denial embarrassment (
D) is perfectionism.
Question 5 of 5
What is the most appropriate nursing action when the terminally ill client's death is imminent?
Correct Answer: A
Rationale: Staying with the client provides comfort, and contacting family ensures support, aligning with the advance directive.