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Mental Health NCLEX Questions with Answers

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(Mental Health NCLEX Questions & Answers: Total 287)

  1. Question: The home care nurse is visiting an older client whose spouse died 6 months ago. Which behavior by the client indicates ineffective coping?
  2. Question: A client with a diagnosis of major depression who has attempted suicide says to the nurse, “I should have died. I’ve always been a failure. Nothing ever goes right for me.” Which response demonstrates therapeutic communication?
  3. Question: When the mental health nurse visits a client at home, the client states, “I haven’t slept at all the last couple of nights.” Which response by the nurse illustrates a therapeutic communication response to this client?
  4. Question: A client experiencing disturbed thought … Which communication technique should the nurse use to encourage the client to eat?
  5. Question: A client admitted to a mental health unit for treatment of psychotic behavior spends hours at the locked exit door shouting, “Let me out. There’s nothing wrong with me. I don’t belong here.” What defense mechanism is the client implementing?
  6. Question: A client … with terminal cancer says to the nurse, “I’m going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I’m the one who’s dying.” Which response by the nurse is therapeutic?
  7. Question: On review of the client’s record, the nurse notes that the mental health admission was voluntary. Based on this information, the nurse anticipates which client behavior?
  8. Question: When reviewing the admission assessment, the nurse notes that a client was … to the mental health unit involuntarily. Based on this type of admission, the nurse should provide which intervention for this client?
  9. Question: The nurse is preparing a client for the termination phase of the nurse-client relationship. The nurse prepares to implement which nursing task that is most appropriate for this phase?
  10. Question: The nurse in the mental health unit recognizes which as being therapeutic communication techniques? Select all that apply.
  11. Question: A client being seen in the emergency department immediately after being sexually assaulted appears calm and controlled. The nurse analyzes this behavior as indicating which defense mechanism?
  12. Question: A client’s unresolved feelings related to loss would … most likely observed during which phase of the therapeutic nurse-client relationship?
  13. Question: The nurse is working with a client who … making a heroic effort was unable to rescue a neighbor trapped in a house fire. Which client-focused action should the nurse engage in during the working phase of the nurse-client relationship?
  14. Question: The nurse employed in a mental health unit of a hospital is the leader of a group psychotherapy session. What is the nurse’s role during the termination stage of group development?
  15. Question: Which are characteristics of the termination stage of group development? Select all that apply.
  16. Question: When a client is admitted to an inpatient mental health unit with the diagnosis of anorexia nervosa, a cognitive behavioral approach is used as part of the treatment plan. The nurse understands that which is the purpose of this approach?
  17. Question: The nurse understands that which best describes Gestalt therapy?
  18. Question: A client is preparing to attend a Gamblers Anonymous meeting for the first time. The nurse should tell the client that which is the first step in this 12-step program?
  19. Question: Which describes the primary focus of milieu therapy?
  20. Question: While being treated, a client is introduced to short periods of exposure to the phobic object while in a relaxed state. What term is used to describe this form of behavior modification?
  21. Question: A client is planning to attend Overeaters Anonymous. Which statement by the client indicates a need for additional information regarding this self-help group?
  22. Question: What is the most appropriate nursing action to help manage a manic client who is monopolizing a group therapy session?
  23. Question: Which type of therapeutic approach has the characteristic that all team members are seen as equally important in helping clients meet their goals?
  24. Question: A client says to the nurse, “The federal guards were sent to kill me.” What is the best nursing response to the client’s concern?
  25. Question: A client diagnosed with delirium becomes disoriented and confused at night. Which intervention should the nurse implement initially?
  26. Question: A client is admitted to the mental health unit with a diagnosis of depression. The nurse should develop a plan of care for the client that includes which intervention?
  27. Question: When planning the discharge of a client with chronic anxiety, the nurse directs the goals at promoting a safe environment at home. Which is the most appropriate maintenance goal?
  28. Question: A client is unwilling to go out of the house for fear of “making a fool of myself in public.” Because of this fear, the client remains home bound. Based on these data, which mental health disorder is the client experiencing?
  29. Question: The nurse is conducting a group therapy session. During the session, a client diagnosed with mania consistently disrupts the group’s interactions. Which intervention should the nurse initially implement?
  30. Question: A client is admitted to a medical nursing unit with a diagnosis of acute blindness after being involved in a hit-and-run accident. When diagnostic testing cannot identify any organic reason why this client cannot see, a mental health consult is prescribed. Which condition will … the focus of this consult?
  31. Question: A manic client begins to make sexual advance towards visitors in the dayroom. When the nurse firmly states that this is inappropriate and will not … allowed, the client becomes verbally abusive and threatens physical violence to the nurse. Based on the analysis of this situation, which intervention should the nurse implement?
  32. Question: Which nursing interventions are appropriate for a … client with mania who is exhibiting manipulative behavior? Select all that apply.
  33. Question: The nurse observes that a client is pacing, agitated, and presenting aggressive gestures. The client’s speech pattern is rapid, and affect is belligerent. Based on these observations, what is the nurse’s immediate priority of care?
  34. Question: The nurse is preparing a client with a history of command hallucinations for discharge by providing instructions on interventions for managing hallucinations and anxiety. Which statement in response to these instructions suggests to the nurse that the client understands the instructions?
  35. Question: The nurse is caring for a client … with catatonic stupor who is lying on the bed in a fetal position. What is the most appropriate nursing intervention?
  36. Question: The nurse is caring for a client who is experiencing disturbed thought processes as a result of paranoia. In formulating nursing interventions with the members of the health care team, what best instruction should the nurse provide to the staff?
  37. Question: The nurse is planning activities for a client… with bipolar disorder with aggressive social behavior. Which activity would … most appropriate for this client?
  38. Question: The home health nurse visits a client at home and determines that the client is dependent on drugs. During the assessment, which action should the nurse take to plan appropriate nursing care?
  39. Question: Which interventions are most appropriate for caring for a client in alcohol withdrawal? Select all that apply.
  40. Question: The nurse determines that the wife of an alcoholic client is benefiting from attending an Al-Anon group if the nurse hears the wife make which statement?
  41. Question: A … client with a history of alcohol abuse tells the nurse, “I am leaving now. I have to go. I don’t want any more treatment. I have things that I have to do right away.” The client has not been discharged and is scheduled for an important diagnostic test to … performed in 1 hour. After the nurse discusses the client’s concerns with the client, the client dresses and begins to walk out of the hospital room. What action should the nurse take?
  42. Question: The nurse is preparing to perform an admission assessment on a client with a diagnosis of bulimia nervosa. Which assessment findings does the nurse expect to note? Select all that apply.
  43. Question: The nurse is caring for a female client who was admitted to the mental health unit recently for anorexia nervosa. The nurse enters the client’s room and notes that the client is engaged in rigorous push-ups. Which nursing action is most appropriate?
  44. Question: A client with a diagnosis of anorexia nervosa, who is in a state of starvation, is in a two-bed room. A newly admitted client will … assigned to this client’s room. Which client would … the best choice as a roommate for the client with anorexia nervosa?
  45. Question: The nurse is monitoring a hospitalized client who abuses alcohol. Which findings should alert the nurse to the potential for alcohol withdrawal delirium?
  46. Question: The spouse of a client admitted to the mental health unit for alcohol withdrawal says to the nurse, “I should get out of this bad situation.” What is the most helpful response by the nurse?
  47. Question: A client with anorexia nervosa is a member of a predischarge support group. The client verbalizes that she would like to buy some new clothes, but her finances are limited. Group members have brought some used clothes to the client to replace the client’s old clothes. The client believes that the new clothes were much too tight and has reduced her calorie intake to 800 calories daily. How should the nurse evaluate this behavior?
  48. Question: The nurse in the emergency department is caring for a young female victim of sexual assault. The client’s physical assessment is complete, and physical evidence has been collected. The nurse notes that the client is withdrawn, confused, and at times physically immobile. How should the nurse interpret these behaviors?
  49. Question: The nurse is reviewing the assessment data of a client admitted to the mental health unit. The nurse notes that the admission nurse documented that the client is experiencing anxiety as a result of a situational crisis. The nurse determines that this type of crisis could … caused by which event?
  50. Question: The nurse is conducting an initial assessment on a client in crisis. When assessing the client’s perception of the precipitating event that led to the crisis, what is the most appropriate question?
  51. Question: The nurse is developing a plan of care for a client in a crisis state. When developing the plan, the nurse should consider which factor?
  52. Question: The nurse observes that a client with a potential for violence is agitated, pacing up and down the hallway, and is making aggressive and belligerent gestures at other clients. Which statement would … most appropriate to make to this client?
  53. Question: A depressed client on an inpatient unit says to the nurse, “My family would … better off without me.” What is the nurse’s best response?
  54. Question: The nurse has been observing a client closely who has been displaying aggressive behaviors. The nurse observes that the behavior displayed by the client is escalating. Which nursing intervention is least helpful to this client at this time?
  55. Question: Which behavior observed by the nurse indicates a suspicion that a depressed adolescent client may … suicidal?
  56. Question: The police arrive at the emergency department with a client who has lacerated both wrists. What is the initial nursing action?
  57. Question: A moderately depressed client who was … 2 days ago suddenly begins smiling and reporting that the crisis is over. The client says to the nurse, “I’m finally cured.” How should the nurse interpret this behavior as a cue to modify the treatment plan?
  58. Question: The nurse is planning care for a client being admitted to the nursing unit who attempted suicide. Which priority nursing intervention should the nurse include in the plan of care?
  59. Question: The emergency department nurse is caring for an adult client who is a victim of family violence. Which priority instruction should … included in the discharge instructions?
  60. Question: A female victim of a sexual assault is being seen in the crisis center. The client states that she still feels “as though the rape just happened yesterday,” even though it has been a few months since the incident. What is the most appropriate nursing response?
  61. Question: A client is admitted to the mental health unit after an attempted suicide by hanging. The nurse can best ensure client safety by which action?
  62. Question: A client is admitted with a recent history of severe anxiety following a home invasion and robbery. During the initial assessment interview, which statement by the client would indicate to the nurse the possible diagnosis of posttraumatic stress disorder? Select all that apply.
  63. Question: The emergency department nurse is caring for a client who has been identified as a victim of physical abuse. In planning care for the client, which is the priority nursing action?
  64. Question: The nurse assesses a client with the admitting diagnosis of bipolar affective disorder, mania. Which client symptoms require the nurse’s immediate action?
  65. Question: The nurse is performing an assessment on a client with dementia. Which data gathered during the assessment indicates a manifestation associated with dementia?
  66. Question: The nurse is caring for a client with anorexia nervosa. Which behavior is characteristic of this disorder and reflects anxiety management?
  67. Question: A depressed client verbalizes feelings of low self-esteem and self-worth typified by statements such as “I’m such a failure. I can’t do anything right.” How should the nurse plan on responding to the client’s statement?
  68. Question: A client with diabetes mellitus is told that amputation of the leg is necessary to sustain life. The client is very upset and tells the nurse, “This is all my health care provider’s fault. I have done everything I’ve been asked to do!” Which nursing interpretation is best for this situation?
  69. Question: A client experiencing a great deal of stress and anxiety is being taught to use self-control therapy. Which statement by the client indicates a need for further teaching about the therapy?
  70. Question: The nurse is caring for a client who is at risk for suicide. What is the priority nursing action for this client?
  71. Question: A client comes to the emergency department after an assault and is extremely agitated, trembling, and hyperventilating. What is the priority nursing action for this client?
  72. Question: The nurse is developing a plan of care for a client who was experiencing anxiety after the loss of a job. The client is now verbalizing concerns regarding the ability to meet role expectations and financial obligations. What is the priority problem for this client?
  73. Question: The nurse has developed a plan of care for a client … with anorexia nervosa. Which client problem would the nurse select as the priority in the plan of care?
  74. Question: Which statement made by an unlicensed assistive personnel (UAP) indicates to the registered nurse that the UAP understands the concepts related to suicide?
  75. Question: Which client is most at risk for committing suicide?
  76. Question: A nursing instructor teaches a group of nursing students about violence in the family. Which statement by a student indicates a need for further teaching?
  77. Question: A client is being prepared for electroconvulsive therapy (ECT). The nurse’s plan of care for the day before ECT includes ensuring that the client follows which guideline?
  78. Question: A nursing student is assisting with the care of a client with a chronic mental illness. The nurse informs the student that a behavior modification approach (operant conditioning) will … used in treatment for the client. Which statement by the student indicates a need for further information about the therapy?
  79. Question: The nurse is performing an admission assessment on a client at high risk for suicide. The nurse should prepare to ask the client which assessment question to elicit data related to this risk?
  80. Question: The nurse in the mental health unit is performing an assessment in a client who has a history of multiple somatic complaints involving several organ systems. Diagnostic studies revealed no organic pathology. The care plan developed for this client will reflect that the client is experiencing which disorder?
  81. Question: A mental health nurse in a psychiatric unit is meeting with a client who has a long history of acting out and violent behavior. The client also is known to have abused drugs on numerous occasions. During the session the client says to the nurse, “I’m feeling much better now, and I’m ready to go straight.” Which response by the nurse would … therapeutic?
  82. Question: A client with a diagnosis of depression has been meeting with the mental health nurse for therapy sessions for the past 6 weeks. During the session the client says to the nurse, “I lost my job this week, and I’m going to … evicted from my apartment if I can’t pay my bill. The only person that I have is my daughter, but I don’t want to burden her with my problems.” Which response by the nurse would be therapeutic?
  83. Question: During a therapy session with a client with paranoid disorder, the client says to the nurse, “You look so nice today. I love how you do your hair, and I love that perfume you’re wearing.” Which response by the nurse would … therapeutic?
  84. Question: The nurse in the mental health unit is assigned to care for a female client with a diagnosis of acute depression. In communicating with the client, which statement would … appropriate for the nurse to make?
  85. Question: The nurse is planning care for a client with bipolar disorder who is experiencing psychomotor agitation. Which activity should the nurse plan for this client?
  86. Question: The nurse is developing a plan of care for a client with depression whose food intake is poor. The nurse should include which interventions in the plan of care? Select all that apply.
  87. Question: The nurse is monitoring a client with a diagnosis of schizophrenia. The nurse notes that the client’s emotional responses to situations occurring throughout the day are incongruent with the tone of the situation. The nurse should document the findings using which description of the client’s behavioral response?
  88. Question: A mental health nurse notes that a client with schizophrenia is exhibiting an immobile facial expression and a blank look. Which should the nurse document in the client’s record?
  89. Question: The nurse is developing a plan of care for the client with a diagnosis of paranoia and should include which interventions in the plan of care? Select all that apply.
  90. Question: The nurse is preparing a client for electroconvulsive therapy (ECT), which is scheduled for the next morning. Which interventions would … included in the preprocedural plan? Select all that apply.
  91. Question: A … client is receiving clozapine (Clozaril) for the treatment of a schizophrenic disorder. The nurse determines that the client may … having an adverse reaction to the medication if abnormalities are noted on which laboratory study?
  92. Question: A client has been prescribed disulfiram (Antabuse). Before giving the client the first dose of this medication, what should the psychiatric home health nurse determine?
  93. Question: A home care nurse making an initial home visit notes that a client is taking donepezil hydrochloride (Aricept). The nurse questions the client’s spouse about a history of which disorder that is treated with this medication?
  94. Question: The nurse is caring for a client with a diagnosis of agoraphobia. When communicating with the client about the disorder, the nurse should expect the client to describe which behavior?
  95. Question: A client recently admitted to the hospital in the manic phase of bipolar disorder is dehydrated, unkempt, taking antipsychotic medications, and complaining of abdominal fullness and discomfort. The nurse determines that which intervention is most appropriate for these complaints?
  96. Question: A homebound client confidentially discusses suicidal plans with the visiting nurse. Based on professional duty to observe confidentiality, which statement bestdescribes the nurse’s obligation to the client?
  97. Question: The mental health nurse is reviewing the discharge plan for a … client. In reviewing the plan, the nurse recognizes that which is the most prominent problem in the management of a client with a mental health problem in the community?
  98. Question: During a home visit, the nurse suspects that a young daughter of the client is bulimic. The nurse bases this suspicion on which primary characteristic of bulimia?
  99. Question: The mental health nurse is talking to a client who has been diagnosed with posttraumatic stress disorder. During the conversation, the nurse notes that the client is exhibiting a paranoid stare and that he begins to pace and fidget. What is the appropriate nursing intervention?
  100. Question: The nurse is reviewing the record of a client admitted to the mental health unit. The nurse notes documentation that the client experiences flashbacks. What diagnosis should the nurse expect to … documented for this client?
  101. Question: The nurse is admitting a client with a diagnosis of posttraumatic stress disorder to the mental health unit. The client is confused and disoriented. During the assessment, what is the nurse’s primary goal for this client?
  102. Question: The nurse in the mental health unit is having a conversation with a client … with posttraumatic stress disorder. The client seems upset and looks anxious. What is the appropriate nursing statement the nurse should make to the client?
  103. Question: A client with depression is scheduled to receive three sessions of electroconvulsive therapy (ECT). The client asks the nurse about the length of time it will take for improvement in the condition. The nurse should tell the client he or she will see improvement approximately how long after the three treatments?
  104. Question: A client has been … with major depression. The nurse notes that the client is not eating adequately and at times refuses to eat. What should the nurse plan to do to meet the client’s nutritional needs?
  105. Question: The health care provider has prescribed medication therapy for a client with an alcohol abuse problem to assist in the maintenance of sobriety. The nurse reviews the client’s record and expects to note that which medication has been prescribed?
  106. Question: The mental health nurse is caring for a client with a social phobia. The nurse tells the client that a music therapy session has been scheduled as part of the treatment plan. The client tells the nurse that she cannot sing and refuses to attend. What is the appropriate nursing response?
  107. Question: The nurse is monitoring a client who has been placed in restraints because of violent behavior. When should the nurse determine that it will … safe to remove the restraints?
  108. Question: The mental health nurse is conducting a group therapy session and is monitoring a client with a diagnosis of agoraphobia who has been attending the sessions for several months. The nurse notes that the client is cooperative, sharing with peers, and making appropriate suggestions during group discussions. How should the nurse interpret this behavior?
  109. Question: The nurse is preparing a client for electroconvulsive therapy (ECT). The family of the client asks the nurse about this treatment. The nurse responds, knowing that which statements are accurate regarding this treatment? Select all that apply.
  110. Question: The nurse is planning a stress management seminar for clients in an ambulatory care setting. Which concept should the nurse plan to include in the content of the seminar?
  111. Question: A 15-year-old client who is pregnant and unwed tells the nurse, “My life was unbearable before I met Johnny. My mother beats me up every day, and my dad has been sleeping with me since I was 10 years old!” Which response is appropriate for the nurse to make?
  112. Question: A 10-year-old girl who has been referred for evaluation for drawing sexually explicit scenes in her textbooks says to the psychiatric nurse, “I just felt like it.” Which response is therapeutic for the nurse to make in order to assess abuse-related symptoms?
  113. Question: During a nursing interview, a client says, “My daughter was murdered in her New York apartment, and her estranged husband called to tell me. I can’t help wondering if he killed her, but the police have eliminated him as a suspect.” Which statement is a therapeutic nursing response?
  114. Question: The nurse is assessing a client in the coronary care unit (CCU) who seems to fluctuate in his ability to focus during the day. On the basis of this assessment, which client problem should the nurse suspect?
  115. Question: A client with diabetes mellitus is told that amputation of the leg is necessary to sustain life. The client is very upset and tells the nurse, “This is all the health care provider’s fault. I have done everything that he has asked me to do!” How should the nurse interpret the client’s statement?
  116. Question: The nurse is planning to formulate a psychotherapy group. Several clients are interested in attending the session. The nurse plans the group, knowing that which is the maximum number of group members that can … included?
  117. Question: A nurse assists a client with a diagnosis of obsessive-compulsive disorder (OCD) in his preparations for bedtime. One hour later the client calls the nurse and says that he is feeling anxious; he asks the nurse to sit and talk for a while. Which is the appropriate initial nursing action?
  118. Question: A nurse is planning care for a group of clients on a mental health unit. The nurse notes that most of the assigned clients require interventions commonly used to treat anxiety disorders. Such antianxiety interventions would … appropriate for which clients? Select all that apply.
  119. Question: A nurse is preparing to admit a client with a diagnosis of obsessive-compulsive disorder (OCD) to the mental health unit. The nurse would expect to note which behaviors in the client?
  120. Question: A nurse is performing an assessment on a client admitted to the mental health unit. The client tells the nurse that she cannot leave home without checking numerous times that the iron and coffee pot have been shut off. The client states that this activity makes her late for many functions and that she misses engagements on occasion because of it. The nurse would expect to note which anxiety disorder documented in the client’s record?
  121. Question: A nurse is performing an assessment on a client admitted to the mental health unit. The nurse notes that the client’s diagnosis is documented as obsessive-compulsive disorder. The nurse plans care knowing that the client is most likely to experience which type of compulsive behavior?
  122. Question: A mental health nurse asks a nurse orientee to describe the underlying pathophysiology associated with acts of compulsion, such as repeated hand washing, performed by clients with obsessive-compulsive disorder (OCD). The nurse determines that the orientee understands this disorder if the orientee identifies which characteristic of the client?
  123. Question: A nurse is performing an assessment on a client being admitted to the mental health unit. During the interview, the nurse discovers that the client suffered a severe emotional trauma 1 month earlier and is now experiencing paralysis of the right arm. Which is the initial nursing action?
  124. Question: A nurse is developing a plan of care for a client admitted to the mental health unit with a diagnosis of obsessive-compulsive disorder (OCD). What is the nurse’s first priority in the plan of care?
  125. Question: A nurse is preparing to develop a care plan for a client admitted to the mental health unit with a diagnosis of obsessive-compulsive disorder (OCD). The nurse should plan to include which component as a priority in the nursing plan of care?
  126. Question: A nurse is reviewing the assessment findings documented in the chart of a client who is newly admitted to the mental health unit. The nurse notes that the client has experienced emotional turmoil and is exhibiting signs and symptoms that usually result from a loss of physical functioning, although no such loss can … confirmed medically. The nurse interprets these findings as indicating which condition?
  127. Question: The home health nurse visits an older adult client who has recently lost her husband. The client says, “No one cares about me anymore. All the people I loved are dead.” Which is the appropriate response?
  128. Question: A depressed client who appeared sullen, distraught, and hopeless a few days ago now suddenly appears calm, relaxed, and more energetic. Which is the nurse’s best initialaction with regard to the client’s altered demeanor?
  129. Question: The nurse is performing an assessment on a 16-year-old female client who has been … with anorexia nervosa. Which statement, if made by the client, would the nurse identify as necessitating further assessment on a priority basis?
  130. Question: A nurse is assessing a client in crisis and is determining the potential for self-harm. Which assessment data would indicate that the client is at very high risk for suicide?
  131. Question: The nurse is planning to instruct a mental health client and his or her family about the importance of medication compliance. The nurse should plan for which interventions that are associated with increased compliance?
  132. Question: The nurse is planning care for a client who has been … for violent behavior and is at risk for harming others. Which intervention could potentially present a danger to the client, health care providers, and others on the nursing unit?
  133. Question: A nurse who is caring for a client with severe depression is planning activities for the client. The nurse goes to the activity room and finds a puzzle; a checkerboard game; a paint-by-number picture; and crayons, colored pencils, and paper for drawing. Which activity would … most appropriate for this client?
  134. Question: The nurse is developing a plan of care for a client who is scheduled to have electroconvulsive therapy (ECT). Which problem is a priority for this client?
  135. Question: A female client in a manic state emerges from her hospital room. She is topless and is making sexual remarks and gestures toward the staff and other clients. Which is the best initial nursing action?
  136. Question: A nurse is monitoring a group therapy session. During this session the members are identifying tasks and boundaries. The nurse determines that these activities are characteristic of which stage of group development?
  137. Question: When planning discharge care for a client with bipolar disorder, the nurse determines theneed for further teaching when the client makes which statement?
  138. Question: A client has consented to participate in Alcoholics Anonymous (AA) community groups after discharge from the hospital. The nurse is monitoring the client’s response to the substance abuse sessions. Which statement by the client best reflects the development of an effective coping response style and effective processing of information for self-use?
  139. Question: Question: A client who is on lithium carbonate will … discharged at the end of the week. In formulating a discharge teaching plan, the nurse should include which precaution?
  140. Question: The home health nurse visits an agoraphobic client who experiences panic attacks. Which statement by the client would indicate a therapeutic response to behavioral and pharmacological treatment?
  141. Question: The psychiatric home care nurse visits a client with a phobia who experiences panic attacks. The nurse teaches the client to use paradoxical intention and employs which method to teach the client this form of therapy?
  142. Question: A client tentatively … with a borderline personality disorder says to the nurse, “I don’t know why I got my tattoo; it was for me. OK? Sometimes I do these things to get my parents mad, and sometimes I do them because I’m bored. That’s what happened the night I crashed the family car. I wasn’t drunk or suicidal or anything like the police thought. It was just for kicks!” Which is the appropriate nursing response?
  143. Question: The nurse is reviewing the medical record of a client who received electroconvulsive therapy (ECT) in the past. Which assessment data would indicate to the nurse the presence of long-term retrograde amnesia in the client?
  144. Question: The mother of a teenage client with an anxiety disorder is concerned about her daughter’s progress on discharge. She states that her daughter stashes food, eats all the foods that make her hyperactive, and hangs out with the “wrong crowd.” In helping the mother prepare for her daughter’s discharge, what instruction should the nurse provide?
  145. Question: The nurse is reviewing the record of a client scheduled for electroconvulsive therapy (ECT). Which medical diagnosis, if noted on the client’s record, would indicate a need to contact the health care provider scheduled to perform the ECT?
  146. Question: A woman who is a victim of family violence is now engaged in group therapy sessions. She begins yelling at another client during the therapy session and screams, “I can’t listen to this. You people are no different from the ones at home.” The client stands up and tips the chair over backward. What is the nurse’s immediate action?
  147. Question: A client … in the mental health unit with depression is preparing to … discharged to outpatient status. The nurse is discussing termination and follow-up plans with the client. Which client statement would most concern the nurse about the client’s discharge and indicate the need for follow-up treatment?
  148. Question: During a support group session for battered women, a client says, “I was abused by my father and then my husband, so I finally stabbed my husband when he came after me, but no one on the jury believed me “cause my husband, the ‘big shot,’ can lie to anyone and … believed.” If no one in the group responds, which statement is the therapeutic response by the nurse?
  149. Question: The nurse is caring for a client with Alzheimer’s disease who is having difficulty recognizing objects that are well known, including people. The nurse determines that the client is experiencing which problem?
  150. Question: A client with schizophrenia says to the nurse, “Will you protect me from the Grand Duchess?” and points to an older client who is sitting reading a book. Which statement is the therapeutic response by the nurse?
  151. Question: The night nurse reported to the nurse manager that a client was admitted to the mental health unit after attacking his father with an iron for interrupting him at his computer. During nursing rounds, this client interrupts the nurse manager and says, “I need to get out of here, so I can work on my computer project to save the world!” Which statement is a therapeutic response by the nurse manager?
  152. Question: The nurse is performing a mental status examination on a client, and the client states, “Glass breaks if you throw stones or shoot at it with a gun. My cousin shoots guns at the police all the time at target practice. People who live in glass houses shouldn’t throw stones.” Which interpretation by the nurse is appropriate?
  153. Question: The nurse is caring for a client with schizophrenia who states, “I decided not to take my medication because I realize that it really can’t help me. Only I can help me.” Which nursing response would … therapeutic?
  154. Question: A nursing student is asked to identify suicide methods that are referred to as soft methods. The nursing instructor determines that the student understands the subject if he or she states that which is a soft method?
  155. Question: The nurse in a mental health clinic is reviewing the records of the clients to … seen that day. The nurse determines that which client is at highest risk for suicide?
  156. Question: The spouse of an alcoholic client is attending a support group and says to the group members, “It’s all very well for everyone to label me an enabler, but if I didn’t call him in sick at work, he’d lose his job. Where would we … then?” Which statement by the nurse co-leader would be therapeutic?
  157. Question: A heroin-addicted client who is taking methadone hydrochloride (Dolophine) discontinues the methadone without consulting the health care provider. The client says to the nurse, “I thought I didn’t need the methadone after 1 year. I had a job and was even saving money. I can’t believe I ruined everything.” Which statement by the nurse is therapeutic?
  158. Question: An alcohol-troubled client says, “The 12 Steps of Alcoholics Anonymous (AA) freak me out. I had to go for a drink after 1 hour with those people; they’re fanatics!” Which statement by the nurse would … therapeutic?
  159. Question: A 37-year-old client who is recovering from benzodiazepine dependence says, “I think I’ve walked under a black cloud. I’ve lost so many people. First, my brother dies of the big C; then my husband leaves me for a 20-year-old bimbo. I wish I had a Xanax right now.” Which statement by the nurse would … therapeutic?
  160. Question: The husband of an alcohol-troubled wife says, “If anyone had said I’d … henpecked, I’d have called them a liar, but now I realize that I’m codependent.” Which statement by the nurse would be therapeutic?
  161. Question: A 45-year-old client states that he used to drink a cocktail nightly after work and also had a drink with his meal. Now he has two drinks before dinner and two or three more drinks during his meal. As the client continues to describe his alcohol intake, the nurse discovers that he also has added a couple of drinks at night to help him sleep. Which is the most accurate assessment of his alcohol consumption?
  162. Question: A battered wife says, “My husband never beat me up, so I didn’t think he was abusive even after he lost all our money through bad deals, bullying me into his schemes, gambling, womanizing, and now not holding a real job with benefits. I still let him refinance our mortgage, take money out of the bank, and put the house in his name.” Which statement by the nurse is therapeutic?
  163. Question: An 80-year-old resident in a long-term care facility prepares to walk out into a rainstorm after saying, “My father is waiting to take me for a ride.” Which is the appropriate response by the nurse?
  164. Question: A client who is exhibiting psychotic behaviors is admitted to the psychiatric unit. In developing a plan of care, the nurse should identify which as the priority client problem?
  165. Question: The nurse is developing a daily care program for a depressed client who was just admitted to the mental health unit. Which is the best approach when planning activities for this client?
  166. Question: A client with a history of panic disorder comes to the emergency department and states to the nurse: “Please help me—I think I’m having a heart attack.” What is the priority nursing action?
  167. Question: The nurse reviews the assessment data of a client admitted to the hospital with a diagnosis of anxiety. The nurse should assign priority to which assessment finding?
  168. Question: A home care nurse suspects that a client’s spouse is experiencing caregiver strain. Which nursing action will assist in supporting the nurse’s suspicion?
  169. Question: A client who has a history of being sexually assaulted is admitted to a psychiatric unit for self-mutilation. She is found sucking her thumb while rocking in her bed and does not respond to verbal communication. The nurse should recognize that this behavior demonstrates which coping mechanism?
  170. Question: A client is being evaluated for possible antisocial personality disorder. Which behavior is expected of a client with this disorder?
  171. Question: The client with a diagnosis of dependent personality disorder is most likely to have problems coping with which issue?
  172. Question: Which piece of subjective data obtained during assessment of a severely anxious client would indicate the possibility of posttraumatic stress disorder?
  173. Question: A client admitted to the hospital at the beginning of the nursing shift with a diagnosis of alcohol dependence tells the nurse that she had her last drink 6 hours ago. The nurse expects which finding based on knowledge of time for appearance of withdrawal symptoms?
  174. Question: Thiamine supplementation and other nutritional vitamin support measures are prescribed for clients who have been using alcohol to prevent or decrease the risk of which complication?
  175. Question: Which mental health professional is responsible for the milieu in an inpatient psychiatric setting?
  176. Question: Which best describes the purpose of behavioral therapy?
  177. Question: The client experiencing a great deal of stress and anxiety is being taught to use self-control therapy. Which statement by the client indicates a need for further teaching about the therapy?
  178. Question: Laboratory work is prescribed for a client who has been experiencing delusions. When the nurse approaches the client to obtain a specimen of blood, the client begins to shout, “You’re all vampires. Let me out of here!” Which is the appropriate nursing response?
  179. Question: A supervisor reprimands the nurse in charge of the nursing unit because the charge nurse has not adhered to the unit budget. Later that afternoon the charge nurse accuses the nursing staff of wasting supplies. What type of behavior is this an example of?
  180. Question: A client comes to the emergency department following an assault and is extremely agitated,
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[Solved] Mental Health NCLEX Questions with Answers

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MENTAL HEALTH NCLEX QUESTIONS WITH ANSWERS 1. The home care nurse is visiting an older client whose spouse died 6 months ago. Which behavior by the client indicates ineffective coping? 1. Neglecting personal grooming 2. Looking at old snapshots of family 3. Participating in a senior citizens' program 4. Visiting their spouse's grave once a month 1. Neglecting personal grooming 2. A client with a diagnosis of major depression who has attempted suicide says to the nurse, "I should have died. I've always been a failure. Nothing ever goes righ...
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