MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023, Exams of Nursing

Download MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 and more Exams Nursing in PDF only on Docsity! MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 Mental Health 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 right for me." Which response demonstrates therapeutic communication? 1. "You have everything to live for." 2. "Why do you see yourself as a failure?" 3. "Feeling like this is all part of being depressed." 4. "You've been feeling like a failure for a while?" 4. "You've been feeling like a failure for a while?" 3. 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? 1. "I see." 2. "Really?" 3. "You're having difficulty sleeping?" 4. "Sometimes, I have trouble sleeping too." MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 3. "You're having difficulty sleeping?" 4. A client experiencing disturbed thought processes believes that his food is being poisoned. Which communication technique should the nurse use to encourage the client to eat? 1. Using open-ended questions and silence 2. Sharing personal preference regarding food choices 3. Documenting reasons why the client does not want to eat 4. Offering opinions about the necessity of adequate nutrition 1. Using open-ended questions and silence MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 3. Developing realistic solutions 4. Identifying expected outcomes 2. Making appropriate referrals 10. The nurse in the mental health unit recognizes which as being therapeutic communication techniques? Select all that apply. 1. Restating 2. Listening 3. Asking the client, "Why?" 4. Maintaining neutral responses 5. Providing acknowledgment and feedback 6. Giving advice and approval or disapproval o 1. Restating o 2. Listening o 4. Maintaining neutral responses o 5. Providing acknowledgment and feedback 11. 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? 1. Denial 2. Projection 3. Rationalization 4. Intellectualization MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 1. Denial 12. A client's unresolved feelings related to loss would be most likely observed during which phase of the therapeutic nurse-client relationship? 1. Trusting 2. Working 3. Orientation 4. Termination 4. Termination 13. The nurse is working with a client who despite 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? 1. Exploring the client's ability to function 2. Exploring the client's potential for self-harm MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 3. Inquiring about the client's perception or appraisal of why the rescue was unsuccessful 4. Inquiring about and examining the client's feelings for any that may block adaptive coping 4. Inquiring about and examining the client's feelings for any that may block adaptive coping 14. 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? 1. Acknowledging that the group has identified goals 2. Encouraging the accomplishment of the group's work 3. Acknowledging the contributions of each group member 4. Encouraging members to become acquainted with one another 3. Acknowledging the contributions of each group member 15. Which are characteristics of the termination stage of group development? Select all that apply. 1. The group evaluates the experience. 2. The real work of the group is accomplished. 3. Group interaction involves superficial conversation. 4. Group members become acquainted with each other. 5. Some structuring of group norms, roles, and responsibilities takes place. 6. The group explores members' feelings about the group and the impending separation. o 1. The group evaluates the experience. o 6. The group explores members' feelings about the group and the MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 4. Systematic desensitization 4. Systematic desensitization 21. A client is planning to attend Overeaters Anonymous. Which statement by the client indicates a need for additional information regarding this self-help group? 1. "The leader is a nurse or psychiatrist." 2. "The members provide support to each other." 3. "People who have a similar problem are able to help others." 4. "It is designed to serve people who have a common problem." 1. "The leader is a nurse or psychiatrist." 22. What is the most appropriate nursing action to help manage a manic client who is monopolizing a group therapy session? 1. Ask the client to leave the group for this session only. 2. Refer the client to another group that includes other manic clients. MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 3. Tell the client to stop monopolizing in a firm but compassionate manner. 4. Thank the client for the input, but inform the client that now others need a chance to contribute. 4. Thank the client for the input, but inform the client that now others need a chance to contribute. 23. Which type of therapeutic approach has the characteristic that all team members are seen as equally important in helping clients meet their goals? 1. Milieu therapy 2. Interpersonal therapy 3. Behavior modification 4. Rational emotive therapy 1. Milieu therapy 24. 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? 1. "I don't believe this is true." 2. "The guards are not out to kill you." 3. "Do you feel afraid that people are trying to hurt you?" 4. "What makes you think the guards were sent to hurt you?" 3. "Do you feel afraid that people are trying to hurt you?" 25. A client diagnosed with delirium becomes disoriented and confused at night. Which intervention should the nurse implement initially? 1. Move the client next to the nurse's station. 2. Use an indirect light source and turn off the television. MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 3. Keep the television and a soft light on during the night. 4. Play soft music during the night, and maintain a well-lit room. 2. Use an indirect light source and turn off the television. 26. 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? 1. Encouraging quiet reading and writing for the first few days 2. Identification of physical activities that will provide exercise 3. No socializing activities, until the client asks to participate in milieu 4. A structured program of activities in which the client can participate 4. A structured program of activities in which the client can participate 27. 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? MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 3. Escort the client to their room, with the assistance of other staff. 32. Which nursing interventions are appropriate for a hospitalized client with mania who is exhibiting manipulative behavior? Select all that apply. 1. Communicate expected behaviors to the client. 2. Ensure that the client knows that they are not in charge of the nursing unit. 3. Assist the client in identifying ways of setting limits on personal behaviors. 4. Follow through about the consequences of behavior in a nonpunitive manner. 5. Enforce rules by informing the client that they will not be allowed to attend therapy groups. 6. Have the client state the consequences for behaving in ways that are viewed as unacceptable. o 1. Communicate expected behaviors to the client. o 3. Assist the client in identifying ways of setting limits on personal behaviors. o 4. Follow through about the consequences of behavior in a nonpunitive manner. o 6. Have the client state the consequences for behaving in ways that are viewed as unacceptable. 33. 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? 1. Provide safety for the client and other clients on the unit. 2. Provide the clients on the unit with a sense of comfort and safety. 3. Assist the staff in caring for the client in a controlled environment. 4. Offer the client a less stimulating area to calm down in and gain control. MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 1. Provide safety for the client and other clients on the unit. 34. 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? 1. "My medications aren't likely to make me anxious." 2. "I'll go to support group and talk so that I don't hurt anyone." 3. "It's not likely that I'll get anxious or hear things if I get enough sleep and eat well." 4. "When I begin to hallucinate, I'll call my therapist and talk about what I should do." 4. "When I begin to hallucinate, I'll call my therapist and talk about what I should do." 35. The nurse is caring for a client diagnosed with catatonic stupor who is lying on the bed in a fetal position. What is the most appropriate nursing intervention? 1. Ask direct questions to encourage talking. MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 2. Leave the client alone so as to minimize external stimuli. 3. Sit beside the client in silence with occasional open-ended questions. 4. Take the client into the dayroom with other clients so that they can help watch him. 3. Sit beside the client in silence with occasional open-ended questions. 36. 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? 1. Increase socialization of the client with peers. 2. Avoid laughing or whispering in front of the client. 3. Begin to educate the client about social supports in the community. 4. Have the client sign a release of information to appropriate parties for assessment purposes. 2. Avoid laughing or whispering in front of the client. 37. The nurse is planning activities for a client diagnosed with bipolar disorder with aggressive social behavior. Which activity would be most appropriate for this client? 1. Chess 2. Writing 3. Ping pong 4. Basketball 2. Writing 38. 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 MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 4. Tell the client that the client cannot return to this hospital again if the client leaves now. 1. Call the nursing supervisor. 42. 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. 1. Dental decay 2. Moist oily skin 3. Loss of tooth enamel 4. Electrolyte imbalances 5. Body weight well below ideal range o 1. Dental decay o 3. Loss of tooth enamel MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 o 4. Electrolyte imbalances 43. 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? 1. Interrupt the client and weigh her immediately. 2. Interrupt the client and offer to take her for a walk. 3. Allow the client to complete her exercise program. 4. Tell the client that she is not allowed to exercise rigorously. 2. Interrupt the client and offer to take her for a walk. 44. 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 be assigned to this client's room. Which client would be the best choice as a roommate for the client with anorexia nervosa? 1. A client with pneumonia 2. A client undergoing diagnostic tests 3. A client who thrives on managing others 4. A client who could benefit from the client's assistance at mealtime 2. A client undergoing diagnostic tests 45. The nurse is monitoring a hospitalized client who abuses alcohol. Which findings should alert the nurse to the potential for alcohol withdrawal delirium? 1. Hypotension, ataxia, hunger 2. Stupor, lethargy, muscular rigidity 3. Hypotension, coarse hand tremors, lethargy 4. Hypertension, changes in level of consciousness, hallucinations MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 4. Hypertension, changes in level of consciousness, hallucinations 46. 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? 1. "Why don't you tell your wife about this?" 2. "What do you find difficult about this situation?" 3. "This is not the best time to make that decision." 4. "I agree with you. You should get out of this situation." 2. "What do you find difficult about this situation?" 47. 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? MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 4. A client's response to a crisis is individualized and what constitutes a crisis for one client may not constitute a crisis for another client. 4. A client's response to a crisis is individualized and what constitutes a crisis for one client may not constitute a crisis for another client. 52. 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 be most appropriate to make to this client? 1. "You need to stop that behavior now." 2. "You will need to be placed in seclusion." 3. "You seem restless; tell me what is happening." 4. "You will need to be restrained if you do not change your behavior." 3. "You seem restless; tell me what is happening." 53. A depressed client on an inpatient unit says to the nurse, "My family would be better off without me." What is the nurse's best response? 1. "Have you talked to your family about this?" 2. "Everyone feels this way when they are depressed." 3. "You will feel better once your medication begins to work." 4. "You sound very upset. Are you thinking of hurting yourself?" 4. "You sound very upset. Are you thinking of hurting yourself?" 54. 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? 1. Initiate confinement measures. MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 2. Acknowledge the client's behavior. 3. Assist the client to an area that is quiet. 4. Maintain a safe distance from the client. 1. Initiate confinement measures. 55. Which behavior observed by the nurse indicates a suspicion that a depressed adolescent client may be suicidal? 1. The adolescent gives away a DVD and a cherished autographed picture of a performer. 2. The adolescent runs out of the therapy group, swearing at the group leader, and runs to her room. 3. The adolescent becomes angry while speaking on the telephone and slams down the receiver. 4. The adolescent gets angry with her roommate when the roommate borrows the client's clothes without asking. 1. The adolescent gives away a DVD and a cherished autographed picture of a performer. MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 56. The police arrive at the emergency department with a client who has lacerated both wrists. What is the initial nursing action? 1. Administer an antianxiety agent. 2. Examine and treat the wound sites. 3. Secure and record a detailed history. 4. Encourage and assist the client to ventilate feelings. 2. Examine and treat the wound sites. 57. A moderately depressed client who was hospitalized 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? 1. Suggesting a reduction of medication 2. Allowing increased "in-room" activities 3. Increasing the level of suicide precautions 4. Allowing the client off-unit privileges as needed 3. Increasing the level of suicide precautions 58. 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? 1. One-to-one suicide precautions 2. Suicide precautions with 30-minute checks 3. Checking the whereabouts of the client every 15 minutes 4. Asking the client to report suicidal thoughts immediately 1. One-to-one suicide precautions MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 63. 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? 1. Adhering to the mandatory abuse-reporting laws 2. Notifying the case worker of the family situation 3. Removing the client from any immediate danger 4. Obtaining treatment for the abusing family member 3. Removing the client from any immediate danger 64. The nurse assesses a client with the admitting diagnosis of bipolar affective disorder, mania. Which client symptoms require the nurse's immediate action? 1. Incessant talking and sexual innuendoes 2. Grandiose delusions and poor concentration 3. Outlandish behaviors and inappropriate dress 4. Nonstop physical activity and poor nutritional intake 4. Nonstop physical activity and poor nutritional intake MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 65. The nurse is performing an assessment on a client with dementia. Which data gathered during the assessment indicates a manifestation associated with dementia? 1. Uses confabulation 2. Improvement in sleeping 3. Absence of sundown syndrome 4. Presence of personal hygienic care 1. Uses confabulation 66. The nurse is caring for a client with anorexia nervosa. Which behavior is characteristic of this disorder and reflects anxiety management? 1. Engaging in immoral acts 2. Always reinforcing self-approval 3. Observing rigid rules and regulations 4. Having the need always to make the right decision 3. Observing rigid rules and regulations 67. 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? 1. Reassure the client that things will get better. 2. Tell the client that this is not true and that we all have a purpose in life. 3. Identify recent behaviors or accomplishments that demonstrate the client's skills. 4. Remain with the client and sit in silence; this will encourage the client to verbalize feelings. 3. Identify recent behaviors or accomplishments that demonstrate the client's skills. MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 68. 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? 1. An expected coping mechanism 2. An ineffective coping mechanism 3. A need to notify the hospital lawyer 4. An expression of guilt on the part of the client 1. An expected coping mechanism 69. 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? 1. "This form of therapy can be applied to new situations." 2. "An advantage of this technique is that change is likely to last." 3. "Talking to oneself is a basic component of this form of therapy." MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 2. "Those clients who talk about suicide never do it." 3. "Depressed clients are the only persons who commit suicide." 4. "When a person talks about making suicide threats, the only thing the person wants is attention from family and friends." 1. "Discussing suicide with a client is not harmful." 75. Which client is most at risk for committing suicide? 1. A 75-year-old client with metastatic cancer 2. A 71-year-old client with a cardiac disorder 3. A 24-year-old client who just had an argument with her roommate 4. A 30-year-old newly divorced client who states she has custody of the children 1. A 75-year-old client with metastatic cancer 76. 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? 1. "Abusers use fear and intimidation." 2. "Abusers usually have poor self-esteem." 3. "Abusers often are jealous or self-centered." 4. "Abuse occurs more often in low-income families." 4. "Abuse occurs more often in low-income families." 77. 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? 1. Does not smoke at all 2. Receives no visitors and participates in limited unit activities 3. Reports to the clinic for blood draws and an electrocardiogram (ECG) MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 4. Is placed on nothing by mouth (NPO) status for 16 to 24 hours before the ECT 3. Reports to the clinic for blood draws and an electrocardiogram (ECG) 78. 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 be used in treatment for the client. Which statement by the student indicates a need for further information about the therapy? 1. "It uses positive reinforcement." 2. "It uses negative reinforcement." 3. "It increases social behaviors in the client." 4. "It increases the level of self-care in the client." 2. "It uses negative reinforcement." 79. 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 MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 this risk? 1. "What are you feeling right now?" 2. "Do you have a plan to commit suicide?" 3. "How many times have you attempted suicide in the past?" 4. "Why were your attempts at suicide unsuccessful in the past?" 2. "Do you have a plan to commit suicide?" 80. 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? 1. Depression 2. Schizophrenia 3. Somatization disorder 4. Obsessive-compulsive disorder 3. Somatization disorder 81. 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 be therapeutic? 1. "You have said this many times before!" 2. "Tell me what makes you feel that you are ready." 3. "I have not seen any changes in you to believe that you are ready to go straight." 4. "I'm so glad to hear you talking this way. I will let your health care provider know." MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 86. 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. 1. Assist the client in selecting foods from the food menu. 2. Offer high-calorie fluids throughout the day and evening. 3. Allow the client to eat alone in the room if the client requests to do so. 4. Offer small high-calorie, high-protein snacks during the day and evening. 5. Select the foods for the client to be sure that the client eats a balanced diet. o 1. Assist the client in selecting foods from the food menu. o 2. Offer high-calorie fluids throughout the day and evening. o 4. Offer small high-calorie, high-protein snacks during the day and evening. 87. 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 MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 incongruent with the tone of the situation. The nurse should document the findings using which description of the client's behavioral response? 1. Flat affect 2. Bizarre affect 3. Blunted affect 4. Inappropriate affect 4. Inappropriate affect 88. 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? 1. The client has a flat affect. 2. The client has an inappropriate affect. 3. The client is exhibiting bizarre behavior. 4. The client's emotional responses exhibit a blunted affect. 1. The client has a flat affect. 89. 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. 1. Provide a warm approach to the client. 2. Ask permission before touching the client. 3. Eliminate physical contact with the client. 4. Defuse any anger or verbal attacks with a nondefensive stance. 5. Use simple and clear language when communicating with the client. o 2. Ask permission before touching the client. MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 o 3. Eliminate physical contact with the client. o 4. Defuse any anger or verbal attacks with a nondefensive stance. o 5. Use simple and clear language when communicating with the client. 90. The nurse is preparing a client for electroconvulsive therapy (ECT), which is scheduled for the next morning. Which interventions would be included in the preprocedural plan? Select all that apply. 1. Obtain an informed consent. 2. Have the client void before the procedure. 3. Remove dentures and contact lenses before the procedure. 4. Withhold food and fluids for 6 hours before the treatment. 5. Administer tap water enemas on the evening before the procedure. o 1. Obtain an informed consent. MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 95. 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? 1. Teach self-grooming skills. 2. Reward cleanliness with unit privileges. 3. Monitor the adequacy of the antipsychotic dosage. 4. Encourage frequent fluid intake and a high-fiber diet. 4. Encourage frequent fluid intake and a high-fiber diet. 96. 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? 1. The nurse must have the client go to the local mental health center daily for counseling. 2. The nurse must ask the client not to reveal suicidal plans if the information needs to be kept confidential. 3. The nurse cannot tell anyone what the client said and must strictly adhere to the professional duty for confidentiality. 4. The nurse must override the duty to observe confidentiality and notify the client's health care provider (HCP) about the suicidal ideation. 4. The nurse must override the duty to observe confidentiality and notify the client's health care provider (HCP) about the suicidal ideation. 97. The mental health nurse is reviewing the discharge plan for a hospitalized 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? MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 1. The community's opposition 2. The client's noncompliance with medication therapy 3. The associated increased incidence of social problems 4. The family's reaction to keeping the client in the community 2. The client's noncompliance with medication therapy 98. 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? 1. Refusing to eat and excessive exercising 2. Eating only vegetables and fruits and fasting 3. Hoarding of food and difficulty controlling food intake 4. Eating a lot of food in a short period of time and misuse of laxatives 4. Eating a lot of food in a short period of time and misuse of laxatives MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 99. 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? 1. Allow the client to pace. 2. Escort the client to a quiet room. 3. Change the conversation to a less threatening subject. 4. Share the observation with the client and help the client to recognize his feelings. 4. Share the observation with the client and help the client to recognize his feelings. 100. 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 be documented for this client? 1. Anxiety 2. Agoraphobia 3. Schizophrenia 4. Posttraumatic stress disorder (PTSD) 4. Posttraumatic stress disorder (PTSD) 101. 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? 1. Explain the unit rules. 2. Orient the client to the unit. 3. Stabilize the client's psychiatric needs. 4. Accept the client and make the client feel safe. MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 appropriate nursing response? 1. "You must go. You have no choice." 2. "Why don't you want to attend? What is the real reason?" 3. "The health care provider has prescribed this therapy for you." 4. "You don't have to sing at the session. You can listen and enjoy the music." 4. "You don't have to sing at the session. You can listen and enjoy the music." 107. The nurse is monitoring a client who has been placed in restraints because of violent behavior. When should the nurse determine that it will be safe to remove the restraints? 1. Administered medication has taken effect. 2. The client verbalizes the reasons for the violent behavior. 3. The client apologizes and tells the nurse that it will never happen again. 4. No acts of aggression have been observed within 1 hour after the release of two of the extremity restraints. MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 4. No acts of aggression have been observed within 1 hour after the release of two of the extremity restraints. 108. 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? 1. Manipulation 2. Improvement 3. Attention seeking 4. Desire to be accepted 2. Improvement 109. 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. 1. The average series involves 6 to 12 treatments. 2. Some confusion may be noted after the procedure. 3. Memory loss will occur but will resolve with time. 4. This treatment is a permanent cure to the condition. 5. This treatment is tried before the use of medications. o 1. The average series involves 6 to 12 treatments. o 2. Some confusion may be noted after the procedure. o 3. Memory loss will occur but will resolve with time. MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 110. 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? 1. Biofeedback has the advantage of using no equipment at all. 2. Guided imagery is a helpful technique but requires video equipment for its use. 3. Confrontation is a useful method for solving potentially stressful conflicts with others. 4. Progressive muscle relaxation techniques are useful for easing tension from many causes. 4. Progressive muscle relaxation techniques are useful for easing tension from many causes. 111. 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? MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 3. A need to notify the hospital lawyer 4. An expression of guilt on the part of the client 1. An expected coping mechanism 116. 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 be included? 1. 3 2. 8 3. 14 4. 16 2. 8 117. 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? 1. Sit and talk with the client. 2. Ask the unlicensed assistive personnel to sit with the client. 3. Administer the prescribed as-needed antianxiety medication. 4. Tell the client that it is time for sleep and that you will talk with him tomorrow. 1. Sit and talk with the client. 118. 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 be appropriate for which MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 clients? Select all that apply. 1. A client with panic disorder 2. Generalized anxiety disorder 3. A client with multiple personality disorder 4. A client with posttraumatic stress disorder (PTSD) 5. A client with obsessive-compulsive disorder (OCD) o 1. A client with panic disorder o 2. Generalized anxiety disorder o 4. A client with posttraumatic stress disorder (PTSD) o 5. A client with obsessive-compulsive disorder (OCD) 119. 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 MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 behaviors in the client? 1. Suspicious and hostile 2. Flexible and adaptable 3. Frightened and delusional 4. Rigidness in thought and inflexibility 4. Rigidness in thought and inflexibility 120. 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? 1. A phobia 2. Generalized anxiety disorder 3. Posttraumatic stress disorder (PTSD) 4. Obsessive-compulsive disorder (OCD) 4. Obsessive-compulsive disorder (OCD) 121. 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? 1. Fears 2. Actions 3. Illusions 4. Thoughts MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 126. 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 be confirmed medically. The nurse interprets these findings as indicating which condition? 1. Depression 2. Somatization disorder 3. Posttraumatic stress disorder 4. Obsessive-compulsive disorder 2. Somatization disorder 127. 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? 1. "Right! Why not just ‘pack it in'?" 2. "That seems rather unlikely to me." MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 3. "I don't believe that, and neither do you." 4. "You must be feeling all alone at this point." 4. "You must be feeling all alone at this point." 128. 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? 1. Continue to assess the client's behaviors and document clearly in the chart. 2. Report to the health care provider that the client is adapting to the unit and is feeling safe. 3. Notify the health team of these observations and alert them to the suspicion that the client is contemplating suicide. 4. Engage the client in one-to-one supervision, share with the client the observations that have been assessed, and ask whether the client is thinking about suicide. 4. Engage the client in one-to-one supervision, share with the client the observations that have been assessed, and ask whether the client is thinking about suicide. 129. The nurse is performing an assessment on a 16-year-old female client who has been diagnosed with anorexia nervosa. Which statement, if made by the client, would the nurse identify as necessitating further assessment on a priority basis? 1. "I check my weight every day without fail." 2. "I've been told that I am 10% below ideal body weight." 3. "I exercise 3 to 4 hours every day to keep my slim figure." 4. "My best friend was in the hospital with this disease a year ago." 3. "I exercise 3 to 4 hours every day to keep my slim figure." MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 130. 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? 1. The client is impulsive. 2. The client is disorganized. 3. The client has a history of suicide attempts. 4. The client has an immediate plan for a suicide attempt. 4. The client has an immediate plan for a suicide attempt. 131. 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? Select all that apply. 1. Giving all medications just once per day 2. Including the family in the medication planning process 3. Working with the psychiatrist to find the right medication at the right dose 4. Providing the client with the injectable, long-acting form of the medication if available MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 1. Ignore the client. 2. Tell the client to go back to her room. 3. Escort the client to her room and assist her in getting dressed. 4. Tell the other clients to go into the nursing unit day room immediately. 3. Escort the client to her room and assist her in getting dressed. 136. 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? 1. Forming 2. Storming 3. Norming 4. Performing 1. Forming 137. When planning discharge care for a client with bipolar disorder, the nurse determines theneed for further teaching when the client makes which statement? 1. "I hope I am going to like my new counselor." 2. "I sure hope I will still be productive at work." 3. "I am going to keep a close check on any stress in my life." 4. "I will take the medicine until I am sure I am feeling well enough to handle my problems again." 4. "I will take the medicine until I am sure I am feeling well enough to handle my problems again." MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 138. 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? 1. "I know I'm ready to be discharged. I feel like I can say ‘no' and leave a group of friends if they are drinking. No problem." 2. "I'll keep all my appointments and go to all my AA groups; I'll do everything I'm supposed to. Nothing will go wrong that way." 3. "I'm looking forward to leaving here. I will miss all of you. So, I'm happy and I'm sad, I'm excited, and I'm scared. I know that I have to work hard to be strong and that everyone isn't going to be as helpful as you people." 4. "This group has really helped a lot. I know it will be different when I go home. But I'm sure that my family and friends will all help me like the people in this group have.... They'll all help me.... I know they will... .They won't let me go back to old ways." 3. "I'm looking forward to leaving here. I will miss all of you. So, I'm happy and I'm sad, I'm excited, and I'm scared. I know that I have to work hard to be strong and that everyone isn't going to be as helpful as you people." MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 139. A client who is on lithium carbonate will be discharged at the end of the week. In formulating a discharge teaching plan, the nurse should include which precaution? 1. Avoid soy sauce, wine, and aged cheese. 2. Have the blood lithium level checked every 2 weeks. 3. Take the medication only as prescribed because it can become addicting. 4. Check with the psychiatrist before using any over-the-counter medications. 4. Check with the psychiatrist before using any over-the-counter medications. 140. 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? 1. "I took an extra pill for anxiety and got through the funeral fairly well." 2. "Taking my anxiety pills before I leave has helped me to cross the bridge and go to work every morning." 3. "I went to the movies with my family and stayed through the whole film by sitting in a seat along the aisle." 4. "I have noticed that I'm becoming anxious, and I worry that if I don't take my anxiety pill just before it's due, I'll go crazy, so I get it ready to take to calm down." 3. "I went to the movies with my family and stayed through the whole film by sitting in a seat along the aisle." 141. 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? 1. Having the client confront the anxiety-provoking stimulus and providing support during the episode 2. Instructing the client to do what the client fears and, if possible, to exaggerate MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 2. Restrict the amount of chocolate and caffeine products in the home. 145. 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? 1. Diabetes mellitus 2. Hyperthyroidism 3. Peripheral vascular disease 4. Recent myocardial infarction 4. Recent myocardial infarction 146. 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? 1. Inform the yelling client that she must leave the group. MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 2. Call security personnel to come to the group therapy session. 3. Explore the other client's responses to the woman's yelling behavior. 4. Firmly reinforce group rules to the woman, stating that aggressive yelling is not acceptable in the group. 4. Firmly reinforce group rules to the woman, stating that aggressive yelling is not acceptable in the group. 147. A client hospitalized in the mental health unit with depression is preparing to be 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? 1. "I want to say thank you. I think I've worked hard and you, too. I know I'm not finished yet. I need to come back for appointments. I'm glad. I don't think I could leave totally on my own." 2. "This has been the hardest trip here for me, but I have made progress in learning how to communicate, especially with my family. I'm ready to go. I feel I'm ready this time...more than the last!" 3. "I really tried to listen to what people said in the group this time. Sometimes it was hard, but I tried to listen. I think we really helped each other. I think I've learned to listen better rather than my jumping too quickly into something." 4. "I think I really couldn't have worked that job even if the man had given me the time he should have during the interview. It's just as well. I really didn't want a job where I had to work such long hours. But I had good reason to get depressed and end up here. But it all worked out. I really didn't want that job anyway." 4. "I think I really couldn't have worked that job even if the man had given me the time he should have during the interview. It's just as well. I really didn't want a job where I had to work such long hours. But I had good reason to get depressed and end up here. But MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 it all worked out. I really didn't want that job anyway." 148. 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 be believed." If no one in the group responds, which statement is the therapeutic response by the nurse? 1. "A pretty horrible experience for you to undergo. Does anyone in the group want to respond?" 2. "Yes. Everyone here was ill-used and abused, but what makes you think that this is a reason to stab someone?" 3. "Your story is very much like every woman's here. I think you had other options besides violence, don't you?" 4. "Seems as if you went from one abusing man to another. Do you really think you're here because your husband is a good liar and a ‘big shot'?" MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 2. Speech is illogical and loosely associated. 3. Speech is distractible and contains flight of ideas. 4. Speech is pressured and contains clang associations. 2. Speech is illogical and loosely associated. 153. 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 be therapeutic? 1. "Only you can help?" 2. "You decided not to take your medication?" 3. "If you can make this wise observation, you probably don't need your medication any longer." 4. "Your health care provider wants you to continue with this medication because it is helping you. Do you recall needing to be hospitalized because you stopped your medication?" 4. "Your health care provider wants you to continue with this medication because it is helping you. Do you recall needing to be hospitalized because you stopped your medication?" 154. 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? 1. Hanging 2. Using a gun 3. Inhaling natural gas 4. Jumping off a bridge MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 3. Inhaling natural gas 155. The nurse in a mental health clinic is reviewing the records of the clients to be seen that day. The nurse determines that which client is at highest risk for suicide? 1. An African-American male lawyer who is 47 years old and recently divorced 2. A 25-year-old housewife who is married to a widower and has one 2-year-old son and a 3-year-old stepdaughter 3. A single parent who failed the general equivalency diploma examination and whose six children are on scholarship in graduate and medical schools 4. An 18-year-old alcohol- and drug-abusing youth who must tell his parents that he failed to pass an examination required for graduation from high school 4. An 18-year-old alcohol- and drug-abusing youth who must tell his parents that he failed to pass an examination required for graduation from high school 156. 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 MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 him in sick at work, he'd lose his job. Where would we be then?" Which statement by the nurse co-leader would be therapeutic? 1. "Does anyone in the group want to respond to that?" 2. "So you only call him in sick because you are worried about money?" 3. "Do you know that enabling creates codependency? Isn't viewing his failure as yours significant?" 4. "Do you need a house to fall on you to understand this disease? Can someone else deal with this client's statements?" 3. "Do you know that enabling creates codependency? Isn't viewing his failure as yours significant?" 157. 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? 1. "It sounds as if everything you do is either all-or-none." 2. "Your counselor called and asked for you, so it would seem that everything isn't ruined yet." 3. "The methadone program is now refusing you, and your boss fired you, so you're at square one, so to speak." 4. "It does sound as if you need to work on repair, but now you will need to be more alert to your signs of being vulnerable to slipping off your treatment program." 4. "It does sound as if you need to work on repair, but now you will need to be more alert to your signs of being vulnerable to slipping off your treatment program." 158. An alcohol-troubled client says, "The 12 Steps of Alcoholics Anonymous MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 1. Tolerance 2. Addiction 3. Adjustment 4. Heavy social drinking 1. Tolerance 162. 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? 1. "When did you do that? How could you be so gullible?" 2. "Most emotionally battered spouses begin to heal once they start to identify their husbands' behaviors." 3. "How is it that a man who doesn't earn the chief supporting income can maneuver someone like he has?" MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 4. "So you realize that there are many ways to erode someone's self-confidence and independence? Can you share with me some ways that you feel you can cope with this abuse?" 4. "So you realize that there are many ways to erode someone's self-confidence and independence? Can you share with me some ways that you feel you can cope with this abuse?" 163. 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? 1. "I need to place you in restraints." 2. "I need you to sign a form before leaving." 3. "How old are you? Your father must no longer be living." 4. "I'm glad you told me that. Let's have a cup of coffee, and you can tell me about your father." 4. "I'm glad you told me that. Let's have a cup of coffee, and you can tell me about your father." 164. 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? 1. Disturbed thought processes 2. Lack of knowledge about the behavior 3. Inability to care for self with bathing procedures 4. Altered nutrition: inadequate consumption of food 1. Disturbed thought processes MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 165. 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? 1. Plan nothing until the client asks to participate in milieu. 2. Encourage the client to play solitaire while providing a deck of cards. 3. Provide a structured daily program of activities and encourage the client to participate. 4. Offer the client a menu of daily activities and insist that the client participate in all of them. 3. Provide a structured daily program of activities and encourage the client to participate. 166. 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? 1. Assess the client's vital signs. 2. Identify the client's activity during the pain. MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 1. Trust 2. Socialization 3. Making decisions 4. Self-centeredness 3. Making decisions 172. Which piece of subjective data obtained during assessment of a severely anxious client would indicate the possibility of posttraumatic stress disorder? 1. "I'm afraid to go outside." 2. "I keep reliving the abuse." 3. "I am afraid to drive on the freeway." 4. "I keep washing my hands over and over." 2. "I keep reliving the abuse." 173. 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? 1. The danger time has passed. 2. The next hour could be critical. 3. Signs may appear during the present shift. 4. Withdrawal will occur after the shift is over. 3. Signs may appear during the present shift. 174. Thiamine supplementation and other nutritional vitamin support measures are prescribed for clients who have been using alcohol to prevent or decrease the risk of MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 which complication? 1. Cirrhosis 2. Delirium tremens 3. Esophageal varices 4. Wernicke-Korsakoff syndrome 4. Wernicke-Korsakoff syndrome 175. Which mental health professional is responsible for the milieu in an inpatient psychiatric setting? 1. Nurse 2. Psychiatrist 3. Psychologist 4. Social worker 1. Nurse MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 176. Which best describes the purpose of behavioral therapy? 1. Fosters positive behavioral change 2. Develops structure and organizes time 3. Creates insight into maladaptive behavior 4. Decreases stress through relaxation training 1. Fosters positive behavioral change 177. 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? 1. "This form of therapy can be applied to new situations." 2. "An advantage of this technique is that change is likely to last." 3. "Talking to oneself is a basic component of this form of therapy." 4. "It provides a negative reinforcement when the stimulus is produced." 4. "It provides a negative reinforcement when the stimulus is produced." 178. 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? 1. "What makes you think that I am a vampire?" 2. "I'll leave and come back later for your blood." 3. "I am not going to hurt you; I am going to help you." 4. "It must be frightening to think that others want to hurt you." 4. "It must be frightening to think that others want to hurt you." MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 3. Inability to meet role expectations 184. A client arrives in the emergency department in a crisis state. The client demonstrates signs of profound anxiety and is unable to focus on anything but the object of the crisis and the effect on self. Which item should the initial nursing assessment focus on? 1. The object of the crisis 2. The client's coping mechanisms 3. The presence of support systems 4. The physical condition of the client 4. The physical condition of the client 185. A clinic nurse is monitoring a client with anorexia nervosa. Which statement, if made by a client, should indicate to the nurse that treatment has been effective? 1. "I'll eat until I don't feel hungry." 2. "I no longer have a weight problem." MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 3. "I don't want to starve myself anymore." 4. "My friends and I went out to lunch today." 4. "My friends and I went out to lunch today." 186. A client with a history of anxiety appears to be in the second phase of crisis response. The nurse prepares for the possibility that which will occur? 1. The client will show the initial signs that coping methods are failing. 2. The client will employ new coping methods that will resolve the problem. 3. The client will experience severe anxiety as a result of failed coping methods. 4. The client will begin to implement coping methods that have been successful in the past. 2. The client will employ new coping methods that will resolve the problem. 187. Which is the primary goal of crisis intervention therapy? 1. Introduce new, effective coping methods to the client. 2 .Assess the client in order to identify the causative stressors. 3. Establish a sustainable therapeutic nurse-client relationship. 4. Assist the client in returning to the level of pre-crisis functioning. 4. Assist the client in returning to the level of pre-crisis functioning. 188. Which statement, if made by a client who has recently experienced an emotional crisis, ismost likely to assure the nurse that she has returned to her pre-crisis level of functioning? 1. "My husband tells me that I'm back to my old cheerful self." 2. "When I find myself getting stressed, I immediately use the relaxation techniques I've learned." MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 3. "My boss tells me that I'm being considered for a promotion and a raise." 4. "I have a different perspective on life now. I'm more confident of my ability to handle any problem." 3. "My boss tells me that I'm being considered for a promotion and a raise." 189. A homeless shelter has sustained severe damage as a result of a fire, and most of the structure and people's belongings were destroyed. Ten of the individuals who are being displaced have a history of chronic mental illness. The mental health team coordinating support initially should focus their efforts on which action? 1. Assessing the clients' need for supportive therapy 2. Evaluating the clients for signs of stress overload 3. Providing the clients with shelter, clothing, and food 4. Planning means for the clients to receive their medications 3. Providing the clients with shelter, clothing, and food MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 pain or difficulty eating and does not present any concern over the nurse's finding. The nurse recognizes the client's response as most likely the result of which client factor? 1. Apathy 2. Impaired pain perception 3. Distrust of authority figures 4. Poor verbal communication skills 2. Impaired pain perception 195. A client who is watching television in the dayroom shares with the nurse that he has begun seeing his mother being assaulted on the television screen. Which is the nurse's initial intervention? 1. Turn off the television. 2. Walk with the client around the unit. 3. Discuss the possible hallucinatory triggers. 4. Help him call his mother so he can speak with her. 1. Turn off the television. 196. The nurse is planning relapse prevention information for a client with schizophrenia who is being discharged. The nurse understands that it is important to ensure which primaryintervention in the plan whenever possible? 1. Including the client's support system in the teaching 2. Facilitating weekly maintenance therapy for the client 3. Having the client restate discharge goals and strategies 4. Stressing the importance of client compliance with the medication plan 1. Including the client's support system in the teaching MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 197. 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." Which is the best nursing response? 1. Tell the client that this is not true, that we all have a purpose in life. 2. Identify recent behaviors or accomplishments that demonstrate the client's skills. 3. Reassure the client that you know how the client is feeling and that things will get better. 4. Remain with the client and sit in silence. This will encourage the client to verbalize feelings. 2. Identify recent behaviors or accomplishments that demonstrate the client's skills. 198. The history assessment of a client diagnosed with schizophrenia confirms a routine that includes smoking two packs of cigarettes and drinking 10 cups of coffee daily. The nurse recognizes that which is the greatest risk for injury these behaviors present for this client? 1. Developing lung cancer and/or other respiratory disorders MENTAL HEALTH NCLEX QUESTIONS AND ANSWERS 100% CORRECT RATED A+ 2023 2. Withdrawal symptoms triggering a stress-induced relapse 3. Diminishing the effectiveness of psychotropic medication 4. Developing gastrointestinal disorders, including bleeding ulcers 3. Diminishing the effectiveness of psychotropic medication 199. The nurse should identify which best goal for a client experiencing hallucinations? 1. Support the client through the hallucination in a caring, therapeutic manner. 2. Provide the client with insight as to why he is experiencing the hallucination. 3. Facilitate the client's awareness that the hallucination is not the reality of the world. 4. Help the client understand that he can learn to ignore the hallucination through appropriate coping mechanisms. 3. Facilitate the client's awareness that the hallucination is not the reality of the world. 200. The parents of a young adult have expressed concerns about the cognitive and emotional changes they have noted in their child. The nurse recognizes which assessment and diagnostic data as associated with the diagnosis of schizophrenia? Select all that apply. 1 .A birthday of March 30 2. A loss of interest in hobbies 3. A suicide attempt 6 months ago 4. Adopted by family at age 14 months 5. Brain scan shows increased blood flow to the frontal lobes 6. Magnetic resonance imaging shows temporal lobe atrophy o 1 .A birthday of March 30