Mental Health Final Exam NCLEX-

Mental Health Final Exam (NCLEX- Style Questions) A nurse is assessing a client who, over the past 3 years has experienced feelings of sadness r/t death of a beloved aunt. Client barely eats, or sleeps and is socially isolative. How should the nurse interpret the behavior?

• Clients functional impairment indicates a need for psychiatric commitment
• Clients behaviors are part of normal grief process
• Clients behaviors are not congruent with cultural norms
• Clients functional impairment indicates potential mental illness - ANSWER

D Which of the following is an immediate physical response associated with fight or flight? (Select all that apply)

• Pupils constrict
• Respiratory rate increases
• Sweat gland secretions decrease
• Renal and digestive system functions are suppressed - ANSWER

B, D The nurse is caring for a client who is experiencing alcohol withdrawal. The nurse would be most concerned if the client exhibited which of the following?

• Hallucinations
• Nervousness
• Diaphoresis
• Nausea - ANSWER A 1 / 2

A client asks a nurse not to tell his parents about his alcohol problem. What is the most appropriate response by the nurse?

• "How can you not tell them? Is that being honest?"
• "Don't you think you'll need to tell them someday?"
• "Do alcohol problems run in either side of your family?"
• "What do you think will happen if you tell your parents?" - ANSWER

D A client who is withdrawing from alcohol is being given lorazepam (Ativan). The client's family asks the nurse about the medication. What is the best response by the nurse?

• "Short-term use of lorazepam can lead to dependence"
• "The lorazepam will reduce the symptoms of withdrawal"
• "The lorazepam will make him forget about symptoms of withdrawal"
• "The lorazepam will also help with his heart disease" - ANSWER

B A nurse is caring for a client undergoing treatment for acute alcohol dependence.The client tells the nurse, "I don't have a problem. My wife made me come here." Which defense mechanism does the nurse interpret the client's statement as representing?

• Projection and suppression
• Denial and rationalization
• Rationalization and repression
• Suppression and denial - ANSWER B

An alcoholic client tells the nurse, "I feel so depressed about what I've done to my family that I feel like giving up." It is most important for the nurse to assess the client for which of the following?

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