NCLEX PN MENTAL HEALTH EXAM 2023 -2024

NCLEX PN MENTAL HEALTH EXAM 2023 -2024

ACTUAL EXAM 300 QUESTIONS AND CORRECT

DETAILED ANSWERS WITH RATIONALES (VERIFIED

ANSWERS) |ALREADY GRADED A

The nurse is reviewing the record of a client admitted to the mental health unit and notes that the client was admitted by voluntary status.The nurse makes which determination? - ANSWER- The client has the right to demand and obtain release from the hospital.

A client has reported that crying spells have been a major problem over the past several weeks and that the doctor said depression is probably the reason. The nurse observes that the client is sitting slumped in the chair, and the clothes that the client is wearing do not fit well. The nurse interprets that further data collection should focus on which? - ANSWER- Weight loss

Which are appropriate interventions for caring for the client in alcohol withdrawal? Select all that apply - ANSWER- Monitor vital signs.

Provide a safe environment.

Address hallucinations therapeutically.

Provide reality orientation as appropriate. 1 / 4

The nurse is assigned to care for a client experiencing disturbed thought processes. The nurse is told that the client believes that the food is being poisoned. Which communication technique should the nurse plan to use to encourage the client to eat? - ANSWER- Open-ended questions and silence

A hospitalized client who recently experienced the loss of a spouse is grieving. The client progresses well and is approaching discharge.Which is an appropriate outcome for this client? - ANSWER- The client verbalizes stages of grief and plans to attend a community grief group.

A long-term care resident with a history of paranoid schizophrenia refuses to eat and tells the nurse that she believes that someone is poisoning the food. The nurse should make which appropriate response to the client? - ANSWER- "It must be frightening to you. Has something made you feel that your food is poisoned?"

The nurse is assigned to assist in the care of a client with obsessive- compulsive disorder (OCD). The nurse should place first priority on which action when planning care for this client? - ANSWER- Establish a trusting nurse-client relationship.

The nurse is caring for a client with a diagnosis of depression. The nurse monitors for signs of constipation and urinary retention, knowing that these problems are likely caused by which? - ANSWER- Psychomotor retardation and side effects of medication

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The nurse is assisting in conducting a group therapy session, and a client with a manic disorder is monopolizing the group. The appropriate nursing action is which? - ANSWER- Suggest that the client stop talking and try listening to others.

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 impact on self. The initial data collection should focus on which information? - ANSWER- The physical condition of the client

A client is attending a Gamblers Anonymous meeting for the first time.The model used by this group is the 12-step program developed by Alcoholics Anonymous. The nurse understands that the first step in the 12-step program is which? - ANSWER- Admitting to having a problem

A client is admitted to a psychiatric unit for treatment of a psychotic disorder. The client is at the locked exit door and is shouting, "Let me out! There's nothing wrong with me! I don't belong here!" The nurse identifies this behavior as which? - ANSWER- Denial

A client who attempted suicide by overdosing with a very large number of antidepressant pills has been admitted to the psychiatric unit. The nurse, being most concerned with the client's safety, should take which action? - ANSWER- Stay with the client at all times.

The client diagnosed with paranoid schizophrenia has been exceedingly agitated, is threatening and shouting at everyone, and is refusing to 3 / 4

participate in therapy. The nurse takes which initial action? - ANSWER- Provide for safety by recognizing the level of client anxiety and setting limits.

The nurse working the evening shift is assisting clients in getting ready to go to sleep. A client diagnosed with obsessive-compulsive disorder (OCD) becomes upset and agitated and asks the nurse to sit down and talk. Which response by the nurse would be best at this time? - ANSWER- "I can see that you're upset. I'm willing to listen."

A manic client announces to everyone in the dayroom that a stripper is coming to perform that evening. When the psychiatric nurse's aide firmly states that the client's behavior is not appropriate, the manic client becomes verbally abusive and threatens physical violence to the nurse's aide. Based on the analysis of this situation, the nurse determines that the appropriate action should be which? - ANSWER- Escort the manic client to his or her room.

An older client is a victim of elder abuse, and the client's family has been attending weekly counseling sessions. Which statement by the abusive family member indicates the client has learned positive coping skills? - ANSWER- "I feel better able to care for my father now that I know where to obtain assistance."

The nurse is caring for a client with a diagnosis of agoraphobia. Which behaviors exhibited by the client would support this diagnosis? - ANSWER- Makes excuses for not leaving the house

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