Mental Health NCLEX Questions with Answers,100% C0RRECT

Document Content and Description Below

Question: The nurse reviewing a client’s diagnostic results recognizes that which is a possible positive indication for a diagnosis of schizophrenia? Question: The nurse should provide which inform... ation to the parents of a teenager about their child’s new diagnosis of schizophrenia? Question: The nurse should include which information in the medication teaching plan for a client … with schizophrenia? Question: Which statement made by a severely depressed client requires the nurse’s immediate attention? Question: The nurse is developing a discharge plan for the family of a client … with a mood disorder. The nurse should plan to include which priority information to the family? Question: Which are characteristics of seasonal affective disorder (SAD)? Question: When assessing a client’s possible physical dependency on alcohol, the nurse should ask which priority question? Question: Which are the most likely characteristics of an alcohol abuser? Select all that apply. Question: The nurse is providing a health promotion session to a group of teenagers and is discussing the abuse of barbiturates. The nurse should provide which information to the teenagers? Question: Which is a common outcome that results from the effect of methamphetamine abuse on the vascular system? Question: An adolescent has been prescribed an amphetamine to help manage a diagnosis of attention deficient hyperactivity disorder. To best minimize the risk of abuse and/or overdose, the nurse expects that the medication will … administered via which method? Question: A client who has a history of opiate abuse asks the nurse, “Why do I crave this stuff so much?” The nurse responds, knowing that the client’s craving is a result of which factor? Question: When admitting a client to the mental health unit who has a history of hallucinogenic drug use, the nurse should … prepared to manage which occurrences unique to abuse of this classification of drugs? Question: When discussing an individual’s tendency to substance abuse, the nurse should identify which as a primary biological factor? Question: During the termination phase of the nurse-client relationship, the clinic nurse observes that the client has made several sarcastic remarks and has an angry affect. Which is the most appropriate interpretation of the client’s behavior? Question: A home health nurse is talking to the spouse of a client who is taking an antidepressant. The spouse says, “Now that my husband is responding to the antidepressant, the suicidal risk is over and you can stop making these home visits.” After analyzing this statement, which is the appropriate nursing response? Question: A client comes into the emergency department in a severe state of anxiety after a car crash. Which is the appropriate nursing intervention? Question: The nurse assesses a client with an admitting diagnosis of bipolar affective disorder, mania. Which symptom presented by the client would require the nurse’s immediate intervention? Question: The nurse is performing an assessment on a client with dementia. Which would … a manifestation associated with dementia? Question: A client is admitted to the hospital with a diagnosis of major depression, severe, single episode. The nurse assesses the client and notes that the client has poor nutritional intake. Which is the appropriate nursing intervention? Question: A client with a diagnosis of major depression, recurrent, with psychotic features, is admitted to the mental health unit. To create a safe environment for the client, the nurse most importantly devises a plan of care that deals specifically with which problem? Question: The nurse is caring for a client with anorexia nervosa. The nurse is monitoring the behavior of the client and understands that the client with anorexia nervosa manages anxiety by which action? Question: The nurse has been working with a victim of rape in a clinic setting for the past 4 weeks. Which would … unrealistic as a short-term initial goal for this client? Which is the best approach for the nurse to use in crisis counseling? Question: A client comes to the clinic after losing all of his personal belongings in a hurricane. The nurse notes that the client is coping ineffectively with the situation. Which is the least realistic goal for this client? Question: The nursing care plan indicates a problem of self-directed violence and the risk for suicide,related to suicidal ideations with a plan. An expected outcome of this plan of care would … that the client does which? Question: A client is admitted to the mental health unit with a problem related to grieving, because of the loss of a spouse. The client progresses well and is approaching discharge. Which is an appropriate outcome for the client? Question: A client who has been … with a paranoid disorder refuses to turn off the lights in the room at night and states, “My roommate will steal me blind.” Which is the appropriate response by the nurse? Question: A client who has just received a diagnosis of asthma says to the nurse, “This condition is just another nail in my coffin.” Which response by the nurse is therapeutic? Question: A 63-year-old woman whose husband died 2 months ago says to the visiting nurse, “My daughter came over yesterday to help me move my husband’s things out of our bedroom, and I was so angry with her for moving his slippers from where he always kept them under his side of our bed. She doesn’t know how much I’m hurting.” Which statement by the nurse would … therapeutic? Question: An older client says to the home care nurse, “I can’t believe that my wife died yesterday. I keep expecting to see her everywhere I go in this house, ready to plan our activities for the day.” Which is the therapeutic nursing response? Question: A … client with a diagnosis of schizophrenia who is experiencing delusions says to the nurse, “I know that the doctor is talking to the top man in the mob to get rid of me.” Which response should the nurse make to the client? Question: A nurse is gathering data from a client with a phobia. The client tells the nurse that he consistently avoids attending community functions because he fears that he will … asked to speak publicly to the members. On the basis of this information, the nurse determines that the client is experiencing which condition? Question: The nurse is monitoring a woman with a diagnosis of depression. Which behavior, if observed by the nurse, indicates that suicide precautions should … implemented for this client? Question: A client is found to have rape trauma syndrome. The nurse plans care for the client knowing that which occurs in this condition? Question: A nurse working in the day care center is told that a child with autism will … attending the center. The nurse collaborates with the staff of the day care center to plan activities that will meet the child’s needs. Which should have the priority consideration in planning activities for the child? Question: A nurse is assigned to care for a chemically dependent client who has the potential for violent episodes. In planning to care for the client, which action by the nurse should receive priority? Question: A nurse has been caring for a client with a diagnosis of depression. The client says to the nurse, “I wish you would just … my friend.” Which is the appropriate response by the nurse? Question: A nurse is developing a care plan that will include goals that will help the client achieve an optimal level of functioning and appropriate resource utilization. When the nurse enters the client’s room, the client asks the nurse, “Could you ask the health care provider (HCP) to let me have a pass for the weekend?” Which response is appropriate that assists the client in achieving these goals? Question: Which subject should the nurse address in preparing for the orientation phase of the therapeutic relationship? Question: A nurse who is reviewing the record of a client admitted to the mental health unit notes that the client was admitted by voluntary status. Which statement describes voluntary status? Question: A nurse is collecting data on a client … with mild depression. The client says to the nurse, “I haven’t had an appetite at all for the last few weeks.” Which best response should the nurse make? Question: A nurse in the emergency department is preparing to care for a client who has just been sexually assaulted. Which client behavior demonstrates denial? Question: The day nurses in a psychiatric unit are receiving report from the night shift. While this is occurring, a client approaches the nurses’ station, becomes very loud and offensive, and demands to … seen by the health care provider (HCP) immediately. Which is the appropriate nursing intervention? Question: A nurse is developing a plan of care for a client with a psychotic disorder who is experiencing altered thoughts that include the belief food is being poisoned. Which strategy should the nurse plan to implement that will encourage the client to discuss feelings? Question: A mental health nurse has been meeting with a client on a weekly basis and over the past several weeks, the client has been consistently 15 minutes late. Which nursing action is appropriate regarding the client’s lateness for the scheduled meetings? Question: A mental health nurse who has been meeting with a client with a diagnosis of post-traumatic stress disorder is in the termination phase of the nurse-client relationship. The nurse notes that the client has been quiet and withdrawn. Which interpretation should the nurse make about the client’s behavior? Question: A nurse is preparing for the arrival of a new client at a drug abusers’ residential treatment center and prepares to explain to the client that the emphasis of the center is on group and social interaction, and that rules and expectations are mediated by peer pressure. Which is the most likely focus of therapy of this residential center? Question: A client with a phobia will be treated for the condition using a behavior modification technique known as systematic desensitization. Which describes the components of this form of therapy? Question: A nurse is conducting a group therapy session when a client who has shared with the group at a previous session that she isolates herself when she feels depressed, suddenly gets up to leave. Which is the appropriate nursing action? Question: A nurse is helping to conduct a group therapy session. During the session, a client threatens to act out physically and states that he will punch another member of the group. Which is the appropriate initial nursing action? Question: A nurse is preparing a plan of care for a client with an autistic disorder. A behavior modification approach (operant conditioning) is being used to improve communication. Which should the nurse include in the plan of care? Question: A nursing student is conducting a clinical conference and is describing the characteristics associated with milieu therapy. Which statement indicates an understanding of the focus of this form of therapy? Question: A nurse working in an urgent care center is interviewing a woman with vague somatic complaints. The client states that she was raped a few weeks ago but still feels “as if it just happened to me.” Which therapeutic response should the nurse make to the client? Question: A nurse is developing a plan of care for a client at high risk for suicide who was just admitted to the psychiatric unit. The focus of the plan is to promote a safe and therapeutic environment. Which intervention should the nurse include in the plan of care? Question: A client admitted to the mental health unit with depression states to the nurse, “My life has been such a failure. Nothing I do turns out right.” Which therapeutic response should the nurse make? Question: A client is admitted to the psychiatric unit with a diagnosis of bipolar affective disorder and mania. The nurse should prioritize that which symptoms or behaviors require immediate intervention? Question: A nurse is working with a client who is delusional. The client says to the nurse, “The leaders of a religious cult are being sent to assassinate me.” Which is the best response by the nurse? Question: A woman is seen in the emergency department in a severe state of anxiety following assault and battery. Which nursing action should the nurse place highest priority on taking at this time? Question: A mental health nurse is assigned to care for a client with a diagnosis of acute schizophrenia. The nurse should use which approach when planning care for this client? Question: A mental health nurse is assigned to care for a client with a diagnosis of acute schizophrenia. The nurse should use which approach when planning care for this client? Question: A nurse is talking with a client who is actively hallucinating. The client is fearful that the voices will direct him to kill himself or will hurt him directly. Which therapeutic statement should the nurse make at this time? Question: A client tentatively … with a borderline personality is admitted to the psychiatric unit for control of symptoms. Based on an understanding of personality disorders, the nurse should determine that which problem is the priority? Question: A client admitted to the inpatient unit is being … for electroconvulsive therapy (ECT). The client is calm, but the client’s daughter is hypervigilant and anxious. The daughter says to the nurse, “My mother’s brain will … shocked with electricity. How can the doctor even think about doing this to her?” Which response by the nurse is therapeutic? Question: A nurse is assigned to a client who is psychotic, pacing, agitated, and using aggressive gestures and rapid speech. The nurse should determine that which action is the priority of care at this time? Question: A client … with catatonic stupor is lying on the bed, hidden under the sheets, in a fetal position. Which appropriate action should the nurse should take? Question: A client who has sustained severe injuries in a motorcycle crash was … with intensive care unit (ICU) psychosis. Which indicates to the nurse that the client’s status is improving? Question: A nurse caring for a client recently admitted to the hospital for anorexia nervosa enters the client’s room and finds her in the middle of performing rapid exercises. Which action should … the priority? Question: A postsurgical client with a history of heavy alcohol intake has returned to the nursing unit. Which signs/symptoms of delirium tremens (DTs) should the nurse plan to continuously assess for? Question: A nurse working in a detoxification unit is admitting a client for alcohol withdrawal. The client’s spouse states, “I don’t know why I don’t get out of this rotten situation.” Which is the therapeutic response by the nurse? Question: A nurse should monitor a client with a history of opioid abuse for which signs and symptoms associated with opioid withdrawal? Question: A nurse is working with a client who shows signs of benzodiazepine withdrawal. The nurse should suspect that the client has suddenly discontinued taking which prescribed medication? Question: A nurse is admitting a client who is in a state of starvation because of anorexia nervosa. Which roommate choice is least appropriate for this client? Question: A … client with a history of alcohol abuse tells the nurse, “I am leaving now. I don’t want help. I have other things to attend to that are more important.” The nurse attempts to discuss the client’s concerns, but the client dresses and begins to walk out of the hospital room. Which action should the nurse take at this time? Question: A nurse should monitor the client with a history of heroin addiction for which signs/symptoms of heroin withdrawal? Question: A nurse is interviewing a client in crisis to assess the risk for self-harm. The nurse interprets that the client is most at risk for suicide if which is … ? Question: A client with a potential for violence is exhibiting aggressive gestures, making belligerent comments to the other clients, and is continuously pacing in the hallway. Which comment by the nurse would … therapeutic at this time? Question: A nurse is having a conversation with a depressed client on an inpatient psychiatric unit. The client says to the nurse, “Things would … so much better for everyone if I just weren’t around.” Which appropriate response should the nurse make at this time? Question: A nurse should interpret that which comment by a client whose husband uses violence against her is consistent with the presence of low self-esteem commonly found with battered wife syndrome? Question: A nurse is caring for an older client whose husband died approximately 6 weeks ago. The client says, “There’s no one left to care about me. Everyone that I have loved is now gone.” Which response should the nurse make to the client? Question: A client has been admitted to the inpatient psychiatric unit because the client has displayed violent behavior and is at risk for potentially harming others. What should the nurse avoid doing when caring for this client? Question: A client who has attempted suicide by overdosing with a very large number of antidepressant pills has been admitted to the psychiatric unit. Which is the priority nursing action at this time? Question: A client admitted to the mental health unit with major depression 3 days ago could hardly get out of bed without coaxing and needed constant encouragement to get dressed and participate in unit activities. Today the client appears in the dayroom dressed and well groomed, without any guidance from the staff. The client appears to … calm and relaxed, yet more energetic than before. Which initial action should the nurse take after noting this client’s behavior? Question: A nurse is preparing a client for discharge who was … following a suicide attempt. The nurse evaluates that the client could benefit from further development of coping strategies if the client was overheard making which statement before discharge? Question: A client who attempted suicide by hanging is … to the emergency department by emergency medical services. Which is the immediate nursing action? Question: An acutely depressed client is receiving cognitive-behavioral therapy. The nurse is developing a plan of care for the client and includes interventions that focus on this type of therapy. Which interventions should the nurse include? Question: Which should a nurse closely monitor when caring for a … with bulimia nervosa? [Show More]

Last updated: 2 years ago

Preview 1 out of 1 pages