PN NCLEX 6TH EDITION MENTAL HEALTH EXAM 148
QUESTIONS WITH VERIFIED ANSWERS 2025/2026
Interrupt the client and offer to take her for a walk. - CORRECT ANSWER The nurse
is caring for a client who was recently admitted for anorexia nervosa. Upon
entering the client's room, the nurse finds the client in the middle of a series of
sets of rapid sit-ups. Which action should the nurse take?
"You're feeling angry that your family is hoping for a cure?" - CORRECT ANSWER A
client with lung cancer says to the nurse, "I'm sick and tired of my family telling
me not to worry and that a cure will be discovered before I know it." Which
response by the nurse is therapeutic?
Move the client to a quiet room and talk about his feelings. - CORRECT ANSWER A
client tells the nurse that he is feeling out of control. The nurse observes that the
client is pacing back and forth. Which approach by the nurse is appropriate to
maintain a safe environment?
"It must be hard to accept that she has passed away." - CORRECT ANSWER A 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?
Al-Anon - CORRECT ANSWER The wife of a client who abuses alcohol tells the
nurse she cannot "do it alone" any longer and asks the nurse about the availability
of any free support services for "people like me." The nurse refers the client's wife
to which community group?
,-Notify the health care provider.
-Document the refusal of medication.
-Ask the client why he is refusing the medication. - CORRECT ANSWER The nurse is
caring for a client with depression in the mental health unit who is refusing to take
the prescribed oral antidepressant. Which are the nurse's best actions to this
client's medication refusal? Select all that apply.
"The health care provider would never lie to you." - CORRECT ANSWER While the
nurse is providing care, a client angrily reports to the nurse that the health care
provider purposefully provided wrong information about her diagnosis and states,
"The doctor lied to me." Which nursing response would likely be a barrier to
further communication with the client?
"You must be feeling all alone at this point." - CORRECT ANSWER The nurse is
caring for 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
response by the nurse is therapeutic?
Altered thought processes - CORRECT ANSWER A client with a diagnosis of a
recurrent major depression, exhibiting psychotic features, is admitted to the
mental health unit. In an attempt to create a safe environment for the client, the
nurse designs a plan of care that deals specifically with which aspect of the client's
disorder?
, Goals and objectives - CORRECT ANSWER The nurse is preparing a care plan for
the client with obsessive-compulsive disorder (OCD). The nurse should focus on
which as the primary means to accomplish work with this client?
Remain with the client at all times. - CORRECT ANSWER A client is admitted to the
psychiatric unit following a serious suicidal attempt by a drug overdose. Which
action should the nurse implement?
The client will be introduced to short periods of exposure to the phobic object
while in a relaxed state. - CORRECT ANSWER A client with a phobia will be treated
for the condition using a behavior modification technique known as systematic
desensitization. The nurse describes the components of this form of therapy to
the client and reinforces which client instruction?
Provide small, frequent meals. - CORRECT ANSWER A client with depression
reports to the nurse that she has not been sleeping or eating adequately. The
nurse should plan to do which to assist the client in meeting nutritional needs?
The client is at increased risk for suicide. - CORRECT ANSWER A client with a
diagnosis of major depression becomes more anxious, reports sleeping poorly,
and seems to display increased anger. The nurse should make which interpretation
about the client's behavior?
Hallucinations
Anhedonia
QUESTIONS WITH VERIFIED ANSWERS 2025/2026
Interrupt the client and offer to take her for a walk. - CORRECT ANSWER The nurse
is caring for a client who was recently admitted for anorexia nervosa. Upon
entering the client's room, the nurse finds the client in the middle of a series of
sets of rapid sit-ups. Which action should the nurse take?
"You're feeling angry that your family is hoping for a cure?" - CORRECT ANSWER A
client with lung cancer says to the nurse, "I'm sick and tired of my family telling
me not to worry and that a cure will be discovered before I know it." Which
response by the nurse is therapeutic?
Move the client to a quiet room and talk about his feelings. - CORRECT ANSWER A
client tells the nurse that he is feeling out of control. The nurse observes that the
client is pacing back and forth. Which approach by the nurse is appropriate to
maintain a safe environment?
"It must be hard to accept that she has passed away." - CORRECT ANSWER A 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?
Al-Anon - CORRECT ANSWER The wife of a client who abuses alcohol tells the
nurse she cannot "do it alone" any longer and asks the nurse about the availability
of any free support services for "people like me." The nurse refers the client's wife
to which community group?
,-Notify the health care provider.
-Document the refusal of medication.
-Ask the client why he is refusing the medication. - CORRECT ANSWER The nurse is
caring for a client with depression in the mental health unit who is refusing to take
the prescribed oral antidepressant. Which are the nurse's best actions to this
client's medication refusal? Select all that apply.
"The health care provider would never lie to you." - CORRECT ANSWER While the
nurse is providing care, a client angrily reports to the nurse that the health care
provider purposefully provided wrong information about her diagnosis and states,
"The doctor lied to me." Which nursing response would likely be a barrier to
further communication with the client?
"You must be feeling all alone at this point." - CORRECT ANSWER The nurse is
caring for 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
response by the nurse is therapeutic?
Altered thought processes - CORRECT ANSWER A client with a diagnosis of a
recurrent major depression, exhibiting psychotic features, is admitted to the
mental health unit. In an attempt to create a safe environment for the client, the
nurse designs a plan of care that deals specifically with which aspect of the client's
disorder?
, Goals and objectives - CORRECT ANSWER The nurse is preparing a care plan for
the client with obsessive-compulsive disorder (OCD). The nurse should focus on
which as the primary means to accomplish work with this client?
Remain with the client at all times. - CORRECT ANSWER A client is admitted to the
psychiatric unit following a serious suicidal attempt by a drug overdose. Which
action should the nurse implement?
The client will be introduced to short periods of exposure to the phobic object
while in a relaxed state. - CORRECT ANSWER A client with a phobia will be treated
for the condition using a behavior modification technique known as systematic
desensitization. The nurse describes the components of this form of therapy to
the client and reinforces which client instruction?
Provide small, frequent meals. - CORRECT ANSWER A client with depression
reports to the nurse that she has not been sleeping or eating adequately. The
nurse should plan to do which to assist the client in meeting nutritional needs?
The client is at increased risk for suicide. - CORRECT ANSWER A client with a
diagnosis of major depression becomes more anxious, reports sleeping poorly,
and seems to display increased anger. The nurse should make which interpretation
about the client's behavior?
Hallucinations
Anhedonia
