NCLEX-RN PSYCH MENTAL HEALTH : Saunders 9th Ed. Q&A Bank (140 NGN-Style SATA Questions)

1




NCLEX-RN PSYCH MENTAL HEALTH 2025–2026 | qk qk qk qk qk




qk SAUNDERS 9TH ED CH. 65–67 | VERIFIED A+ NGN qk qk qk qk qk qk qk qk




SATA QUESTIONS WITH RATIONALES |
qk qk qk qk qk




qk GUARANTEED PASS qk




Question 1 (SATA) qk qk




A client with major depressive disorder expresses, “I just feel hopeless;
qk qk qk qk qk qk qk qk qk qk




qk nothing will ever get better.” Which therapeutic communication responses
qk qk qk qk qk qk qk qk




qk are appropriate? (Select all that apply.)
qk qk qk qk qk




A. “You sound like you’re feeling very hopeless right now.”
qk qk qk qk qk qk qk qk qk




B. “Don’t worry; things will get better soon.”
qk qk qk qk qk qk qk




C. “Tell me more about what makes you feel this way.”
qk qk qk qk qk qk qk qk qk qk




D. “Why do you feel like nothing will get better?”
qk qk qk qk qk qk qk qk qk




E. “I’m here to listen if you want to talk.”
qk qk qk qk qk qk qk qk qk




Correct Answers: A, C, E
qk qk qk qk

, 2


Rationale:

Therapeutic communication involves reflecting feelings, encouraging
qk qk qk qk qk




qk expression, and offering presence. False reassurance (B) and asking
qk qk qk qk qk qk qk qk




qk “why” (D) are non-therapeutic because they minimize feelings or provoke
qk qk qk qk qk qk qk qk qk




qk defensiveness.




Question 2 (SATA) qk qk




A client with depression states, “I wish I could just go to sleep and never
qk qk qk qk qk qk qk qk qk qk qk qk qk qk




qk wake up.” Which priority nursing actions are appropriate? (Select all that
qk qk qk qk qk qk qk qk qk qk




qk apply.)

A. Assess for suicidal ideation and plan
qk qk qk qk qk qk




B. Notify the healthcare provider
qk qk qk qk




C. Place the client on suicide precautions if risk is confirmed
qk qk qk qk qk qk qk qk qk qk




D. Ignore the statement since no plan was stated
qk qk qk qk qk qk qk qk




E. Document client statements and interventions
qk qk qk qk qk




Correct Answers: A, B, C, E
qk qk qk qk qk




Rationale:

Suicidal ideation requires immediate assessment, provider notification,
qk qk qk qk qk qk

, 3


qk safety interventions, and documentation. Ignoring suicidal statements
qk qk qk qk qk qk




qk delays necessary care and is unsafe.
qk qk qk qk qk




Question 3 (SATA) qk qk




A nurse is providing therapeutic communication to a client with
qk qk qk qk qk qk qk qk qk




qk depression and low self-esteem. Which responses are appropriate? (Select
qk qk qk qk qk qk qk qk




qk all that apply.)
qk qk




A. “It sounds like you’re blaming yourself for many things.”
qk qk qk qk qk qk qk qk qk




B. “You should try to think more positively about yourself.”
qk qk qk qk qk qk qk qk qk




C. “Would you like to talk about what you’re feeling right now?”
qk qk qk qk qk qk qk qk qk qk qk




D. “You’ve overcome challenges before; can we talk about those?”
qk qk qk qk qk qk qk qk qk




E. “Everything will be fine; you just need to cheer up.”
qk qk qk qk qk qk qk qk qk qk




Correct Answers: A, C, D qk qk qk qk




Rationale:

Acknowledging feelings, encouraging discussion, and focusing on
qk qk qk qk qk qk




qk strengths are therapeutic. Giving advice or false reassurance (B and E) are
qk qk qk qk qk qk qk qk qk qk qk




qk non-therapeutic because they minimize feelings. qk qk qk qk

, 4


Question 4 (SATA) qk qk




A client with depression is starting sertraline (SSRI). Which teaching
qk qk qk qk qk qk qk qk qk




qk points are important for the nurse to provide? (Select all that apply.)
qk qk qk qk qk qk qk qk qk qk qk




A. It may take 2–4 weeks to notice improvement in mood
qk qk qk qk qk qk qk qk qk qk




B. Report any new suicidal thoughts to the provider immediately
qk qk qk qk qk qk qk qk qk




C. Avoid abruptly stopping the medication without medical advice
qk qk qk qk qk qk qk qk




D. Limit alcohol intake as it may worsen sedation
qk qk qk qk qk qk qk qk




E. Expect complete symptom relief in 2–3 days
qk qk qk qk qk qk qk




Correct Answers: A, B, C, D
qk qk qk qk qk




Rationale:

SSRIs require weeks to take effect, cannot be abruptly stopped, and may
qk qk qk qk qk qk qk qk qk qk qk




qk increase suicide risk early in therapy. Alcohol should be avoided, and
qk qk qk qk qk qk qk qk qk qk




qk rapid symptom relief is unrealistic.
qk qk qk qk




Question 5 (SATA) qk qk




A nurse is caring for a client with depression who is at risk for suicide.
qk qk qk qk qk qk qk qk qk qk qk qk qk qk




qk Which environmental modifications are appropriate? (Select all that apply.)
qk qk qk qk qk qk qk qk