NCLEX PN mental health EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Exam Solution vc




NCLEX for Foundations of Psychiatric Mental Health Nu vc vc vc vc vc vc vc




rsing (RN) 2026 A+ GRADE ASSURED COMPLETE SOLUT vc vc vc vc vc vc vc




IONS AND VERIFIED ANSWERS (465C8) vc vc vc vc




QUESTION 1 vc




2. When the community health nurse visits a patient at home, the patient states, "I haven
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't slept at all the last couple of nights. Which response by the nurse illustrates a therapeu
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tic communication response to this patient."
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a. "I see."
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b. "Really?"
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c. "You're having difficulty sleeping?"
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d. "Sometimes, I have trouble sleeping too."
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ANSWER

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C) "You're having difficulty sleeping?" RATIONALE: The correct option uses the therapeutic communicat
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ion technique of restatement. Although restatement is a technique that has a prompting component to it
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, it repeats the patients major theme, which assists the nurse to obtain a more specific perception of the
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cproblem from the patient. The remaining options are not therapeutic responses since none encourage t
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he patient to expand on the problem. Offering personal experiences moves the focus away from the pati
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ent and onto the nurse.
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QUESTION 2 vc




3. A patient experiencing disturbed thought processes believes that his food is being pois
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oned. Which communication technique should the use to encourage the patient to eat?
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a. Using open-ended questions and silence
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b. Sharing personal preference regarding food choices
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c. Documenting reasons why the patient does not want to eat
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d. Offering opinions about the necessity of adequate nutrition
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ANSWER

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A) Using open-ended questions and silence RATIONALE: Open-
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ended questions and silence are strategies use to encourage patients to discuss their problems. Sharing
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, personal food preferences is not a patient-vc vc vc vc vc vc



centered intervention. The remaining options are not helpful to the patient because they do not encoura
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ge the patient to express feelings. The nurse should not offer opinions and should encourage the patient
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to identify the reasons for the behavior.
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QUESTION 3 vc




4. A patient admitted to a mental health unit for treatment of psychotic behavior spends
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hours at the locked exit door shouting. "Let me out. There's nothing wrong with me. I do
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n't belong here." What defense mechanism is the patient implementing?
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a. Denial vc



b. Projection c Regression
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d. Rationalization
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ANSWER

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A) Denial RATIONALE: Denial is refusal to admit to a painful reality, which is treated as if it does not exi
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st. In projection, a person unconsciously rejects emotionally unacceptable features and attributes them t
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o other persons, objects, or situations. Regression allows the patient to return to an ealier, more comfor
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ting, although less mature, way of behaving. Rationalization is justifying illogical or unreasonable ideas,
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actions, or feelings by developing acceptable explanations that satisfy the teller and the listener.
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QUESTION 4 vc




6. On review of the patients record, the nurse notes the admission was voluntary. Based
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on this information, the nurse anticipates which patient behavior?
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a. Fearfulness regarding treatment measures.
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b. Anger and aggressiveness directed toward others.
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c. An understanding of the pathology and symptoms of the diagnosis
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d. A willingness to participate in the planning of the care and treatment plan
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ANSWER

(
D) A willingness to participate in the planning of the care and treatment plan RATIONALE: In general, p
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atients seek voluntary admission. If a patient seeks voluntary admission, the most likely expectations is
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the patient will participate in the treatment program since they are actively seeking help. The remaining
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options are not characteristics of this type of admission. Fearfulness, anger, and aggressiveness are mor
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e characteristic of an involuntary admission. Voluntary admission does not guarantee a patients underst
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anding of their illness, only of their desire for help.
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QUESTION 5 vc




9. The nurse is preparing a patient for the termination phase of the nurse-
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patient relationship. The nurse prepares to implement which nursing task that is MOST
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APPROPRIATE for this phase? vc vc vc



a. Planning short-term goals
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