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

NCLEX EXAM ms




Exam Solution
ms




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




rsing (RN) 2026 A+ GRADE ASSURED COMPLETE SOLU
ms ms ms ms ms ms ms




TIONS AND VERIFIED ANSWERS (553F5) ms ms ms ms




QUESTION 1 ms




2. When the community health nurse visits a patient at home, the patient states, "I ha
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



ven't slept at all the last couple of nights. Which response by the nurse illustrates a th
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



erapeutic communication response to this patient."
ms ms ms ms ms



a. "I see."
ms ms



b. "Really?"
ms



c. "You're having difficulty sleeping?"
ms ms ms ms



d. "Sometimes, I have trouble sleeping too."
ms ms ms ms ms ms




ANSWER

(
C) "You're having difficulty sleeping?" RATIONALE: The correct option uses the therapeutic communi
ms ms ms ms ms ms ms ms ms ms ms ms



cation technique of restatement. Although restatement is a technique that has a prompting compone
ms ms ms ms ms ms ms ms ms ms ms ms ms



nt to it, it repeats the patients major theme, which assists the nurse to obtain a more specific perce
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



ption of the problem from the patient. The remaining options are not therapeutic responses since no
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



ne encourage the patient to expand on the problem. Offering personal experiences moves the focus
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



away from the patient and onto the nurse.
ms ms ms ms ms ms ms




QUESTION 2 ms




3. A patient experiencing disturbed thought processes believes that his food is being p
ms ms ms ms ms ms ms ms ms ms ms ms ms



oisoned. Which communication technique should the use to encourage the patient to e
ms ms ms ms ms ms ms ms ms ms ms ms



at?
a. Using open-ended questions and silence
ms ms ms ms ms



b. Sharing personal preference regarding food choices
ms ms ms ms ms ms



c. Documenting reasons why the patient does not want to eat
ms ms ms ms ms ms ms ms ms ms



d. Offering opinions about the necessity of adequate nutrition
ms ms ms ms ms ms ms ms




ANSWER

(
A) Using open-ended questions and silence RATIONALE: Open-
ms ms ms ms ms ms ms

, ended questions and silence are strategies use to encourage patients to discuss their problems. Shari
ms ms ms ms ms ms ms ms ms ms ms ms ms ms



ng personal food preferences is not a patient-
ms ms ms ms ms ms ms



centered intervention. The remaining options are not helpful to the patient because they do not enc
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



ourage the patient to express feelings. The nurse should not offer opinions and should encourage th
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



e patient to identify the reasons for the behavior.
ms ms ms ms ms ms ms ms




QUESTION 3 ms




4. A patient admitted to a mental health unit for treatment of psychotic behavior spen
ms ms ms ms ms ms ms ms ms ms ms ms ms ms



ds hours at the locked exit door shouting. "Let me out. There's nothing wrong with m
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



e. I don't belong here." What defense mechanism is the patient implementing?
ms ms ms ms ms ms ms ms ms ms ms



a. Denial
ms



b. Projection c Regression
ms ms ms



d. Rationalization
ms




ANSWER

(
A) Denial RATIONALE: Denial is refusal to admit to a painful reality, which is treated as if it does n
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



ot exist. In projection, a person unconsciously rejects emotionally unacceptable features and attribute
ms ms ms ms ms ms ms ms ms ms ms ms



s them to other persons, objects, or situations. Regression allows the patient to return to an ealier,
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



more comforting, although less mature, way of behaving. Rationalization is justifying illogical or unre
ms ms ms ms ms ms ms ms ms ms ms ms ms



asonable ideas, actions, or feelings by developing acceptable explanations that satisfy the teller and t
ms ms ms ms ms ms ms ms ms ms ms ms ms ms



he listener.
ms




QUESTION 4 ms




6. On review of the patients record, the nurse notes the admission was voluntary. Bas
ms ms ms ms ms ms ms ms ms ms ms ms ms ms



ed on this information, the nurse anticipates which patient behavior?
ms ms ms ms ms ms ms ms ms



a. Fearfulness regarding treatment measures.
ms ms ms ms



b. Anger and aggressiveness directed toward others.
ms ms ms ms ms ms



c. An understanding of the pathology and symptoms of the diagnosis
ms ms ms ms ms ms ms ms ms ms



d. A willingness to participate in the planning of the care and treatment plan
ms ms ms ms ms ms ms ms ms ms ms ms ms




ANSWER

(
D) A willingness to participate in the planning of the care and treatment plan RATIONALE: In gener
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



al, patients seek voluntary admission. If a patient seeks voluntary admission, the most likely expectat
ms ms ms ms ms ms ms ms ms ms ms ms ms ms



ions is the patient will participate in the treatment program since they are actively seeking help. Th
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



e remaining options are not characteristics of this type of admission. Fearfulness, anger, and aggressi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms



veness are more characteristic of an involuntary admission. Voluntary admission does not guarantee
ms ms ms ms ms ms ms ms ms ms ms ms ms



a patients understanding of their illness, only of their desire for help.
ms ms ms ms ms ms ms ms ms ms ms




QUESTION 5 ms




9. The nurse is preparing a patient for the termination phase of the nurse-
ms ms ms ms ms ms ms ms ms ms ms ms ms



patient relationship. The nurse prepares to implement which nursing task that is MOS
ms ms ms ms ms ms ms ms ms ms ms ms