NCLEX EXAM ms
Exam Solution ms
NR326: Mental Health Exam 1 2026 A+ GRADE ASSURE ms ms ms ms ms ms ms ms
D COMPLETE SOLUTIONS AND VERIFIED ANSWERS (72
ms ms ms ms ms ms
CC8)
QUESTION 1 ms
📚 Needs Across the Lifespan: Infant (1 month-1 year)
ms ms ms ms ms ms ms ms
ANSWER
Infant (1 month-1 year): Physical: -Birth weight doubles by 5 months -
ms ms ms ms ms ms ms ms ms ms ms
Height ↑ 2.5 cm/month (first 6 months) -Milestones: Holds head, sits, walks Cognitive: -
ms ms ms ms ms ms ms ms ms ms ms ms ms
Piaget: Sensorimotor stage -Object permanence develops (7-9 months) Psychosocial: -
ms ms ms ms ms ms ms ms ms
Erikson: Trust vs. Mistrust -Stranger anxiety (8 months), strong caregiver attachment Risks: -
ms ms ms ms ms ms ms ms ms ms ms ms
Aspiration, suffocation, falls, abuse/neglect Promotion: -Breastfeeding, solids at 6 months -
ms ms ms ms ms ms ms ms ms ms
Sleep ~15 hours/day Immunizations: -
ms ms ms ms
Hep B, Rotavirus, DTaP, Hib, PCV13, IPV, Influenza Nursing Focus: -
ms ms ms ms ms ms ms ms ms ms
Assess development, bonding, abuse risk, and sensory stimulation
ms ms ms ms ms ms ms
QUESTION 2 ms
📚 Needs Across the Lifespan: Toddler (1-3 years)
ms ms ms ms ms ms ms
ANSWER
Toddler (1-3 years) Physical: -Grows ~3 inches/year -Learns self-
ms ms ms ms ms ms ms ms
care; walks, climbs, stacks blocks Cognitive: -Piaget: Preoperational stage begins -
ms ms ms ms ms ms ms ms ms ms
Egocentric thinking; 300-word vocabulary by 24 months Psychosocial: -
ms ms ms ms ms ms ms ms
Erikson: Autonomy vs. Shame & Doubt -Parallel play, temper tantrums Risks: -
ms ms ms ms ms ms ms ms ms ms ms
Poisoning, drowning, motor vehicle crashes (MVCs) Promotion: -
ms ms ms ms ms ms ms
Start toilet training, limit milk intake, promote healthy diet Immunizations: -
ms ms ms ms ms ms ms ms ms ms
MMR, Varicella, Hep A, DTaP, IPV, Influenza Nursing Focus: -
ms ms ms ms ms ms ms ms ms
Promote safety, encourage parental education/presence
ms ms ms ms
QUESTION 3 ms
📚 Needs Across the Lifespan: Preschooler (3-5 years)
ms ms ms ms ms ms ms
,ANSWER
Preschooler (3-5 years) Physical: -Gains ~5 lbs/year -Toilet trained; jumps rope, skates Cognitive: -
ms ms ms ms ms ms ms ms ms ms ms ms ms
Piaget: Preconceptual & Intuitive phases -Magical thinking, frequent "why" questions Psychosocial: -
ms ms ms ms ms ms ms ms ms ms ms
Erikson: Initiative vs. Guilt -Imaginative and associative play Risks: -
ms ms ms ms ms ms ms ms ms
Similar to toddler; modeling behavior becomes key Promotion: -
ms ms ms ms ms ms ms ms
Vision screening, balanced diet, 12 hours sleep/night Immunizations: -
ms ms ms ms ms ms ms ms
DTaP, IPV, MMR, Varicella, Influenza Nursing Focus: -Encourage expression, involve in care decisions
ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 4 ms
📚 Needs Across the Lifespan: School-Age (6-12 years)
ms ms ms ms ms ms ms
ANSWER
School-Age (6-12 years) Physical: -Grows ~2 inches/year -
ms ms ms ms ms ms ms
↑ strength/coordination; modesty develops Cognitive: -Piaget: Concrete Operational -
ms ms ms ms ms ms ms ms
Understands others' perspectives Psychosocial: -Erikson: Industry vs. Inferiority -
ms ms ms ms ms ms ms ms
Focus on achievement and peer groups Risks: -
ms ms ms ms ms ms ms
MVCs, bike injuries, infections, poverty barriers Promotion: -
ms ms ms ms ms ms ms
Vision/hearing screens, scoliosis checks, obesity prevention Immunizations: -
ms ms ms ms ms ms ms
Meningococcal, Tdap, HPV, Influenza Nursing Focus: - ms ms ms ms ms ms
Promote privacy, assess stress, reinforce independence
ms ms ms ms ms
QUESTION 5 ms
📚 Needs Across the Lifespan: Adolescent (13-20 years)
ms ms ms ms ms ms ms
ANSWER
Adolescent (13-20 years) Physical: -Rapid growth, puberty, body image concerns Cognitive: -
ms ms ms ms ms ms ms ms ms ms ms
Piaget: Formal Operations - abstract thinking Psychosocial: -Erikson: Identity vs. Role Confusion -
ms ms ms ms ms ms ms ms ms ms ms ms
Strong peer influence Risks: -MVCs, suicide, STIs, substance use Promotion: -
ms ms ms ms ms ms ms ms ms ms
Mental health support, drug/STI education Immunizations: -
ms ms ms ms ms ms
HPV, Meningococcal booster, Influenza Nursing Focus: -Screen for risk-
ms ms ms ms ms ms ms ms
taking behaviors, provide education
ms ms ms
QUESTION 6 ms
📚 Needs Across the Lifespan: Young Adult (Late teens-30s)
ms ms ms ms ms ms ms ms
ANSWER
Young Adult (Late teens-30s) Physical: -Physical peak; may ignore symptoms Cognitive: -
ms ms ms ms ms ms ms ms ms ms ms
Critical thinking matures Psychosocial: -Erikson: Intimacy vs. Isolation Risks: -
ms ms ms ms ms ms ms ms ms
IPV, STIs, occupational exposures Promotion: -Self-
ms ms ms ms ms
exams, prenatal care, lifestyle counseling Immunizations: -
ms ms ms ms ms ms
Varicella, MMR, Tdap, HPV, Hep A/B, Pneumococcal, Influenza Nursing Focus: -Empower self-
ms ms ms ms ms ms ms ms ms ms ms
care; assess habits/stressors
ms ms
, QUESTION 7 ms
📚 Needs Across the Lifespan: Middle Adult (30s-60s)
ms ms ms ms ms ms ms
ANSWER
Middle Adult (30s-60s) Physical: -Signs of aging, menopause, ↓ senses Cognitive: -
ms ms ms ms ms ms ms ms ms ms ms
Usually stable unless pathology present Psychosocial: -Erikson: Generativity vs. Stagnation Risks: -
ms ms ms ms ms ms ms ms ms ms ms
Obesity, depression, anxiety, chronic illness Promotion: -
ms ms ms ms ms ms
Screenings (mammogram, lipids), stress reduction Nursing Focus: -
ms ms ms ms ms ms ms
Support healthy lifestyle, assess transitions
ms ms ms ms
QUESTION 8 ms
📚 Needs Across the Lifespan: Older Adult (65+)
ms ms ms ms ms ms ms
ANSWER
Older Adult (65+) Physical: -Chronic illness, ↓ muscle mass, ↓ sensation Cognitive: -
ms ms ms ms ms ms ms ms ms ms ms ms
Mostly intact; screen for dementia, depression, delirium Psychosocial: -
ms ms ms ms ms ms ms ms
Erikson: Integrity vs. Despair Risks: -Falls, polypharmacy, elder abuse Promotion: -
ms ms ms ms ms ms ms ms ms ms
Maintain function, monitor meds, regular screenings Immunizations: -
ms ms ms ms ms ms ms
Zoster, Pneumococcal, Tdap, Hep A/B, MMR, Influenza Nursing Focus: -
ms ms ms ms ms ms ms ms ms
Support independence and safety, assess home
ms ms ms ms ms
QUESTION 9 ms
Maslow's Hierarchy of Needs ms ms ms
ANSWER
Key NCLEX Concept -
ms ms ms
Always address basic needs first (physiological & safety) before psychosocial interventions!!! -
ms ms ms ms ms ms ms ms ms ms ms
Use this framework in prioritization questions Order (Low to High): -
ms ms ms ms ms ms ms ms ms ms
Physiological (food, water, air, sleep) -Safety (security, shelter, health) -
ms ms ms ms ms ms ms ms ms
Love/Belonging (relationships) -Esteem (achievement, respect) -Self-Actualization (personal growth)
ms ms ms ms ms ms ms
QUESTION 10 ms
Mental Health & Illness: Key Concepts
ms ms ms ms ms
ANSWER
Mental Health -Definition: Successful adaptation to stress; age-
ms ms ms ms ms ms ms
appropriate, culturally congruent thoughts/behaviors. -
ms ms ms ms
Focus: Functionality in relationships, work, and daily life. Mental Illness -
ms ms ms ms ms ms ms ms ms ms
Definition: Maladaptive responses to stress that impair functioning. -
ms ms ms ms ms ms ms ms
Signs: Thought/behavior incongruence with cultural norms; impaired social/occupational roles.
ms ms ms ms ms ms ms ms
Exam Solution ms
NR326: Mental Health Exam 1 2026 A+ GRADE ASSURE ms ms ms ms ms ms ms ms
D COMPLETE SOLUTIONS AND VERIFIED ANSWERS (72
ms ms ms ms ms ms
CC8)
QUESTION 1 ms
📚 Needs Across the Lifespan: Infant (1 month-1 year)
ms ms ms ms ms ms ms ms
ANSWER
Infant (1 month-1 year): Physical: -Birth weight doubles by 5 months -
ms ms ms ms ms ms ms ms ms ms ms
Height ↑ 2.5 cm/month (first 6 months) -Milestones: Holds head, sits, walks Cognitive: -
ms ms ms ms ms ms ms ms ms ms ms ms ms
Piaget: Sensorimotor stage -Object permanence develops (7-9 months) Psychosocial: -
ms ms ms ms ms ms ms ms ms
Erikson: Trust vs. Mistrust -Stranger anxiety (8 months), strong caregiver attachment Risks: -
ms ms ms ms ms ms ms ms ms ms ms ms
Aspiration, suffocation, falls, abuse/neglect Promotion: -Breastfeeding, solids at 6 months -
ms ms ms ms ms ms ms ms ms ms
Sleep ~15 hours/day Immunizations: -
ms ms ms ms
Hep B, Rotavirus, DTaP, Hib, PCV13, IPV, Influenza Nursing Focus: -
ms ms ms ms ms ms ms ms ms ms
Assess development, bonding, abuse risk, and sensory stimulation
ms ms ms ms ms ms ms
QUESTION 2 ms
📚 Needs Across the Lifespan: Toddler (1-3 years)
ms ms ms ms ms ms ms
ANSWER
Toddler (1-3 years) Physical: -Grows ~3 inches/year -Learns self-
ms ms ms ms ms ms ms ms
care; walks, climbs, stacks blocks Cognitive: -Piaget: Preoperational stage begins -
ms ms ms ms ms ms ms ms ms ms
Egocentric thinking; 300-word vocabulary by 24 months Psychosocial: -
ms ms ms ms ms ms ms ms
Erikson: Autonomy vs. Shame & Doubt -Parallel play, temper tantrums Risks: -
ms ms ms ms ms ms ms ms ms ms ms
Poisoning, drowning, motor vehicle crashes (MVCs) Promotion: -
ms ms ms ms ms ms ms
Start toilet training, limit milk intake, promote healthy diet Immunizations: -
ms ms ms ms ms ms ms ms ms ms
MMR, Varicella, Hep A, DTaP, IPV, Influenza Nursing Focus: -
ms ms ms ms ms ms ms ms ms
Promote safety, encourage parental education/presence
ms ms ms ms
QUESTION 3 ms
📚 Needs Across the Lifespan: Preschooler (3-5 years)
ms ms ms ms ms ms ms
,ANSWER
Preschooler (3-5 years) Physical: -Gains ~5 lbs/year -Toilet trained; jumps rope, skates Cognitive: -
ms ms ms ms ms ms ms ms ms ms ms ms ms
Piaget: Preconceptual & Intuitive phases -Magical thinking, frequent "why" questions Psychosocial: -
ms ms ms ms ms ms ms ms ms ms ms
Erikson: Initiative vs. Guilt -Imaginative and associative play Risks: -
ms ms ms ms ms ms ms ms ms
Similar to toddler; modeling behavior becomes key Promotion: -
ms ms ms ms ms ms ms ms
Vision screening, balanced diet, 12 hours sleep/night Immunizations: -
ms ms ms ms ms ms ms ms
DTaP, IPV, MMR, Varicella, Influenza Nursing Focus: -Encourage expression, involve in care decisions
ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 4 ms
📚 Needs Across the Lifespan: School-Age (6-12 years)
ms ms ms ms ms ms ms
ANSWER
School-Age (6-12 years) Physical: -Grows ~2 inches/year -
ms ms ms ms ms ms ms
↑ strength/coordination; modesty develops Cognitive: -Piaget: Concrete Operational -
ms ms ms ms ms ms ms ms
Understands others' perspectives Psychosocial: -Erikson: Industry vs. Inferiority -
ms ms ms ms ms ms ms ms
Focus on achievement and peer groups Risks: -
ms ms ms ms ms ms ms
MVCs, bike injuries, infections, poverty barriers Promotion: -
ms ms ms ms ms ms ms
Vision/hearing screens, scoliosis checks, obesity prevention Immunizations: -
ms ms ms ms ms ms ms
Meningococcal, Tdap, HPV, Influenza Nursing Focus: - ms ms ms ms ms ms
Promote privacy, assess stress, reinforce independence
ms ms ms ms ms
QUESTION 5 ms
📚 Needs Across the Lifespan: Adolescent (13-20 years)
ms ms ms ms ms ms ms
ANSWER
Adolescent (13-20 years) Physical: -Rapid growth, puberty, body image concerns Cognitive: -
ms ms ms ms ms ms ms ms ms ms ms
Piaget: Formal Operations - abstract thinking Psychosocial: -Erikson: Identity vs. Role Confusion -
ms ms ms ms ms ms ms ms ms ms ms ms
Strong peer influence Risks: -MVCs, suicide, STIs, substance use Promotion: -
ms ms ms ms ms ms ms ms ms ms
Mental health support, drug/STI education Immunizations: -
ms ms ms ms ms ms
HPV, Meningococcal booster, Influenza Nursing Focus: -Screen for risk-
ms ms ms ms ms ms ms ms
taking behaviors, provide education
ms ms ms
QUESTION 6 ms
📚 Needs Across the Lifespan: Young Adult (Late teens-30s)
ms ms ms ms ms ms ms ms
ANSWER
Young Adult (Late teens-30s) Physical: -Physical peak; may ignore symptoms Cognitive: -
ms ms ms ms ms ms ms ms ms ms ms
Critical thinking matures Psychosocial: -Erikson: Intimacy vs. Isolation Risks: -
ms ms ms ms ms ms ms ms ms
IPV, STIs, occupational exposures Promotion: -Self-
ms ms ms ms ms
exams, prenatal care, lifestyle counseling Immunizations: -
ms ms ms ms ms ms
Varicella, MMR, Tdap, HPV, Hep A/B, Pneumococcal, Influenza Nursing Focus: -Empower self-
ms ms ms ms ms ms ms ms ms ms ms
care; assess habits/stressors
ms ms
, QUESTION 7 ms
📚 Needs Across the Lifespan: Middle Adult (30s-60s)
ms ms ms ms ms ms ms
ANSWER
Middle Adult (30s-60s) Physical: -Signs of aging, menopause, ↓ senses Cognitive: -
ms ms ms ms ms ms ms ms ms ms ms
Usually stable unless pathology present Psychosocial: -Erikson: Generativity vs. Stagnation Risks: -
ms ms ms ms ms ms ms ms ms ms ms
Obesity, depression, anxiety, chronic illness Promotion: -
ms ms ms ms ms ms
Screenings (mammogram, lipids), stress reduction Nursing Focus: -
ms ms ms ms ms ms ms
Support healthy lifestyle, assess transitions
ms ms ms ms
QUESTION 8 ms
📚 Needs Across the Lifespan: Older Adult (65+)
ms ms ms ms ms ms ms
ANSWER
Older Adult (65+) Physical: -Chronic illness, ↓ muscle mass, ↓ sensation Cognitive: -
ms ms ms ms ms ms ms ms ms ms ms ms
Mostly intact; screen for dementia, depression, delirium Psychosocial: -
ms ms ms ms ms ms ms ms
Erikson: Integrity vs. Despair Risks: -Falls, polypharmacy, elder abuse Promotion: -
ms ms ms ms ms ms ms ms ms ms
Maintain function, monitor meds, regular screenings Immunizations: -
ms ms ms ms ms ms ms
Zoster, Pneumococcal, Tdap, Hep A/B, MMR, Influenza Nursing Focus: -
ms ms ms ms ms ms ms ms ms
Support independence and safety, assess home
ms ms ms ms ms
QUESTION 9 ms
Maslow's Hierarchy of Needs ms ms ms
ANSWER
Key NCLEX Concept -
ms ms ms
Always address basic needs first (physiological & safety) before psychosocial interventions!!! -
ms ms ms ms ms ms ms ms ms ms ms
Use this framework in prioritization questions Order (Low to High): -
ms ms ms ms ms ms ms ms ms ms
Physiological (food, water, air, sleep) -Safety (security, shelter, health) -
ms ms ms ms ms ms ms ms ms
Love/Belonging (relationships) -Esteem (achievement, respect) -Self-Actualization (personal growth)
ms ms ms ms ms ms ms
QUESTION 10 ms
Mental Health & Illness: Key Concepts
ms ms ms ms ms
ANSWER
Mental Health -Definition: Successful adaptation to stress; age-
ms ms ms ms ms ms ms
appropriate, culturally congruent thoughts/behaviors. -
ms ms ms ms
Focus: Functionality in relationships, work, and daily life. Mental Illness -
ms ms ms ms ms ms ms ms ms ms
Definition: Maladaptive responses to stress that impair functioning. -
ms ms ms ms ms ms ms ms
Signs: Thought/behavior incongruence with cultural norms; impaired social/occupational roles.
ms ms ms ms ms ms ms ms
