NCLEX PN MENTAL HEALTH EXAM ACTUAL EXAM 300
QUESTIONS AND CORRECT DETAILED ANSWERS
The nurse is reviewing the discharge plan with a female teenager with anorexia
nervosa and reinforces the importance that the teenager attends a meeting of the
local chapter of Anorexia Nervosa and Associated Disorders. Which response by the
teenager indicates that she will likely be compliant with this plan? - ANSWER: "I'm
going to do whatever it takes to get better."
The nurse is assisting in admitting a client with schizophrenia to an acute-care
inpatient psychiatric unit from the emergency department; however, the client
refuses admission. Which intervention should the nurse implement? - ANSWER:
Help the client with problem solving.
A client diagnosed with schizophrenia is experiencing an acute dystonia reaction.
Which interventions should the licensed practical nurse (LPN) initiate? Select all that
apply. - ANSWER: 1.
Monitor airway.
2.
Notify the registered nurse (RN).
4.
Remain with the client to provide support.
6.
Administer a prescribed IM antiparkinsonian medication.
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. - ANSWER: 1.
Notify the health care provider.
2.
Document the refusal of medication.
3.
Ask the client why he is refusing the medication.
A client who attempted suicide by overdosing with a very large number of
antidepressant pills has been admitted to the psychiatric unit. The nurse, being most
concerned with the client's safety, should take which action? - ANSWER: Stay with
the client at all times.
,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? - ANSWER: Goals and objectives
The nurse caring for a client who has been diagnosed with stage 3 Alzheimer's
disease and should expect to observe which behaviors in this client? Select all that
apply. - ANSWER: 3.
Misplacing a valuable object
5.
Difficulty coming up with the right word
A client who has just received a diagnosis of asthma says to the nurse, "This
condition is just another nail in my coffin." Which response by the nurse is
therapeutic? - ANSWER: "You seem very distressed over learning you have
asthma."
A client with a history of depression and several suicide attempts is admitted to the
mental health unit reporting severe suicidal thoughts. The nurse should focus the
initial data collection on which information? - ANSWER: The presence of existing
suicidal thoughts
A client is unwilling to go out of the house for fear of "doing something crazy in
public." Because of this fear, the client remains homebound except when
accompanied outside by the spouse. The nurse determines that the client has
which? - ANSWER: Agoraphobia
The day nurses in a psychiatric unit are receiving report from the night shift. During
report, a client approaches the nurses' station, becomes very loud and angry, and
demands to be seen by the health care provider immediately. Which nursing
intervention is appropriate? - ANSWER: Offer to assist the client to an examination
room until the health care provider is notified.
A client newly admitted to the mental health unit describes a recent history of
emotional turmoil. The client exhibits physical symptoms and has some loss of
physical functioning. The nurse determines that this client is exhibiting signs
compatible with which? - ANSWER: Somatization disorder
Milieu therapy is prescribed for a client. The nurse understands that this type of
therapy can best be described as which? - ANSWER: Client involvement in goal
setting
The nurse reviews the treatment prescribed for a client with a mental health
disorder. The nurse understands that a form of psychotherapy in which the client
enacts situations that are of emotional significance is identified by which term? -
ANSWER: Psychodrama
, When caring for a client who has been raped, which intervention should the nurse
implement during the examination? - ANSWER: Explaining procedures to be
completed and why the procedures are necessary
The nurse is reviewing the record of a client admitted to the mental health unit and
notes that the client was admitted by voluntary status. The nurse makes which
determination? - ANSWER: The client has the right to demand and obtain release
from the hospital.
The nurse having strong negative feelings toward a fellow employee tends to use the
defense mechanism of projection. This nurse is likely to react to a disagreement with
this fellow employee by which action? - ANSWER: Telling a friend that this employee
hates her
A client with Alzheimer's disease became very agitated when a group of children
came to sing and dance at a long-term care facility. The nurse should use which piece
of information when approaching the client about this behavior? - ANSWER:
Individuals with Alzheimer's disease have difficulty tolerating excess stimulation and
changes in routine.
The nurse is caring for a client with severe depression. Which activity is appropriate
for this client? - ANSWER: Drawing
The nurse is having a conversation with a depressed client in an inpatient psychiatric
unit. The client says to the nurse, "Things would be so much better for everyone if I
just weren't around." Which response by the nurse would be appropriate at this
time? - ANSWER: "You sound very unhappy. Are you thinking of harming yourself?"
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? - ANSWER: Interrupt the
client and offer to take her for a walk.
A client states to the nurse, "I haven't slept at all the last couple of nights." The nurse
should make which therapeutic response to the client? - ANSWER: "Tell me about
your difficulty sleeping."
A client in a manic state emerges from her room. She is topless and is making sexual
remarks and gestures toward staff and peers. Which is an appropriate nursing
action? - ANSWER: Quietly approach the client, escort her to her room, and assist
her in getting dressed.
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? - ANSWER: Altered thought processes
QUESTIONS AND CORRECT DETAILED ANSWERS
The nurse is reviewing the discharge plan with a female teenager with anorexia
nervosa and reinforces the importance that the teenager attends a meeting of the
local chapter of Anorexia Nervosa and Associated Disorders. Which response by the
teenager indicates that she will likely be compliant with this plan? - ANSWER: "I'm
going to do whatever it takes to get better."
The nurse is assisting in admitting a client with schizophrenia to an acute-care
inpatient psychiatric unit from the emergency department; however, the client
refuses admission. Which intervention should the nurse implement? - ANSWER:
Help the client with problem solving.
A client diagnosed with schizophrenia is experiencing an acute dystonia reaction.
Which interventions should the licensed practical nurse (LPN) initiate? Select all that
apply. - ANSWER: 1.
Monitor airway.
2.
Notify the registered nurse (RN).
4.
Remain with the client to provide support.
6.
Administer a prescribed IM antiparkinsonian medication.
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. - ANSWER: 1.
Notify the health care provider.
2.
Document the refusal of medication.
3.
Ask the client why he is refusing the medication.
A client who attempted suicide by overdosing with a very large number of
antidepressant pills has been admitted to the psychiatric unit. The nurse, being most
concerned with the client's safety, should take which action? - ANSWER: Stay with
the client at all times.
,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? - ANSWER: Goals and objectives
The nurse caring for a client who has been diagnosed with stage 3 Alzheimer's
disease and should expect to observe which behaviors in this client? Select all that
apply. - ANSWER: 3.
Misplacing a valuable object
5.
Difficulty coming up with the right word
A client who has just received a diagnosis of asthma says to the nurse, "This
condition is just another nail in my coffin." Which response by the nurse is
therapeutic? - ANSWER: "You seem very distressed over learning you have
asthma."
A client with a history of depression and several suicide attempts is admitted to the
mental health unit reporting severe suicidal thoughts. The nurse should focus the
initial data collection on which information? - ANSWER: The presence of existing
suicidal thoughts
A client is unwilling to go out of the house for fear of "doing something crazy in
public." Because of this fear, the client remains homebound except when
accompanied outside by the spouse. The nurse determines that the client has
which? - ANSWER: Agoraphobia
The day nurses in a psychiatric unit are receiving report from the night shift. During
report, a client approaches the nurses' station, becomes very loud and angry, and
demands to be seen by the health care provider immediately. Which nursing
intervention is appropriate? - ANSWER: Offer to assist the client to an examination
room until the health care provider is notified.
A client newly admitted to the mental health unit describes a recent history of
emotional turmoil. The client exhibits physical symptoms and has some loss of
physical functioning. The nurse determines that this client is exhibiting signs
compatible with which? - ANSWER: Somatization disorder
Milieu therapy is prescribed for a client. The nurse understands that this type of
therapy can best be described as which? - ANSWER: Client involvement in goal
setting
The nurse reviews the treatment prescribed for a client with a mental health
disorder. The nurse understands that a form of psychotherapy in which the client
enacts situations that are of emotional significance is identified by which term? -
ANSWER: Psychodrama
, When caring for a client who has been raped, which intervention should the nurse
implement during the examination? - ANSWER: Explaining procedures to be
completed and why the procedures are necessary
The nurse is reviewing the record of a client admitted to the mental health unit and
notes that the client was admitted by voluntary status. The nurse makes which
determination? - ANSWER: The client has the right to demand and obtain release
from the hospital.
The nurse having strong negative feelings toward a fellow employee tends to use the
defense mechanism of projection. This nurse is likely to react to a disagreement with
this fellow employee by which action? - ANSWER: Telling a friend that this employee
hates her
A client with Alzheimer's disease became very agitated when a group of children
came to sing and dance at a long-term care facility. The nurse should use which piece
of information when approaching the client about this behavior? - ANSWER:
Individuals with Alzheimer's disease have difficulty tolerating excess stimulation and
changes in routine.
The nurse is caring for a client with severe depression. Which activity is appropriate
for this client? - ANSWER: Drawing
The nurse is having a conversation with a depressed client in an inpatient psychiatric
unit. The client says to the nurse, "Things would be so much better for everyone if I
just weren't around." Which response by the nurse would be appropriate at this
time? - ANSWER: "You sound very unhappy. Are you thinking of harming yourself?"
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? - ANSWER: Interrupt the
client and offer to take her for a walk.
A client states to the nurse, "I haven't slept at all the last couple of nights." The nurse
should make which therapeutic response to the client? - ANSWER: "Tell me about
your difficulty sleeping."
A client in a manic state emerges from her room. She is topless and is making sexual
remarks and gestures toward staff and peers. Which is an appropriate nursing
action? - ANSWER: Quietly approach the client, escort her to her room, and assist
her in getting dressed.
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? - ANSWER: Altered thought processes
