PN NCLEX 6TH EDITION- MENTAL HEALTH EXAM TEST WITH 100%
VERIFIED ANSWERS
1. The nurse is caring for a client who was recently Interrupt the client
admitted for anorexia nervosa. Upon entering the and offer to take
client's room, the nurse finds the client in the mid- her for a walk.
dle of a series of sets of rapid sit-ups. Which action
should the nurse take?
2. A client with lung cancer says to the nurse, "I'm sick "You're feeling an-
and tired of my family telling me not to worry and gry that your fam-
that a cure will be discovered before I know it." Which ily is hoping for a
response by the nurse is therapeutic? cure?"
3. A client tells the nurse that he is feeling out of control. Move the client to
The nurse observes that the client is pacing back and a quiet room and
forth. Which approach by the nurse is appropriate to talk about his feel-
maintain a safe environment? ings.
4. A client says to the home care nurse, "I can't believe "It must be hard
that my wife died yesterday. I keep expecting to see to accept that she
her everywhere I go in this house, ready to plan our has passed away."
activities for the day." Which is the therapeutic nurs-
ing response?
5. The wife of a client who abuses alcohol tells the Al-Anon
nurse she cannot "do it alone" any longer and asks
the nurse about the availability of any free support
services for "people like me." The nurse refers the
client's wife to which community group?
6. The nurse is caring for a client with depression in -Notify the health
the mental health unit who is refusing to take the care provider.
prescribed oral antidepressant. Which are the nurse's
best actions to this client's medication refusal? Se- -Document the re-
lect all that apply. fusal of medica-
tion.
-Ask the client why
he is refusing the
medication.
, PN NCLEX 6TH EDITION- MENTAL HEALTH EXAM TEST WITH 100%
VERIFIED ANSWERS
7. While the nurse is providing care, a client angrily "The health care
reports to the nurse that the health care provider provider would
purposefully provided wrong information about her never lie to you."
diagnosis and states, "The doctor lied to me." Which
nursing response would likely be a barrier to further
communication with the client?
8. The nurse is caring for an older adult client who has "You must be feel-
recently lost her husband. The client says, "No one ing all alone at this
cares about me anymore. All the people I loved are point."
dead." Which response by the nurse is therapeutic?
9. A client with a diagnosis of a recurrent major de- Altered thought
pression, exhibiting psychotic features, is admitted processes
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?
10. The nurse is preparing a care plan for the client with Goals and objec-
obsessive-compulsive disorder (OCD). The nurse tives
should focus on which as the primary means to ac-
complish work with this client?
11. A client is admitted to the psychiatric unit following Remain with the
a serious suicidal attempt by a drug overdose. Which client at all times.
action should the nurse implement?
12. A client with a phobia will be treated for the condition The client will
using a behavior modification technique known as be introduced
systematic desensitization. The nurse describes the to short periods
components of this form of therapy to the client and of exposure to
reinforces which client instruction? the phobic object
while in a relaxed
state.
13. A client with depression reports to the nurse that she Provide small, fre-
has not been sleeping or eating adequately. The nurse quent meals.
should plan to do which to assist the client in meeting
nutritional needs?
, 14. A client with a diagnosis of major depression be- The client is at
comes more anxious, reports sleeping poorly, and increased risk for
seems to display increased anger. The nurse should suicide.
make which interpretation about the client's behav-
ior?
15. The licensed practical nurse is assisting the regis- Hallucinations
tered nurse in admitting a client with an exacerbation
of schizophrenia and knows that which signs/symp- Anhedonia
toms displayed by the client are considered positive
symptoms? Select all that apply. Delusions
Neologisms
16. The nurse is collecting data from a client who has re- The client reports
cently been violently raped. Which data indicates that nightmares involv-
the client is experiencing rape-trauma syndrome? ing being stalked
when alone at
night.
17. The nurse is caring for a client who has been treated Abnormal move-
with long-term antipsychotic medication. As part of ments and in-
the nursing care plan, the nurse monitors for tardive voluntary move-
dyskinesia. Which should the nurse observe with tar- ments of the
dive dyskinesia? mouth, tongue,
and face
18. The nurse observes that a client with a potential for vi- "What is causing
olence is agitated, pacing up and down in the hallway, you to become ag-
and making aggressive and belligerent gestures at itated?"
other clients. Which statement is appropriate to make
to this client?
19. The licensed practical nurse is assisting in the admit- Client threatened
tance of a client who has been involuntarily commit- to commit suicide.
ted to the behavioral health unit. Which actions by the
client before hospitalization led to the commitment? Client threatened
Select all that apply. to kidnap his
spouse.
VERIFIED ANSWERS
1. The nurse is caring for a client who was recently Interrupt the client
admitted for anorexia nervosa. Upon entering the and offer to take
client's room, the nurse finds the client in the mid- her for a walk.
dle of a series of sets of rapid sit-ups. Which action
should the nurse take?
2. A client with lung cancer says to the nurse, "I'm sick "You're feeling an-
and tired of my family telling me not to worry and gry that your fam-
that a cure will be discovered before I know it." Which ily is hoping for a
response by the nurse is therapeutic? cure?"
3. A client tells the nurse that he is feeling out of control. Move the client to
The nurse observes that the client is pacing back and a quiet room and
forth. Which approach by the nurse is appropriate to talk about his feel-
maintain a safe environment? ings.
4. A client says to the home care nurse, "I can't believe "It must be hard
that my wife died yesterday. I keep expecting to see to accept that she
her everywhere I go in this house, ready to plan our has passed away."
activities for the day." Which is the therapeutic nurs-
ing response?
5. The wife of a client who abuses alcohol tells the Al-Anon
nurse she cannot "do it alone" any longer and asks
the nurse about the availability of any free support
services for "people like me." The nurse refers the
client's wife to which community group?
6. The nurse is caring for a client with depression in -Notify the health
the mental health unit who is refusing to take the care provider.
prescribed oral antidepressant. Which are the nurse's
best actions to this client's medication refusal? Se- -Document the re-
lect all that apply. fusal of medica-
tion.
-Ask the client why
he is refusing the
medication.
, PN NCLEX 6TH EDITION- MENTAL HEALTH EXAM TEST WITH 100%
VERIFIED ANSWERS
7. While the nurse is providing care, a client angrily "The health care
reports to the nurse that the health care provider provider would
purposefully provided wrong information about her never lie to you."
diagnosis and states, "The doctor lied to me." Which
nursing response would likely be a barrier to further
communication with the client?
8. The nurse is caring for an older adult client who has "You must be feel-
recently lost her husband. The client says, "No one ing all alone at this
cares about me anymore. All the people I loved are point."
dead." Which response by the nurse is therapeutic?
9. A client with a diagnosis of a recurrent major de- Altered thought
pression, exhibiting psychotic features, is admitted processes
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?
10. The nurse is preparing a care plan for the client with Goals and objec-
obsessive-compulsive disorder (OCD). The nurse tives
should focus on which as the primary means to ac-
complish work with this client?
11. A client is admitted to the psychiatric unit following Remain with the
a serious suicidal attempt by a drug overdose. Which client at all times.
action should the nurse implement?
12. A client with a phobia will be treated for the condition The client will
using a behavior modification technique known as be introduced
systematic desensitization. The nurse describes the to short periods
components of this form of therapy to the client and of exposure to
reinforces which client instruction? the phobic object
while in a relaxed
state.
13. A client with depression reports to the nurse that she Provide small, fre-
has not been sleeping or eating adequately. The nurse quent meals.
should plan to do which to assist the client in meeting
nutritional needs?
, 14. A client with a diagnosis of major depression be- The client is at
comes more anxious, reports sleeping poorly, and increased risk for
seems to display increased anger. The nurse should suicide.
make which interpretation about the client's behav-
ior?
15. The licensed practical nurse is assisting the regis- Hallucinations
tered nurse in admitting a client with an exacerbation
of schizophrenia and knows that which signs/symp- Anhedonia
toms displayed by the client are considered positive
symptoms? Select all that apply. Delusions
Neologisms
16. The nurse is collecting data from a client who has re- The client reports
cently been violently raped. Which data indicates that nightmares involv-
the client is experiencing rape-trauma syndrome? ing being stalked
when alone at
night.
17. The nurse is caring for a client who has been treated Abnormal move-
with long-term antipsychotic medication. As part of ments and in-
the nursing care plan, the nurse monitors for tardive voluntary move-
dyskinesia. Which should the nurse observe with tar- ments of the
dive dyskinesia? mouth, tongue,
and face
18. The nurse observes that a client with a potential for vi- "What is causing
olence is agitated, pacing up and down in the hallway, you to become ag-
and making aggressive and belligerent gestures at itated?"
other clients. Which statement is appropriate to make
to this client?
19. The licensed practical nurse is assisting in the admit- Client threatened
tance of a client who has been involuntarily commit- to commit suicide.
ted to the behavioral health unit. Which actions by the
client before hospitalization led to the commitment? Client threatened
Select all that apply. to kidnap his
spouse.
