Mental Health NCLEX- PN
Study online at https://quizlet.com/_c265mz
1. During the termination phase of the nurse-client relationship, the clinic
nurse observes that the client continuously demonstrates bursts of anger.
Which interpretation should the nurse make of this behavior?: The client is
displaying typical behaviors that can occur during termination.
2. Treatment that involves pairing a stimulus attractive to the client with an
unpleasant event is known as which type of therapy: Aversion therapy
3. The nurse is assisting in conducting a group therapy session, and a client
with a manic disorder is monopolizing the group. The appropriate nursing
action is which?: Suggest that the client stop talking and try listening to others.
4. The nurse is assisting in a group therapy session. During this session the
members are identifying tasks and boundaries. The nurse understands that
these activities are characteristic of which stage of group development?: Be-
ginning stage
5. The nurse assists in planning care for a client scheduled to be discharged
from a mental health clinic. The nurse understands that the client's unresolved
feelings related to loss may resurface during which phase of the therapeutic
nurse-client relationship?: Termination phase
6. The nurse is collecting data from a client and is attempting to obtain subjec-
tive data regarding the client's sexual reproductive status. The client states, "I
don't want to discuss this-it's private and personal." Which statement by the
nurse indicates a therapeutic response: "I know that some of these questions are
difficult for you, but as the nurse, I must legally respect your confidentiality.
7. The nurse collects data on a client with a diagnosis of bipolar affective
disorder-mania. Which finding requires the nurse's immediate intervention?-
: Client's inadequate attention to activities of daily living (ADL) and poor nutritional
intake
8. 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?: Quietly approach the client, escort her to her room,
and assist her in getting dressed.
9. The nurse reviews the activity schedule for the day and determines that the
best supervised activity that the manic client could participate in is which?: -
Ping Pong
10. The mother of 6-year-old twins says to the nurse, "My mother-in-law
doesn't think our children should come to the funeral service for their grand-
father. What do you advise?" Which response made by the nurse would be the
most appropriate?: "What do you and your husband believe is the right thing for
your children?"
1/8
, Mental Health NCLEX- PN
Study online at https://quizlet.com/_c265mz
11. A woman whose husband died 2 months ago says to the visiting nurse, "My
daughter came over yesterday to help me move my husband's things out of
our bedroom, and I was so angry with her for moving his slippers from where
he always kept them under his side of our bed. She doesn't know how much
I'm hurting." Which statement by the nurse should be therapeutic?: "It's okay
to grieve and be angry with your daughter and anyone else for a time.
12. A client says to the home care nurse, "I can't believe that my wife died
yesterday. I keep expecting to see her everywhere I go in this house, ready to
plan our activities for the day." Which is the therapeutic nursing response?: It
must be hard to accept that she has passed away."
13. A hospitalized client who is experiencing delusions and has a diagnosis of
schizophrenia says to the nurse, "I know that the doctor is talking to the CIA
to get rid of me." Which should be the nurse's best response?: "I don't know
anything about the CIA. Do you feel afraid that people are trying to hurt you?"
14. A client hospitalized with a paranoid disorder refuses to turn off the lights
in the room at night and states, "My roommate will steal me blind." Which is
an appropriate response by the nurse?: "I hear what you are saying, but I don't
share your belief."
15. 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?: "You seem very distressed over learning you have asthma."
16. A client is found to have rape-trauma syndrome. The nurse plans care for
the client, knowing that rape-trauma syndrome is a condition that involves
which?: Reexperiencing recollections of the trauma
17. The nurse is caring for a client who has bipolar disorder with aggressive
social behavior. Which activity would be most appropriate initially for this
client?: Writing
18. 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?: "Tell me
about your difficulty sleeping."
19. Which is the best rationale for using group therapy as an accepted way of
treatment of clients in the milieu?: Group therapy provides a social mechanism
in which a client can relate to peers and validate thoughts and feelings in a realistic
environment.
20. The nurse is caring for a client who is scheduled for electroconvulsive ther-
apy (ECT). The nurse notes that an informed consent has not been obtained for
the procedure. On review of the record, the nurse notes that the admission was
an involuntary hospitalization. Based on this information, which determination
2/8
Study online at https://quizlet.com/_c265mz
1. During the termination phase of the nurse-client relationship, the clinic
nurse observes that the client continuously demonstrates bursts of anger.
Which interpretation should the nurse make of this behavior?: The client is
displaying typical behaviors that can occur during termination.
2. Treatment that involves pairing a stimulus attractive to the client with an
unpleasant event is known as which type of therapy: Aversion therapy
3. The nurse is assisting in conducting a group therapy session, and a client
with a manic disorder is monopolizing the group. The appropriate nursing
action is which?: Suggest that the client stop talking and try listening to others.
4. The nurse is assisting in a group therapy session. During this session the
members are identifying tasks and boundaries. The nurse understands that
these activities are characteristic of which stage of group development?: Be-
ginning stage
5. The nurse assists in planning care for a client scheduled to be discharged
from a mental health clinic. The nurse understands that the client's unresolved
feelings related to loss may resurface during which phase of the therapeutic
nurse-client relationship?: Termination phase
6. The nurse is collecting data from a client and is attempting to obtain subjec-
tive data regarding the client's sexual reproductive status. The client states, "I
don't want to discuss this-it's private and personal." Which statement by the
nurse indicates a therapeutic response: "I know that some of these questions are
difficult for you, but as the nurse, I must legally respect your confidentiality.
7. The nurse collects data on a client with a diagnosis of bipolar affective
disorder-mania. Which finding requires the nurse's immediate intervention?-
: Client's inadequate attention to activities of daily living (ADL) and poor nutritional
intake
8. 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?: Quietly approach the client, escort her to her room,
and assist her in getting dressed.
9. The nurse reviews the activity schedule for the day and determines that the
best supervised activity that the manic client could participate in is which?: -
Ping Pong
10. The mother of 6-year-old twins says to the nurse, "My mother-in-law
doesn't think our children should come to the funeral service for their grand-
father. What do you advise?" Which response made by the nurse would be the
most appropriate?: "What do you and your husband believe is the right thing for
your children?"
1/8
, Mental Health NCLEX- PN
Study online at https://quizlet.com/_c265mz
11. A woman whose husband died 2 months ago says to the visiting nurse, "My
daughter came over yesterday to help me move my husband's things out of
our bedroom, and I was so angry with her for moving his slippers from where
he always kept them under his side of our bed. She doesn't know how much
I'm hurting." Which statement by the nurse should be therapeutic?: "It's okay
to grieve and be angry with your daughter and anyone else for a time.
12. A client says to the home care nurse, "I can't believe that my wife died
yesterday. I keep expecting to see her everywhere I go in this house, ready to
plan our activities for the day." Which is the therapeutic nursing response?: It
must be hard to accept that she has passed away."
13. A hospitalized client who is experiencing delusions and has a diagnosis of
schizophrenia says to the nurse, "I know that the doctor is talking to the CIA
to get rid of me." Which should be the nurse's best response?: "I don't know
anything about the CIA. Do you feel afraid that people are trying to hurt you?"
14. A client hospitalized with a paranoid disorder refuses to turn off the lights
in the room at night and states, "My roommate will steal me blind." Which is
an appropriate response by the nurse?: "I hear what you are saying, but I don't
share your belief."
15. 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?: "You seem very distressed over learning you have asthma."
16. A client is found to have rape-trauma syndrome. The nurse plans care for
the client, knowing that rape-trauma syndrome is a condition that involves
which?: Reexperiencing recollections of the trauma
17. The nurse is caring for a client who has bipolar disorder with aggressive
social behavior. Which activity would be most appropriate initially for this
client?: Writing
18. 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?: "Tell me
about your difficulty sleeping."
19. Which is the best rationale for using group therapy as an accepted way of
treatment of clients in the milieu?: Group therapy provides a social mechanism
in which a client can relate to peers and validate thoughts and feelings in a realistic
environment.
20. The nurse is caring for a client who is scheduled for electroconvulsive ther-
apy (ECT). The nurse notes that an informed consent has not been obtained for
the procedure. On review of the record, the nurse notes that the admission was
an involuntary hospitalization. Based on this information, which determination
2/8
