NR 292>Mental Health NCLEX QUESTIO
b b b b
NS AND ANSWERS LATEST VERSION.
b b b b
1. Thebhomebcarebnursebisbvisitingbanbolderbclientbwhosebspousebdiedb6bmonthsbago.bWhichbb
ehaviorbbybthebclientbindicatesbineffectivebcoping?
1. Neglectingbpersonalbgrooming
2. Lookingbatboldbsnapshotsbofbfamily
3. Participatingbinbabseniorbcitizens'bprogram
4. Visitingbtheirbspouse'sbgraveboncebabmonth
1. Neglectingbpersonalbgrooming
2. Abclientbwithbabdiagnosisbofbmajorbdepressionbwhobhasbattemptedbsuicidebsaysbtobthebnurs
e,b"Ibshouldbhavebdied.bI'vebalwaysbbeenbabfailure.bNothingbeverbgoesbrightbforbme."bWhic
hbresponsebdemonstratesbtherapeuticbcommunication?
1. "Youbhavebeverythingbtoblivebfor."
2. "Whybdobyoubseebyourselfbasbabfailure?"
3. "Feelingblikebthisbisballbpartbofbbeingbdepressed."
4. "You'vebbeenbfeelingblikebabfailurebforbabwhile?"
4.b"You'vebbeenbfeelingblikebabfailurebforbabwhile?"
3. Whenbthebmentalbhealthbnursebvisitsbabclientbatbhome,bthebclientbstates,b"Ibhaven'tbsleptbatbal
lbtheblastbcouplebofbnights."bWhichbresponsebbybthebnursebillustratesbabtherapeuticbcommu
nicationbresponsebtobthisbclient?
1. "Ibsee."
2. "Really?"
3. "You'rebhavingbdifficultybsleeping?"
4. "Sometimes,bIbhavebtroublebsleepingbtoo."
3. "You'rebhavingbdifficultybsleeping?"
4. Abclientbexperiencingbdisturbedbthoughtbprocessesbbelievesbthatbhisbfoodbisbbeingbpoisone
d.bWhichbcommunicationbtechniquebshouldbthebnursebusebtobencouragebthebclientbtobeat?
1. Usingbopen-endedbquestionsbandbsilence
2. Sharingbpersonalbpreferencebregardingbfoodbchoices
3. Documentingbreasonsbwhybthebclientbdoesbnotbwantbtobeat
4. Offeringbopinionsbaboutbthebnecessitybofbadequatebnutrition
1.bUsingbopen-endedbquestionsbandbsilence
,NR 292>Mental Health NCLEX QUESTIO
b b b b
NS AND ANSWERS LATEST VERSION.
b b b b
5. Abclientbadmittedbtobabmentalbhealthbunitbforbtreatmentbofbpsychoticbbehaviorbspendsbhoursba
tbtheblockedbexitbdoorbshouting,b"Letbmebout.bThere'sbnothingbwrongbwithbme.bIbdon'tbbelong
bhere."bWhat bdefensebmechanismbisbthebclient bimplementing?
1. Denial
2. Projection
3. Regression
4. Rationalization
1.bDenial
6. Abclientbdiagnosedbwithbterminalbcancerbsaysbtobthebnurse,b"I'mbgoingbtobdie,bandbIbwishbmyb
familybwouldbstopbhopingbforbabcure!bIbgetbsobangrybwhenbtheybcarrybonblikebthis.bAfterball,bI'
mbthebonebwho'sbdying."bWhichbresponsebbybthebnursebisbtherapeutic?
1. "Havebyoubsharedbyourbfeelingsbwithbyourbfamily?"
2. "Ibthinkbwebshouldbtalkbmorebaboutbyourbangerbwithbyourbfamily."
3. "You'rebfeelingbangrybthatbyourbfamilybcontinuesbtobhopebforbyoubtobbebcured?"
4. "Youbarebprobablybverybdepressed,bwhichbisbunderstandablebwithbsuchbabdiagnosis."
3.b"You'rebfeelingbangrybthatbyourbfamilybcontinuesbtobhopebforbyoubtobbebcured?"
7. Onbreviewbofbthebclient'sbrecord,bthebnursebnotesbthatbthebmentalbhealthbadmissionbwasbv
oluntary.bBasedbonbthisbinformation,bthebnursebanticipatesbwhichbclientbbehavior?
1. Fearfulnessbregardingbtreatmentbmeasures.
2. Angerbandbaggressivenessbdirectedbtowardbothers.
3. Anbunderstandingbofbthebpathologybandbsymptomsbofbthebdiagnosis.
4. Abwillingnessbtobparticipatebinbthebplanningbofbthebcarebandbtreatmentbplan.
4.bAbwillingnessbtobparticipatebinbthebplanningbofbthebcarebandbtreatmentbplan.
8. Whenbreviewingbthebadmissionbassessment,bthebnursebnotesbthatbabclientbwasbadmittedbtobt
hebmentalbhealthbunitbinvoluntarily.bBasedbonbthisbtypebofbadmission,bthebnursebshouldbpr
ovidebwhichbinterventionbforbthisbclient?
1. Monitorbcloselybforbharmbtobselfborbothers.
2. Assistbinbcompletingbanbapplicationbforbadmission.
3. Supplybthebclientbwithbwrittenbinformationbaboutbtheirbmentalbillness.
4. Providebanbopportunitybforbthebfamilybtobdiscussbwhybtheybfeltbthebadmissionbwasbn
eeded.
1.bMonitorbcloselybforbharmbtobselfborbothers.
9. Thebnursebisbpreparingbabclientbforbthebterminationbphasebofbthebnurse-
clientbrelationship.bThebnursebpreparesbtobimplementbwhichbnursingbtaskbthatbisbmostbapp
ropriatebforbthisbphase?
1. Planningbshort-termbgoals
2. Makingbappropriatebreferrals
,NR 292>Mental Health NCLEX QUESTIO
b b b b
NS AND ANSWERS LATEST VERSION.
b b b b
3. Developingbrealisticbsolutions
4. Identifyingbexpectedboutcomes
2.bMakingbappropriatebreferrals
10. Thebnursebinbthebmentalbhealthbunitbrecognizesbwhichbasbbeingbtherapeuticbcommunicationbt
echniques?bSelectballbthatbapply.
1. Restating
2. Listening
3. Askingbthebclient,b"Why?"
4. Maintainingbneutralbresponses
5. Providingbacknowledgmentbandbfeedback
6. Givingbadvicebandbapprovalborbdisapproval
o 1.bRestating
o 2.bListening
o 4.bMaintainingbneutralbresponses
o 5.bProvidingbacknowledgmentbandbfeedback
11. Abclientbbeingbseenbinbthebemergencybdepartmentbimmediatelybafterbbeingbsexuallybass
aultedbappearsbcalmbandbcontrolled.bThebnursebanalyzesbthisbbehaviorbasbindicatingbwhi
chbdefensebmechanism?
1. Denial
2. Projection
3. Rationalization
4. Intellectualization
1.bDenial
12. Abclient'sbunresolvedbfeelingsbrelatedbtoblossbwouldbbebmostblikelybobservedbduringbwhichbp
hasebofbthebtherapeuticbnurse-clientbrelationship?
1. Trusting
2. Working
3. Orientation
4. Termination
4.bTermination
13. Thebnursebisbworkingbwithbabclientbwhobdespitebmakingbabheroicbeffortbwasbunablebtobres
cuebabneighborbtrappedbinbabhousebfire.bWhichbclient-
focusedbactionbshouldbthebnursebengagebinbduringbthebworkingbphasebofbthebnurse-
clientbrelationship?
1. Exploringbthebclient'sbabilitybtobfunction
, NR 292>Mental Health NCLEX QUESTIO
b b b b
NS AND ANSWERS LATEST VERSION.
b b b b
2. Exploringbthebclient'sbpotentialbforbself-harm
b b b b
NS AND ANSWERS LATEST VERSION.
b b b b
1. Thebhomebcarebnursebisbvisitingbanbolderbclientbwhosebspousebdiedb6bmonthsbago.bWhichbb
ehaviorbbybthebclientbindicatesbineffectivebcoping?
1. Neglectingbpersonalbgrooming
2. Lookingbatboldbsnapshotsbofbfamily
3. Participatingbinbabseniorbcitizens'bprogram
4. Visitingbtheirbspouse'sbgraveboncebabmonth
1. Neglectingbpersonalbgrooming
2. Abclientbwithbabdiagnosisbofbmajorbdepressionbwhobhasbattemptedbsuicidebsaysbtobthebnurs
e,b"Ibshouldbhavebdied.bI'vebalwaysbbeenbabfailure.bNothingbeverbgoesbrightbforbme."bWhic
hbresponsebdemonstratesbtherapeuticbcommunication?
1. "Youbhavebeverythingbtoblivebfor."
2. "Whybdobyoubseebyourselfbasbabfailure?"
3. "Feelingblikebthisbisballbpartbofbbeingbdepressed."
4. "You'vebbeenbfeelingblikebabfailurebforbabwhile?"
4.b"You'vebbeenbfeelingblikebabfailurebforbabwhile?"
3. Whenbthebmentalbhealthbnursebvisitsbabclientbatbhome,bthebclientbstates,b"Ibhaven'tbsleptbatbal
lbtheblastbcouplebofbnights."bWhichbresponsebbybthebnursebillustratesbabtherapeuticbcommu
nicationbresponsebtobthisbclient?
1. "Ibsee."
2. "Really?"
3. "You'rebhavingbdifficultybsleeping?"
4. "Sometimes,bIbhavebtroublebsleepingbtoo."
3. "You'rebhavingbdifficultybsleeping?"
4. Abclientbexperiencingbdisturbedbthoughtbprocessesbbelievesbthatbhisbfoodbisbbeingbpoisone
d.bWhichbcommunicationbtechniquebshouldbthebnursebusebtobencouragebthebclientbtobeat?
1. Usingbopen-endedbquestionsbandbsilence
2. Sharingbpersonalbpreferencebregardingbfoodbchoices
3. Documentingbreasonsbwhybthebclientbdoesbnotbwantbtobeat
4. Offeringbopinionsbaboutbthebnecessitybofbadequatebnutrition
1.bUsingbopen-endedbquestionsbandbsilence
,NR 292>Mental Health NCLEX QUESTIO
b b b b
NS AND ANSWERS LATEST VERSION.
b b b b
5. Abclientbadmittedbtobabmentalbhealthbunitbforbtreatmentbofbpsychoticbbehaviorbspendsbhoursba
tbtheblockedbexitbdoorbshouting,b"Letbmebout.bThere'sbnothingbwrongbwithbme.bIbdon'tbbelong
bhere."bWhat bdefensebmechanismbisbthebclient bimplementing?
1. Denial
2. Projection
3. Regression
4. Rationalization
1.bDenial
6. Abclientbdiagnosedbwithbterminalbcancerbsaysbtobthebnurse,b"I'mbgoingbtobdie,bandbIbwishbmyb
familybwouldbstopbhopingbforbabcure!bIbgetbsobangrybwhenbtheybcarrybonblikebthis.bAfterball,bI'
mbthebonebwho'sbdying."bWhichbresponsebbybthebnursebisbtherapeutic?
1. "Havebyoubsharedbyourbfeelingsbwithbyourbfamily?"
2. "Ibthinkbwebshouldbtalkbmorebaboutbyourbangerbwithbyourbfamily."
3. "You'rebfeelingbangrybthatbyourbfamilybcontinuesbtobhopebforbyoubtobbebcured?"
4. "Youbarebprobablybverybdepressed,bwhichbisbunderstandablebwithbsuchbabdiagnosis."
3.b"You'rebfeelingbangrybthatbyourbfamilybcontinuesbtobhopebforbyoubtobbebcured?"
7. Onbreviewbofbthebclient'sbrecord,bthebnursebnotesbthatbthebmentalbhealthbadmissionbwasbv
oluntary.bBasedbonbthisbinformation,bthebnursebanticipatesbwhichbclientbbehavior?
1. Fearfulnessbregardingbtreatmentbmeasures.
2. Angerbandbaggressivenessbdirectedbtowardbothers.
3. Anbunderstandingbofbthebpathologybandbsymptomsbofbthebdiagnosis.
4. Abwillingnessbtobparticipatebinbthebplanningbofbthebcarebandbtreatmentbplan.
4.bAbwillingnessbtobparticipatebinbthebplanningbofbthebcarebandbtreatmentbplan.
8. Whenbreviewingbthebadmissionbassessment,bthebnursebnotesbthatbabclientbwasbadmittedbtobt
hebmentalbhealthbunitbinvoluntarily.bBasedbonbthisbtypebofbadmission,bthebnursebshouldbpr
ovidebwhichbinterventionbforbthisbclient?
1. Monitorbcloselybforbharmbtobselfborbothers.
2. Assistbinbcompletingbanbapplicationbforbadmission.
3. Supplybthebclientbwithbwrittenbinformationbaboutbtheirbmentalbillness.
4. Providebanbopportunitybforbthebfamilybtobdiscussbwhybtheybfeltbthebadmissionbwasbn
eeded.
1.bMonitorbcloselybforbharmbtobselfborbothers.
9. Thebnursebisbpreparingbabclientbforbthebterminationbphasebofbthebnurse-
clientbrelationship.bThebnursebpreparesbtobimplementbwhichbnursingbtaskbthatbisbmostbapp
ropriatebforbthisbphase?
1. Planningbshort-termbgoals
2. Makingbappropriatebreferrals
,NR 292>Mental Health NCLEX QUESTIO
b b b b
NS AND ANSWERS LATEST VERSION.
b b b b
3. Developingbrealisticbsolutions
4. Identifyingbexpectedboutcomes
2.bMakingbappropriatebreferrals
10. Thebnursebinbthebmentalbhealthbunitbrecognizesbwhichbasbbeingbtherapeuticbcommunicationbt
echniques?bSelectballbthatbapply.
1. Restating
2. Listening
3. Askingbthebclient,b"Why?"
4. Maintainingbneutralbresponses
5. Providingbacknowledgmentbandbfeedback
6. Givingbadvicebandbapprovalborbdisapproval
o 1.bRestating
o 2.bListening
o 4.bMaintainingbneutralbresponses
o 5.bProvidingbacknowledgmentbandbfeedback
11. Abclientbbeingbseenbinbthebemergencybdepartmentbimmediatelybafterbbeingbsexuallybass
aultedbappearsbcalmbandbcontrolled.bThebnursebanalyzesbthisbbehaviorbasbindicatingbwhi
chbdefensebmechanism?
1. Denial
2. Projection
3. Rationalization
4. Intellectualization
1.bDenial
12. Abclient'sbunresolvedbfeelingsbrelatedbtoblossbwouldbbebmostblikelybobservedbduringbwhichbp
hasebofbthebtherapeuticbnurse-clientbrelationship?
1. Trusting
2. Working
3. Orientation
4. Termination
4.bTermination
13. Thebnursebisbworkingbwithbabclientbwhobdespitebmakingbabheroicbeffortbwasbunablebtobres
cuebabneighborbtrappedbinbabhousebfire.bWhichbclient-
focusedbactionbshouldbthebnursebengagebinbduringbthebworkingbphasebofbthebnurse-
clientbrelationship?
1. Exploringbthebclient'sbabilitybtobfunction
, NR 292>Mental Health NCLEX QUESTIO
b b b b
NS AND ANSWERS LATEST VERSION.
b b b b
2. Exploringbthebclient'sbpotentialbforbself-harm
