2025 NCLEX PN Mental Health Exam New Latest
Version Best Studying Material with All 70 Questions
and Correct Answers
Which is the best rationale for using group therapy as an accepted way of treatment of clients in
the milieu? ------------ Correct Answer ------------ Group therapy provides a social mechanism in
which a client can relate to peers and validate thoughts and feelings in a realistic environment.
The nurse is caring for a client who is scheduled for electroconvulsive therapy (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 does the nurse make regarding consent? ------------ Correct Answer ----------
-- An informed consent needs to be obtained from the client.
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? ------------
Correct Answer ------------ "It's okay to grieve and be angry with your daughter and anyone else
for a time.
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? ------------ Correct Answer ------------ It must be hard
to accept that she has passed away."
A woman is admitted to an inpatient psychiatric unit with the diagnosis of anorexia nervosa. A
behavior therapy approach is used as part of her treatment plan. Which is the purpose of the
behavior therapy approach? ------------ Correct Answer ------------ Help the client identify and
examine dysfunctional thoughts and beliefs.
Milieu therapy is prescribed for a client. The nurse understands that this type of therapy can best
be described as which? ------------ Correct Answer ------------ Client involvement in goal setting
The nurse is caring for a client who has been treated with long-term antipsychotic medication. As
part of the nursing care plan, the nurse monitors for tardive dyskinesia. Which should the nurse
observe with tardive dyskinesia ------------ Correct Answer ------------ Abnormal movements and
involuntary movements of the mouth, tongue, and face
A client has been hospitalized and has participated in substance abuse therapy group sessions.
On discharge, the client has consented to participate in Alcoholics Anonymous (AA) community
groups. Which statement by the client best indicates to the nurse that the client has assimilated
therapy session topics and coping response styles and has processed information effectively for
self-use? ------------ Correct Answer ------------ "I'm looking forward to leaving here; I know that
, I will miss all of you. So, I'm happy and I'm sad, I'm excited and I'm scared. I know that I have to
work hard to be strong and that everyone isn't going to be as helpful as you people."
A long-term care resident with a history of paranoid schizophrenia refuses to eat and tells the
nurse that she believes that someone is poisoning the food. The nurse should make which
appropriate response to the client? ------------ Correct Answer ------------ "It must be frightening
to you. Has something made you feel that your food is poisoned?"
The nurse is assigned to care for a client who is agitated. On entering the room, the client
screams, "Why don't you just leave me alone?" The nurse should make which therapeutic
response to the client ------------ Correct Answer ------------ "I can see that you are upset. I'll be
back in a few minutes to see how you are doing."
The nurse is working with an older client who has a diagnosis of depression. To work most
effectively with this client, the nurse recalls that which information is accurate regarding
depression and the older client? Select all that apply. ------------ Correct Answer ------------ -
Suicide is a frequent cause of death among the older population.
-Some indications of dementia may actually originate as depression.
-Depression in an older person is likely to have physical manifestations.
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? ------------ Correct Answer ------------ Individuals
with Alzheimer's disease have difficulty tolerating excess stimulation and changes in routine.
The nurse is caring for a client with schizophrenia who states, "I decided not to take my
medication because I realize that it really can't help me. Only I can help me." Which nursing
response should be therapeutic? ------------ Correct Answer ------------ Do you recall needing to
be hospitalized because you stopped your medication?"
The nurse notices a "paranoid stare" during a conversation with the client diagnosed with
posttraumatic stress disorder (PTSD). The client then begins to fidget and gets up to pace around
the room. Which action by the nurse would be most beneficial? ------------ Correct Answer -------
----- Share the observation with the client and help the client recognize his or her feelings.
A confused and disoriented client is admitted to the psychiatric unit diagnosed with
posttraumatic stress disorder (PTSD). The nurse initially plans to take which action with this
client? ------------ Correct Answer ------------ Accept the client as a person and make the client
feel safe.
A furiously angry and aggressive client was put in restraints and was told that the restraints
would be removed once the client regained control. The nurse appropriately removes the
restraints when which action occurs? ------------ Correct Answer ------------ When no acts of
aggression are observed within 1 hour after release of two extremity restraints
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