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NCLEX PN MENTAL HEALTH EXAM ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS
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NCLEX PN MENTAL HEALTH EXAM ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS
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NCLEX PN MENTAL HEALTH EXAM ACTUAL EXAM 300QUESTIONS AND CORRECT DETAILED ANSWERS
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? - ANSWER: The client is
displaying typical behaviors that can occur during termination.
Treatment that involves pairing a stimulus attractive to the client with an unpleasant
event is known as which type of therapy - ANSWER: Aversion therapy
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? -
ANSWER: Suggest that the client stop talking and try listening to others.
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? - ANSWER: Beginning stage
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? - ANSWER: Termination phase
The nurse is collecting data from a client and is attempting to obtain subjective 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 - ANSWER: "I know that some of these questions are difficult
for you, but as the nurse, I must legally respect your confidentiality.
The nurse collects data on a client with a diagnosis of bipolar affective disorder-
mania. Which finding requires the nurse's immediate intervention? - ANSWER:
Client's inadequate attention to activities of daily living (ADL) and poor nutritional
intake
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.
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? - ANSWER:
Ping Pong
, 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 grandfather. What do you
advise?" Which response made by the nurse would be the most appropriate? -
ANSWER: "What do you and your husband believe is the right thing for your
children?"
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? - 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? - ANSWER: It must be hard
to accept that she has passed away."
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? - ANSWER: "I don't know
anything about the CIA. Do you feel afraid that people are trying to hurt you?"
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? - ANSWER: "I hear what you are saying, but I
don't share your belief."
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 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? - ANSWER:
Reexperiencing recollections of the trauma
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? -
ANSWER: Writing
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."
Which is the best rationale for using group therapy as an accepted way of treatment
of clients in the milieu? - ANSWER: Group therapy provides a social mechanism in
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