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NCLEX-RN mental health practice questions, set 14

NCLEX-RN · mental health

NCLEX-RN mental health practice questions set 14

You choose the therapeutic response, the safety priority, and the cue that means the patient is getting worse. Five of the 15 questions include the correct answer and rationale. The other ten keep answers in the study hub. Continue with the NCLEX-RN exam guide or more NCLEX-RN practice questions.

Five mental health questions with answers

Cover the key. Write the first action. Then open the rationale and name why the other choices fail.

Question 1

Which response would the nurse make to a client who says, 'The voices say I'll be safe only if I stay in this room, wear these clothes, and avoid stepping on the cracks between the floor tiles'?

  1. A. Ask whether the voices are male or female and how many there are.
  2. B. Reassure the client by stating, 'I understand that these voices are real to you, but I want you to know that I don't hear them.'
  3. C. Offer false reassurance by saying, 'Don't worry"?I've locked the door to your room and won't let anyone in.'
  4. D. Encourage the client to leave the room and keep busy to distract from the voices.
Show answer and rationale

Correct answer: B — Reassure the client by stating, 'I understand that these voices are real to you, but I want you to know that I don't hear them.'

The response, 'I understand that these voices are real to you, but I want you to know that I don't hear them,' demonstrates empathy and validation of the client's experience while also gently bringing in the nurse's reality. This response acknowledges the client's feelings without reinforcing the hallucinations. Asking about the characteristics of the voices (Choice A) can inadvertently validate the hallucinations. Offering false reassurance (Choice B) may not be helpful as it does not address the client's distress. Encouraging the client to leave the room and keep busy (Choice D) is nontherapeutic as it disregards the client's experience and may increase anxiety.

Question 2

Nursing behaviors associated with the implementation phase of the nursing process are concerned with:

  1. A. participating in the mutual identification of patient outcomes.
  2. B. gathering accurate and sufficient patient-centered data.
  3. C. comparing patient responses and expected outcomes.
  4. D. carrying out interventions and coordinating care.
Show answer and rationale

Correct answer: D — carrying out interventions and coordinating care.

During the implementation phase of the nursing process, nurses focus on executing interventions and coordinating care. This involves utilizing available resources, performing necessary interventions, exploring alternatives when needed, and collaborating with other healthcare team members to ensure comprehensive care delivery. Choice A is incorrect as it pertains more to the planning phase where patient outcomes are identified. Choice B is incorrect as it relates to data collection, which is primarily a part of the assessment phase. Choice C is incorrect as it involves evaluating patient responses against expected outcomes, which is part of the evaluation phase.

Question 3

Which method is used to verify the placement of a newly inserted central venous access device (CVAD)?

  1. A. Chest x-ray
  2. B. Flushing the line with heparin
  3. C. Withdrawing blood to ensure patency
  4. D. Chest fluoroscopy
Show answer and rationale

Correct answer: A — Chest x-ray

The correct method to verify the placement of a newly inserted central venous access device (CVAD) is a chest x-ray. This is crucial to detect any potential complications such as pneumothorax, which can occur during subclavian vein catheter insertion. Symptoms of pneumothorax may include shortness of breath and anxiety. Flushing the line with heparin is not used for placement verification, but rather for maintaining patency after verification. Withdrawing blood to ensure patency is done after placement is confirmed, not for initial verification. Chest fluoroscopy may be used during the insertion process but is not typically employed for placement verification.

Question 4

What is the primary purpose served when an individual takes action to reduce anxiety?

  1. A. Reduction of tension
  2. B. Denial of the situation
  3. C. Avoidance of physical discomfort
  4. D. Resolution in decision-making
Show answer and rationale

Correct answer: A — Reduction of tension

The primary purpose of taking action to reduce anxiety is to alleviate emotional tension and prevent the exacerbation of anxiety symptoms. By reducing tension, anxiety levels decrease, leading to a sense of comfort, safety, and security. Denial of the situation is not the goal when addressing anxiety; rather, acknowledging and managing it is crucial. While physical discomfort may accompany anxiety, the focus is on alleviating the emotional aspect to mitigate physical manifestations. Although mild anxiety can sometimes improve decision-making skills, higher levels of anxiety typically impede cognitive functions, making resolution in decision-making less likely.

Question 5

What is the primary purpose served when an individual takes action to reduce anxiety?

  1. A. Reduction of tension
  2. B. Denial of the situation
  3. C. Avoidance of physical discomfort
  4. D. Resolution in decision-making
Show answer and rationale

Correct answer: A — Reduction of tension

The primary purpose of taking action to reduce anxiety is to alleviate emotional tension and prevent the exacerbation of anxiety symptoms. By reducing tension, anxiety levels decrease, leading to a sense of comfort, safety, and security. Denial of the situation is not the goal when addressing anxiety; rather, acknowledging and managing it is crucial. While physical discomfort may accompany anxiety, the focus is on alleviating the emotional aspect to mitigate physical manifestations. Although mild anxiety can sometimes improve decision-making skills, higher levels of anxiety typically impede cognitive functions, making resolution in decision-making less likely.

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Ten more NCLEX-RN mental health questions

Stems and choices stay public so you can still reason. Correct answers and full rationales unlock with the rest of the bank.

Question 6

Which nursing intervention helps foster the development of a trusting parent-child relationship?

  1. A. Placing the infant in a crib with a mobile or soft toy
  2. B. Discouraging eye contact when the infant is irritable
  3. C. Putting objects several inches in front of the infant for viewing
  4. D. Encouraging face-to-face contact between the parents and infant
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 7

During a scheduled health maintenance visit, which common source of stress for a 6-year-old client would the nurse include in the teaching session?

  1. A. Wanting to be first
  2. B. Demanding privacy
  3. C. Having a desire to be like an idol
  4. D. Being more selective with playmates
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 8

Which factor is most critical for a single mother of 2 children who recently lost her job and does not know what to do?

  1. A. Developmental history of children
  2. B. Available situational supports
  3. C. Underlying unconscious conflict
  4. D. Willingness to restructure lifestyle
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 9

An older client who had abdominal surgery 3 days earlier was given a barbiturate for sleep and is now requesting to go to the bathroom. Which action should the nurse implement?

  1. A. Assist the client to walk to the bathroom and do not leave the client alone.
  2. B. Request that the UAP assist the client onto a bedpan.
  3. C. Ask if the client needs to have a bowel movement or void.
  4. D. Assess the client's bladder to determine if the client needs to urinate.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 10

Which behavioral characteristic describes the domestic abuser?

  1. A. Alcoholic
  2. B. Overconfident
  3. C. High tolerance for frustrations
  4. D. Low self-esteem
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 11

Which of the following interventions is essential when working with a client who has antisocial personality disorder?

  1. A. Monitor intake and output
  2. B. Set strict limits on behavior
  3. C. Provide diversion for the client
  4. D. Limit visits from family or friends
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 12

Which behavior would the nurse recognize as developmentally atypical in preschoolers?

  1. A. Thumb sucking during stress
  2. B. Feeling guilty for behaving inappropriately
  3. C. Feeling happy if there is a newborn in the family
  4. D. Curiosity about their surroundings
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 13

Which behavior would the nurse recognize as developmentally atypical in preschoolers?

  1. A. Thumb sucking during stress
  2. B. Feeling guilty for behaving inappropriately
  3. C. Feeling happy if there is a newborn in the family
  4. D. Curiosity about their surroundings
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 14

A seriously ill female client tells the nurse, 'I am so tired and in so much pain! Please help me to die.' Which is the best response for the nurse to provide?

  1. A. Administer the prescribed maximum dose of pain medication.
  2. B. Talk with the client about her feelings related to her own death.
  3. C. Collaborate with the healthcare provider about initiating antidepressant therapy.
  4. D. Refer the client to the ethics committee of her local healthcare facility.
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Question 15

The client prepares to insert a nasogastric tube in a client with hyperemesis who is awake and alert. Which intervention(s) is(are) correct?

  1. A. Place the client in a high Fowler position.
  2. B. Assist the client in assuming a left side-lying position.
  3. C. Measure the tube from the tip of the nose to the xiphoid process.
  4. D. Assist the client in flexing the neck forward to facilitate tube insertion.
Answer and rationale unlock in the Nursier study hub. Unlock answers

About these NCLEX-RN mental health questions

NCLEX-RN mental health practice questions, set 14 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

No. Nursier is independent practice. Register through the official path named on the NCLEX-RN exam guide.

The first five questions already include the rationale. Start full practice to unlock the remaining keys, missed-question review, and the rest of the bank.

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