Psychiatric Mental Health Nursing NCLEX
– Exam Preparation Questions, 50
Practice Questions With Answers And
Rationales
Introduction:
This document contains 50 NCLEX-style practice questions
focused on psychiatric and mental health nursing, each with a
clear correct answer and detailed rationale. Topics include
substance abuse, eating disorders, personality disorders,
suicide risk, child abuse, pharmacology, and crisis
intervention, making it a comprehensive review tool for
NCLEX preparation and nursing exams.
Exam Questions and Answers with Rationales:
The nurse is caring for a client being treated for alcoholism.
Before initiating therapy with disulfiram (Antabuse), the nurse
teaches the client that he must read labels carefully on which
of the following products?
A. Carbonated beverages
B. Aftershave lotion
C. Toothpaste
,D. Cheese -Answer:-B. Aftershave lotion
Rationale: Disulfiram may be given to client with chronic
alcohol abuse who wish to curb impulse drinking. Disulfiram
works by blocking the oxidation of alcohol, inhibiting the
conversion of acetaldehyde to acetate. As acetaldehyde builds
up in the blood, the client experiences noxious and
uncomfortable symptoms. Even alcohol rubbed onto the skin
can product a reaction. The client receiving disulfiram must be
taught to read ingredient labels carefully to avoid products
containing alcohol such as aftershave lotions. Carbonated
beverages, toothpaste, and cheese don't contain alcohol and
don't need to be avoided by the client.
The nurse is developing a plan of care for a client with
anorexia nervosa. Which action should the nurse include in the
plan?
A. Restrict visits with the family until the client begins to eat
B. Provide privacy during meals
C. Set up a strict eating plan for the client
D. Encourage the client to exercise, which will reduce her
anxiety -Answer:-C. Set up a strict eating plan for the client
Rationale: Establishing a consistent eating plan and
monitoring the client's weight are important for this disorder.
The family should be included in the client's care. The client
,should be monitored during meals - not given privacy. Exercise
should be limited and supervised.
The nurse is aware that the victims of domestic violence
should be assessed for what important information?
A. Reasons they stay in the abusive relationships (for example,
lack of financial autonomy and isolation)
B. Readiness to leave the perpetrator and knowledge of
resources
C. Use of drugs or alcohol
D. History of previous victimization -Answer:-B. Readiness to
leave the perpetrator and knowledge or resources
Rationale: Victims of domestic violence must be assessed for
their readiness to leave the perpetrator and their knowledge of
resources available to them. Nurses can then provide the
victims with information and options to enable them to leave
when they are ready. The reasons they stay in the relationship
are complex and can be explored at a later time. The use of
drugs or alcohol is irrelevant. There is no evidence to suggest
that previous victimization results in person's seeking or
causing abusive relationships.
A male client is hospitalized with fractures of the right femur
and right humerus sustained in a motorcycle accident. Police
, suspect the client was intoxicated at the time of the accident.
Laboratory tests reveal a blood alcohol level of 0.2% (200
mg/dL). The client later admits to drinking heavily for years.
During hospitalization, the client periodically complains of
tingling and numbness in the hands and feet. The nurse
realizes that these symptoms probably result from:
A. Acetate accumulation
B. Thiamine deficiency
C. Triglyceride buildup
D. A below-normal serum potassium level -Answer:-B.
Thiamine deficiency
Rationale: Numbness and tingling in the hands and feet are
symptoms of peripheral polyneuritis, which results from
inadequate intake of Vitamin B1 (thiamine) secondary to
prolonged and excessive alcohol intake. Treatment includes
reducing alcohol intake, correcting nutritional deficiencies
through dietary and vitamin supplements, and preventing such
residual disabilities as foot and wrist drop. Acetate
accumulation, triglyceride buildup, and a below-normal serum
potassium level are unrelated to the client's symptoms.
A parents brings a preschooler to the emergency department
for treatment of a dislocated shoulder, which allegedly
– Exam Preparation Questions, 50
Practice Questions With Answers And
Rationales
Introduction:
This document contains 50 NCLEX-style practice questions
focused on psychiatric and mental health nursing, each with a
clear correct answer and detailed rationale. Topics include
substance abuse, eating disorders, personality disorders,
suicide risk, child abuse, pharmacology, and crisis
intervention, making it a comprehensive review tool for
NCLEX preparation and nursing exams.
Exam Questions and Answers with Rationales:
The nurse is caring for a client being treated for alcoholism.
Before initiating therapy with disulfiram (Antabuse), the nurse
teaches the client that he must read labels carefully on which
of the following products?
A. Carbonated beverages
B. Aftershave lotion
C. Toothpaste
,D. Cheese -Answer:-B. Aftershave lotion
Rationale: Disulfiram may be given to client with chronic
alcohol abuse who wish to curb impulse drinking. Disulfiram
works by blocking the oxidation of alcohol, inhibiting the
conversion of acetaldehyde to acetate. As acetaldehyde builds
up in the blood, the client experiences noxious and
uncomfortable symptoms. Even alcohol rubbed onto the skin
can product a reaction. The client receiving disulfiram must be
taught to read ingredient labels carefully to avoid products
containing alcohol such as aftershave lotions. Carbonated
beverages, toothpaste, and cheese don't contain alcohol and
don't need to be avoided by the client.
The nurse is developing a plan of care for a client with
anorexia nervosa. Which action should the nurse include in the
plan?
A. Restrict visits with the family until the client begins to eat
B. Provide privacy during meals
C. Set up a strict eating plan for the client
D. Encourage the client to exercise, which will reduce her
anxiety -Answer:-C. Set up a strict eating plan for the client
Rationale: Establishing a consistent eating plan and
monitoring the client's weight are important for this disorder.
The family should be included in the client's care. The client
,should be monitored during meals - not given privacy. Exercise
should be limited and supervised.
The nurse is aware that the victims of domestic violence
should be assessed for what important information?
A. Reasons they stay in the abusive relationships (for example,
lack of financial autonomy and isolation)
B. Readiness to leave the perpetrator and knowledge of
resources
C. Use of drugs or alcohol
D. History of previous victimization -Answer:-B. Readiness to
leave the perpetrator and knowledge or resources
Rationale: Victims of domestic violence must be assessed for
their readiness to leave the perpetrator and their knowledge of
resources available to them. Nurses can then provide the
victims with information and options to enable them to leave
when they are ready. The reasons they stay in the relationship
are complex and can be explored at a later time. The use of
drugs or alcohol is irrelevant. There is no evidence to suggest
that previous victimization results in person's seeking or
causing abusive relationships.
A male client is hospitalized with fractures of the right femur
and right humerus sustained in a motorcycle accident. Police
, suspect the client was intoxicated at the time of the accident.
Laboratory tests reveal a blood alcohol level of 0.2% (200
mg/dL). The client later admits to drinking heavily for years.
During hospitalization, the client periodically complains of
tingling and numbness in the hands and feet. The nurse
realizes that these symptoms probably result from:
A. Acetate accumulation
B. Thiamine deficiency
C. Triglyceride buildup
D. A below-normal serum potassium level -Answer:-B.
Thiamine deficiency
Rationale: Numbness and tingling in the hands and feet are
symptoms of peripheral polyneuritis, which results from
inadequate intake of Vitamin B1 (thiamine) secondary to
prolonged and excessive alcohol intake. Treatment includes
reducing alcohol intake, correcting nutritional deficiencies
through dietary and vitamin supplements, and preventing such
residual disabilities as foot and wrist drop. Acetate
accumulation, triglyceride buildup, and a below-normal serum
potassium level are unrelated to the client's symptoms.
A parents brings a preschooler to the emergency department
for treatment of a dislocated shoulder, which allegedly
