MentalvbHealthvbFinalvbExamvb(NCLEX-StylevbQuestions)
Avbnursevbisvbassessingvbavbclientvbwho,vbovervbthevbpastvb3vbyearsvbhasvbexperie
ncedvbfeelingsvbofvbsadnessvbr/tvbdeathvbofvbavbbelovedvbaunt.vbClientvbbarelyvbe
ats,vborvbsleepsvbandvbisvbsociallyvbisolative.vbHowvbshouldvbthevbnursevbinterpr
etvbthevbbehavior?
A.vbClientsvbfunctionalvbimpairmentvbindicatesvbavbneedvbforvbpsychiatricvbco
mmitment
B.vbClientsvbbehaviorsvbarevbpartvbofvbnormalvbgriefvbprocess
C.vbClientsvbbehaviorsvbarevbnotvbcongruentvbwithvbculturalvbnorms
D.vbClientsvbfunctionalvbimpairmentvbindicatesvbpotentialvbmentalvbillnessvb-
vbcorrectvbanswer✔ ✔ D
Whichvbofvbthevbfollowingvbisvbanvbimmediatevbphysicalvbresponsevbassociate
dvbwithvbfightvborvbflight?vb(Selectvballvbthatvbapply)
A.vbPupilsvbconstrict
B.vbRespiratoryvbratevbincreases
C.vbSweatvbglandvbsecretionsvbdecrease
D.vbRenalvbandvbdigestivevbsystemvbfunctionsvbarevbsuppressedvb-
vbcorrectvbanswer✔ ✔ B,vbD
,Thevbnursevbisvbcaringvbforvbavbclientvbwhovbisvbexperiencingvbalcoholvbwithdra
wal.vbThevbnursevbwouldvbbevbmostvbconcernedvbifvbthevbclientvbexhibitedvbwhi
chvbofvbthevbfollowing?
A.vbHallucinations
B.vbNervousness
C.vbDiaphoresis
D.vbNauseavb-vbcorrectvbanswer✔ ✔ A
Avbclientvbasksvbavbnursevbnotvbtovbtellvbhisvbparentsvbaboutvbhisvbalcoholvbproble
m.vbWhatvbisvbthevbmostvbappropriatevbresponsevbbyvbthevbnurse?
A.vb"Howvbcanvbyouvbnotvbtellvbthem?vbIsvbthatvbbeingvbhonest?"
B.vb"Don'tvbyouvbthinkvbyou'llvbneedvbtovbtellvbthemvbsomeday?"
C.vb"Dovbalcoholvbproblemsvbrunvbinvbeithervbsidevbofvbyourvbfamily?"
D.vb"Whatvbdovbyouvbthinkvbwillvbhappenvbifvbyouvbtellvbyourvbparents?"vb-
vbcorrectvbanswer✔ ✔ D
Avbclientvbwhovbisvbwithdrawingvbfromvbalcoholvbisvbbeingvbgivenvblorazepamv
b(Ativan).vbThevbclient'svbfamilyvbasksvbthevbnursevbaboutvbthevb medication.vb
Whatvbisvbthevbbestvbresponsevbbyvbthevbnurse?
, A.vb"Short-termvbusevbofvblorazepamvbcanvbleadvbtovbdependence"
B.vb"Thevblorazepamvbwillvbreducevbthevbsymptomsvbofvbwithdrawal"
C.vb"Thevblorazepamvbwillvbmakevbhimvbforgetvbaboutvbsymptomsvbofvbwithdr
awal"
D.vb"Thevblorazepamvbwillvbalsovbhelpvbwithvbhisvbheartvbdisease"vb-
vbcorrectvbanswer✔ ✔ B
Avbnursevbisvbcaringvbforvbavbclientvbundergoingvbtreatmentvbforvbacutevbalcohol
vbdependence.vbThevbclientvbtellsvbthevbnurse,vb"Ivbdon'tvbhavevbavbproblem.vbM
yvbwifevbmadevbmevbcomevbhere."vbWhichvbdefensevbmechanismvbdoesvbthevbn
ursevbinterpretvbthevbclient'svbstatementvbasvbrepresenting?
A.vbProjectionvbandvbsuppression
B.vbDenialvbandvbrationalization
C.vbRationalizationvbandvbrepression
D.vbSuppressionvbandvbdenialvb-vbcorrectvbanswer✔ ✔ B
Anvbalcoholicvbclientvbtellsvbthevbnurse,vb"IvbfeelvbsovbdepressedvbaboutvbwhatvbI
'vevbdonevbtovbmyvbfamilyvbthatvbIvbfeelvblikevbgivingvbup."vbItvbisvbmostvbimporta
ntvbforvbthevbnursevbtovbassessvbthevbclientvbforvbwhichvbofvbthevbfollowing?
A.vbFamilyvbsupport
B.vbAvbplanvbforvbself-harm
Avbnursevbisvbassessingvbavbclientvbwho,vbovervbthevbpastvb3vbyearsvbhasvbexperie
ncedvbfeelingsvbofvbsadnessvbr/tvbdeathvbofvbavbbelovedvbaunt.vbClientvbbarelyvbe
ats,vborvbsleepsvbandvbisvbsociallyvbisolative.vbHowvbshouldvbthevbnursevbinterpr
etvbthevbbehavior?
A.vbClientsvbfunctionalvbimpairmentvbindicatesvbavbneedvbforvbpsychiatricvbco
mmitment
B.vbClientsvbbehaviorsvbarevbpartvbofvbnormalvbgriefvbprocess
C.vbClientsvbbehaviorsvbarevbnotvbcongruentvbwithvbculturalvbnorms
D.vbClientsvbfunctionalvbimpairmentvbindicatesvbpotentialvbmentalvbillnessvb-
vbcorrectvbanswer✔ ✔ D
Whichvbofvbthevbfollowingvbisvbanvbimmediatevbphysicalvbresponsevbassociate
dvbwithvbfightvborvbflight?vb(Selectvballvbthatvbapply)
A.vbPupilsvbconstrict
B.vbRespiratoryvbratevbincreases
C.vbSweatvbglandvbsecretionsvbdecrease
D.vbRenalvbandvbdigestivevbsystemvbfunctionsvbarevbsuppressedvb-
vbcorrectvbanswer✔ ✔ B,vbD
,Thevbnursevbisvbcaringvbforvbavbclientvbwhovbisvbexperiencingvbalcoholvbwithdra
wal.vbThevbnursevbwouldvbbevbmostvbconcernedvbifvbthevbclientvbexhibitedvbwhi
chvbofvbthevbfollowing?
A.vbHallucinations
B.vbNervousness
C.vbDiaphoresis
D.vbNauseavb-vbcorrectvbanswer✔ ✔ A
Avbclientvbasksvbavbnursevbnotvbtovbtellvbhisvbparentsvbaboutvbhisvbalcoholvbproble
m.vbWhatvbisvbthevbmostvbappropriatevbresponsevbbyvbthevbnurse?
A.vb"Howvbcanvbyouvbnotvbtellvbthem?vbIsvbthatvbbeingvbhonest?"
B.vb"Don'tvbyouvbthinkvbyou'llvbneedvbtovbtellvbthemvbsomeday?"
C.vb"Dovbalcoholvbproblemsvbrunvbinvbeithervbsidevbofvbyourvbfamily?"
D.vb"Whatvbdovbyouvbthinkvbwillvbhappenvbifvbyouvbtellvbyourvbparents?"vb-
vbcorrectvbanswer✔ ✔ D
Avbclientvbwhovbisvbwithdrawingvbfromvbalcoholvbisvbbeingvbgivenvblorazepamv
b(Ativan).vbThevbclient'svbfamilyvbasksvbthevbnursevbaboutvbthevb medication.vb
Whatvbisvbthevbbestvbresponsevbbyvbthevbnurse?
, A.vb"Short-termvbusevbofvblorazepamvbcanvbleadvbtovbdependence"
B.vb"Thevblorazepamvbwillvbreducevbthevbsymptomsvbofvbwithdrawal"
C.vb"Thevblorazepamvbwillvbmakevbhimvbforgetvbaboutvbsymptomsvbofvbwithdr
awal"
D.vb"Thevblorazepamvbwillvbalsovbhelpvbwithvbhisvbheartvbdisease"vb-
vbcorrectvbanswer✔ ✔ B
Avbnursevbisvbcaringvbforvbavbclientvbundergoingvbtreatmentvbforvbacutevbalcohol
vbdependence.vbThevbclientvbtellsvbthevbnurse,vb"Ivbdon'tvbhavevbavbproblem.vbM
yvbwifevbmadevbmevbcomevbhere."vbWhichvbdefensevbmechanismvbdoesvbthevbn
ursevbinterpretvbthevbclient'svbstatementvbasvbrepresenting?
A.vbProjectionvbandvbsuppression
B.vbDenialvbandvbrationalization
C.vbRationalizationvbandvbrepression
D.vbSuppressionvbandvbdenialvb-vbcorrectvbanswer✔ ✔ B
Anvbalcoholicvbclientvbtellsvbthevbnurse,vb"IvbfeelvbsovbdepressedvbaboutvbwhatvbI
'vevbdonevbtovbmyvbfamilyvbthatvbIvbfeelvblikevbgivingvbup."vbItvbisvbmostvbimporta
ntvbforvbthevbnursevbtovbassessvbthevbclientvbforvbwhichvbofvbthevbfollowing?
A.vbFamilyvbsupport
B.vbAvbplanvbforvbself-harm
