MENTAL HEALTH DISORDERS:
SAUNDERS NCLEX REVIEW EXAM
WITH CORRECT ANSWERS
Aclient ssays sto sthe snurse, s"The sfederal sguards swere ssent sto skill sme." sWhich sis
sthe sbest sresponse sby sthe snurse sto sthe sclient's sconcern?
1. s"I sdon't sbelieve sthis sis strue."
2. s"The sguards sare snot sout sto skill syou."
3. s"Do syou sfeel safraid sthat speople sare strying sto shurt syou?"
4. s"What smakes syou sthink sthe sguards swere ssent sto shurt syou?" s- scorrect
sanswers s-3
Rationale: sIt sis smost stherapeutic sfor sthe snurse sto sempathize swith sthe sclient's
sexperience. sThe sremaining soptions slack sthis sconnection swith sthe sclient.
sDisagreeing swith sdelusions smay smake sthe sclient smore sdefensive, sand sthe sclient
smay scling sto sthe sdelusions seven smore. sEncouraging sdiscussion sregarding sthe
sdelusion sis sinappropriate.
, A sclient sdiagnosed swith sdelirium sbecomes sdisor- siented sand sconfused sat snight.
sWhich sintervention sshould sthe snurse simplement sinitially?
1. sMove sthe sclient snext sto sthe snurses' sstation.
2. sUse san sindirect slight ssource sand sturn soff sthe stelevision.
3. sKeep sthe stelevision sand sa ssoft slight son sduring sthe snight.
4. sPlay ssoft smusic sduring sthe snight, sand smaintain sa swell-lit sroom. s- scorrect
sanswers s-2
Rationale: sProvision sofaconsistentdailyroutineand salowstim- sulating senvironment sis
simportant swhen sa sclient sis sdisoriented. sNoise, sincluding sradio sand stelevision,
smay sadd sto sthe sconfusion sand sdisorientation. sMoving sthe sclient snext sto sthe
snurses'station smay sbecome snecessary sbut sis snot sthe sinitial saction.
A sclient sis sadmitted sto sthe smental shealth sunit swith sa sdiagnosis sof sdepression.
sThe snurse sshould sdevelop sa splan sof scare sfor sthe sclient sthat sincludes swhich
sintervention?
1. sEncouraging squiet sreading sand swriting sfor sthe sfirst sfew sdays
2. sIdentification sof sphysical sactivities sthat swill spro- svide sexercise
3. sNo ssocializing sactivities, suntil sthe sclient sasks sto sparticipate sin smilieu
4. sA sstructured sprogram sof sactivities sin swhich sthe sclient scan sparticipate s- scorrect
sanswers s-4
Rationale: sA sclient swith sdepression soften sis swithdrawn swhile sexperiencing
sdifficulty sconcentrating, sloss sof sinterest sor splea- ssure, slow senergy, sfatigue, sand
sfeelings sof sworthlessness sand spoor sself-esteem. sThe splan sof scare sneeds sto
sprovide ssuccessful sexperiences sin sa sstimulating syet sstructured senvironment. sThe
sremaining soptions sare seither stoo s"restrictive" sor soffer slittle sor sno sstructure sand
sstimulation.
When splanning sthe sdischarge sof sa sclient swith schronic sanxiety, sthe snurse sdirects
sthe sgoals sat spro- smoting sa ssafe senvironment sat shome. sWhich sis sthe smost
sappropriate smaintenance sgoal?
1. sSuppressing sfeelings sof sanxiety
2. sIdentifying sanxiety-producing ssituations
3. sContinuing scontact swith sa scrisis scounselor s
4. sEliminating sall sanxiety sfrom sdaily ssituations s- scorrect sanswers s-2
Rationale: sRecognizing ssituations sthat sproduce sanxiety sallows sthe sclient sto
sprepare sto scope swith sanxiety sor savoid sa sspecific sstimulus. sCounselors swill snot
sbe savailable sfor sall sanxiety- sproducing ssituations, sand sthis soption sdoes snot
sencourage sthe sdevelopment sof sinternal sstrengths. sSuppressing sfeelings swill snot
sresolve sanxiety. sElimination sof sall sanxiety sfrom slife sis simpossible.
SAUNDERS NCLEX REVIEW EXAM
WITH CORRECT ANSWERS
Aclient ssays sto sthe snurse, s"The sfederal sguards swere ssent sto skill sme." sWhich sis
sthe sbest sresponse sby sthe snurse sto sthe sclient's sconcern?
1. s"I sdon't sbelieve sthis sis strue."
2. s"The sguards sare snot sout sto skill syou."
3. s"Do syou sfeel safraid sthat speople sare strying sto shurt syou?"
4. s"What smakes syou sthink sthe sguards swere ssent sto shurt syou?" s- scorrect
sanswers s-3
Rationale: sIt sis smost stherapeutic sfor sthe snurse sto sempathize swith sthe sclient's
sexperience. sThe sremaining soptions slack sthis sconnection swith sthe sclient.
sDisagreeing swith sdelusions smay smake sthe sclient smore sdefensive, sand sthe sclient
smay scling sto sthe sdelusions seven smore. sEncouraging sdiscussion sregarding sthe
sdelusion sis sinappropriate.
, A sclient sdiagnosed swith sdelirium sbecomes sdisor- siented sand sconfused sat snight.
sWhich sintervention sshould sthe snurse simplement sinitially?
1. sMove sthe sclient snext sto sthe snurses' sstation.
2. sUse san sindirect slight ssource sand sturn soff sthe stelevision.
3. sKeep sthe stelevision sand sa ssoft slight son sduring sthe snight.
4. sPlay ssoft smusic sduring sthe snight, sand smaintain sa swell-lit sroom. s- scorrect
sanswers s-2
Rationale: sProvision sofaconsistentdailyroutineand salowstim- sulating senvironment sis
simportant swhen sa sclient sis sdisoriented. sNoise, sincluding sradio sand stelevision,
smay sadd sto sthe sconfusion sand sdisorientation. sMoving sthe sclient snext sto sthe
snurses'station smay sbecome snecessary sbut sis snot sthe sinitial saction.
A sclient sis sadmitted sto sthe smental shealth sunit swith sa sdiagnosis sof sdepression.
sThe snurse sshould sdevelop sa splan sof scare sfor sthe sclient sthat sincludes swhich
sintervention?
1. sEncouraging squiet sreading sand swriting sfor sthe sfirst sfew sdays
2. sIdentification sof sphysical sactivities sthat swill spro- svide sexercise
3. sNo ssocializing sactivities, suntil sthe sclient sasks sto sparticipate sin smilieu
4. sA sstructured sprogram sof sactivities sin swhich sthe sclient scan sparticipate s- scorrect
sanswers s-4
Rationale: sA sclient swith sdepression soften sis swithdrawn swhile sexperiencing
sdifficulty sconcentrating, sloss sof sinterest sor splea- ssure, slow senergy, sfatigue, sand
sfeelings sof sworthlessness sand spoor sself-esteem. sThe splan sof scare sneeds sto
sprovide ssuccessful sexperiences sin sa sstimulating syet sstructured senvironment. sThe
sremaining soptions sare seither stoo s"restrictive" sor soffer slittle sor sno sstructure sand
sstimulation.
When splanning sthe sdischarge sof sa sclient swith schronic sanxiety, sthe snurse sdirects
sthe sgoals sat spro- smoting sa ssafe senvironment sat shome. sWhich sis sthe smost
sappropriate smaintenance sgoal?
1. sSuppressing sfeelings sof sanxiety
2. sIdentifying sanxiety-producing ssituations
3. sContinuing scontact swith sa scrisis scounselor s
4. sEliminating sall sanxiety sfrom sdaily ssituations s- scorrect sanswers s-2
Rationale: sRecognizing ssituations sthat sproduce sanxiety sallows sthe sclient sto
sprepare sto scope swith sanxiety sor savoid sa sspecific sstimulus. sCounselors swill snot
sbe savailable sfor sall sanxiety- sproducing ssituations, sand sthis soption sdoes snot
sencourage sthe sdevelopment sof sinternal sstrengths. sSuppressing sfeelings swill snot
sresolve sanxiety. sElimination sof sall sanxiety sfrom slife sis simpossible.
