Mental Health Final Exam (NCLEX-Style
Questions)- EXAM STUDY GUIDE ACCURATE
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES || 100%
GUARANTEED PASS <BRAND NEW VERSION>
A nurse is assessing a client who, over the past 3 years has experienced feelings of sadness r/t
death of a beloved aunt. Client barely eats, or sleeps and is socially isolative. How should the
nurse interpret the behavior?
A. Clients functional impairment indicates a need for psychiatric commitment
B. Clients behaviors are part of normal grief process
C. Clients behaviors are not congruent with cultural norms
D. Clients functional impairment indicates potential mental illness
D
Which of the following is an immediate physical response associated with fight or flight?
(Select all that apply)
A. Pupils constrict
B. Respiratory rate increases
C. Sweat gland secretions decrease
D. Renal and digestive system functions are suppressed
B, D
The nurse is caring for a client who is experiencing alcohol withdrawal. The nurse would be
most concerned if the client exhibited which of the following?
A. Hallucinations
B. Nervousness
C. Diaphoresis
D. Nausea
A
,A client asks a nurse not to tell his parents about his alcohol problem. What is the most
appropriate response by the nurse?
A. "How can you not tell them? Is that being honest?"
B. "Don't you think you'll need to tell them someday?"
C. "Do alcohol problems run in either side of your family?"
D. "What do you think will happen if you tell your parents?"
D
A client who is withdrawing from alcohol is being given lorazepam (Ativan). The client's family
asks the nurse about the medication. What is the best response by the nurse?
A. "Short-term use of lorazepam can lead to dependence"
B. "The lorazepam will reduce the symptoms of withdrawal"
C. "The lorazepam will make him forget about symptoms of withdrawal"
D. "The lorazepam will also help with his heart disease"
B
A nurse is caring for a client undergoing treatment for acute alcohol dependence. The client
tells the nurse, "I don't have a problem. My wife made me come here." Which defense
mechanism does the nurse interpret the client's statement as representing?
A. Projection and suppression
B. Denial and rationalization
C. Rationalization and repression
D. Suppression and denial
B
An alcoholic client tells the nurse, "I feel so depressed about what I've done to my family that
I feel like giving up." It is most important for the nurse to assess the client for which of the
following?
A. Family support
B. A plan for self-harm
C. A sponsor for the client
D. Other ambivalent feelings
B
,A healthcare provider prescribes disulfiram for a client who abuses alcohol. The nurse teaches
the client that disulfiram will have which action?
A. Affect short-term memory
B. Permit a healthier lifestyle
C. Allow the client to tolerate small amounts of alcohol
D. Cause a severe adverse reaction if alcohol is consumed
D
A 45-year-old client who recently completed alcohol detoxification reports plans to begin
using disulfiram (Antabuse) as part of the alcoholism treatment regimen. What important
client teaching does the nurse share regarding this drug?
A. Voluntary compliance with the disulfiram regimen is very high
B. A single dose of oral disulfiram will be effective for up to 72 hours
C. Disulfiram may be taken intramuscularly and will be effective for as long as 7 days
D. Foods, medications, and any topical preparation containing alcohol should be avoided
D
An angry patient is in the community room. She picks up a chair and uses it to hit another
patient on the head. When you come into the community room, what should your first
response to the patient holding the chair be?
A. "Are you crazy? Hitting people can hurt them!"
B. "Hitting others is unacceptable. Please put the chair completely down on the floor."
C. "How would you like it if I hit you over the head with a chair?"
D. "You're in big trouble now. It's probably prison you are looking at!"
B
Gerald was admitted to the psychiatric acute care unit because he stood in the center of a
main two-way street in his underwear and a T-shirt, shouting, "I am being held against my
will. I have personal rights". Gerald was diagnosed with bipolar disorder, manic type. Which
of the following interventions will add to everyone's safety in the acute care environment?
A. Have hectic surroundings
B. Have consistent unit routines
C. Minimize staff interventions
D. Medicate the patient only if he has private health insurance
, B
A client is admitted to the psychiatric unit for the fourth time in a month after being found
face down in parking lot with an extremely high blood alcohol level. While speaking with the
nurse, the client explains he drinks alcohol to ease the pain of losing his family. What ego
defense mechanism is the client exemplifying?
A. Compensation
B. Denial
C. Displacement
D. Projection
C
For which clients in crisis should a nurse refrain from lengthy explanations or rationalizations
of the situation?
A. Clients experiencing situational crises
B. Clients experiencing crises due to parenthood
C. Clients who are transitioning into young adulthood
D. Clients experiencing midlife crises
A
After interacting with the partner of a client who has terminal cancer, the nurse anticipates
that the client is experiencing denial. Which statement of the caregiver supports the nurse's
conclusion?
A. "My partner is blaming God for his condition"
B. "My partner wants to shift to another hospital for a second opinion, even though it is
obvious from his symptoms and diagnostic reports"
C. "My partner is not showing any interest in his favorite games and movies"
D. "My partner says he wants to spend as much time as possible with his family"
B
Which cerebral structure should a nursing instructor describe to students as the "emotional
brain"?
A. The cerebellum
B. The limbic system
Questions)- EXAM STUDY GUIDE ACCURATE
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES || 100%
GUARANTEED PASS <BRAND NEW VERSION>
A nurse is assessing a client who, over the past 3 years has experienced feelings of sadness r/t
death of a beloved aunt. Client barely eats, or sleeps and is socially isolative. How should the
nurse interpret the behavior?
A. Clients functional impairment indicates a need for psychiatric commitment
B. Clients behaviors are part of normal grief process
C. Clients behaviors are not congruent with cultural norms
D. Clients functional impairment indicates potential mental illness
D
Which of the following is an immediate physical response associated with fight or flight?
(Select all that apply)
A. Pupils constrict
B. Respiratory rate increases
C. Sweat gland secretions decrease
D. Renal and digestive system functions are suppressed
B, D
The nurse is caring for a client who is experiencing alcohol withdrawal. The nurse would be
most concerned if the client exhibited which of the following?
A. Hallucinations
B. Nervousness
C. Diaphoresis
D. Nausea
A
,A client asks a nurse not to tell his parents about his alcohol problem. What is the most
appropriate response by the nurse?
A. "How can you not tell them? Is that being honest?"
B. "Don't you think you'll need to tell them someday?"
C. "Do alcohol problems run in either side of your family?"
D. "What do you think will happen if you tell your parents?"
D
A client who is withdrawing from alcohol is being given lorazepam (Ativan). The client's family
asks the nurse about the medication. What is the best response by the nurse?
A. "Short-term use of lorazepam can lead to dependence"
B. "The lorazepam will reduce the symptoms of withdrawal"
C. "The lorazepam will make him forget about symptoms of withdrawal"
D. "The lorazepam will also help with his heart disease"
B
A nurse is caring for a client undergoing treatment for acute alcohol dependence. The client
tells the nurse, "I don't have a problem. My wife made me come here." Which defense
mechanism does the nurse interpret the client's statement as representing?
A. Projection and suppression
B. Denial and rationalization
C. Rationalization and repression
D. Suppression and denial
B
An alcoholic client tells the nurse, "I feel so depressed about what I've done to my family that
I feel like giving up." It is most important for the nurse to assess the client for which of the
following?
A. Family support
B. A plan for self-harm
C. A sponsor for the client
D. Other ambivalent feelings
B
,A healthcare provider prescribes disulfiram for a client who abuses alcohol. The nurse teaches
the client that disulfiram will have which action?
A. Affect short-term memory
B. Permit a healthier lifestyle
C. Allow the client to tolerate small amounts of alcohol
D. Cause a severe adverse reaction if alcohol is consumed
D
A 45-year-old client who recently completed alcohol detoxification reports plans to begin
using disulfiram (Antabuse) as part of the alcoholism treatment regimen. What important
client teaching does the nurse share regarding this drug?
A. Voluntary compliance with the disulfiram regimen is very high
B. A single dose of oral disulfiram will be effective for up to 72 hours
C. Disulfiram may be taken intramuscularly and will be effective for as long as 7 days
D. Foods, medications, and any topical preparation containing alcohol should be avoided
D
An angry patient is in the community room. She picks up a chair and uses it to hit another
patient on the head. When you come into the community room, what should your first
response to the patient holding the chair be?
A. "Are you crazy? Hitting people can hurt them!"
B. "Hitting others is unacceptable. Please put the chair completely down on the floor."
C. "How would you like it if I hit you over the head with a chair?"
D. "You're in big trouble now. It's probably prison you are looking at!"
B
Gerald was admitted to the psychiatric acute care unit because he stood in the center of a
main two-way street in his underwear and a T-shirt, shouting, "I am being held against my
will. I have personal rights". Gerald was diagnosed with bipolar disorder, manic type. Which
of the following interventions will add to everyone's safety in the acute care environment?
A. Have hectic surroundings
B. Have consistent unit routines
C. Minimize staff interventions
D. Medicate the patient only if he has private health insurance
, B
A client is admitted to the psychiatric unit for the fourth time in a month after being found
face down in parking lot with an extremely high blood alcohol level. While speaking with the
nurse, the client explains he drinks alcohol to ease the pain of losing his family. What ego
defense mechanism is the client exemplifying?
A. Compensation
B. Denial
C. Displacement
D. Projection
C
For which clients in crisis should a nurse refrain from lengthy explanations or rationalizations
of the situation?
A. Clients experiencing situational crises
B. Clients experiencing crises due to parenthood
C. Clients who are transitioning into young adulthood
D. Clients experiencing midlife crises
A
After interacting with the partner of a client who has terminal cancer, the nurse anticipates
that the client is experiencing denial. Which statement of the caregiver supports the nurse's
conclusion?
A. "My partner is blaming God for his condition"
B. "My partner wants to shift to another hospital for a second opinion, even though it is
obvious from his symptoms and diagnostic reports"
C. "My partner is not showing any interest in his favorite games and movies"
D. "My partner says he wants to spend as much time as possible with his family"
B
Which cerebral structure should a nursing instructor describe to students as the "emotional
brain"?
A. The cerebellum
B. The limbic system
