NCLEX RN Psychiatric Nursing Practice
Exam | Mental Health Nursing
Questions And Answers 100%
accurate
1. Question
Which nursing intervention is best for facilitating communication with a
psychiatric client who speaks a foreign language?
A. Rely on nonverbal communication
B. Select symbolic pictures as aids
C. Speak in universal phrases
D. Use the services of an interpreter
Correct Answer: D. Use the services of an interpreter
An interpreter will enable the nurse to better assess the client’s problems and
concerns. Language barriers pose challenges in terms of achieving high levels of
satisfaction among medical professionals and patients, providing high- quality
healthcare and maintaining patient safety. To address these challenges, many
larger healthcare institutions offer interpreter services to improve healthcare
access, patient satisfaction, and communication.
they contribute to improving healthcare delivery, patient safety, and increase
(up to 92%) the satisfaction of both medical professionals and patients.
2. 2. Question
The nurse explains to a mental health care technician that a client’s obsessive-
compulsive behaviors are related to an unconscious conflict between id impulses
and the superego (or conscience). On which of the following theories does the
nurse base this statement?
A. Behavioral theory
Page 1 of 55
, B. Cognitive theory
C. Interpersonal theory
D. Psychoanalytic theory
Correct
Correct Answer: D. Psychoanalytic theory
Psychoanalytic is based on Freud’s beliefs regarding the importance of
unconscious motivation for behavior and the role of the id and superego in
opposition to each other. Psychoanalysis is defined as a set of psychological
theories and therapeutic methods which have their origin in the work and
theories of Sigmund Freud. The primary assumption of psychoanalysis is the
belief that all people possess unconscious thoughts, feelings, desires, and
memories. The aim of psychoanalysis therapy is to release repressed emotions
and experiences, i.e., make the unconscious conscious. It is only having a cathartic
(i.e., healing) experience can the person be helped and “cured.”
.
3. 3. Question
The nurse observes a client pacing in the hall. Which statement by the nurse may
help the client recognize his anxiety?
A. “I guess you’re worried about something, aren’t you?
B. “Can I get you some medication to help calm you?”
C. “Have you been pacing for a long time?”
D. “I notice that you’re pacing. How are you feeling?”
Correct Answer: D. “I notice that you’re pacing. How are you feeling?”
By acknowledging the observed behavior and asking the client to express his
feelings the nurse can best assist the client to become aware of his anxiety.
Recognition acknowledges a patient’s behavior and highlights it without giving
an overt compliment. A compliment can sometimes be taken as condescending,
especially when it concerns a routine task like making the bed. However, saying
something like “I noticed you took all of your medications” draws attention to the
action and encourages it without requiring a compliment.
4. 4. Question
Page 2 of 55
, A client with obsessive-compulsive disorder is hospitalized in an inpatient unit.
Which nursing response is most therapeutic?
A. Accepting the client’s obsessive-compulsive behaviors.
Correct answer
B. Challenging the client’s obsessive-compulsive behaviors.
C. Preventing the client’s obsessive-compulsive behaviors.
D. Rejecting the client’s obsessive-compulsive behaviors.
Correct Answer: A. Accepting the client’s obsessive-compulsive behaviors
A client with obsessive-compulsive behavior uses this behavior to decrease
anxiety. Accepting this behavior as the client’s attempt to feel secure is
therapeutic. When a specific treatment plan is developed, other nursing
responses may also be acceptable. Obsessive-compulsive disorder (OCD) is often
a disabling condition consisting of bothersome intrusive thoughts that elicit a
feeling of discomfort. To reduce the anxiety and distress associated with these
thoughts, the patient may employ compulsions or rituals. These rituals may be
personal and private, or they may involve others to participate; the rituals are to
compensate for the ego-dystonic feelings of the obsessional thoughts and can
cause a significant decline in function.
5. 5. Question
A 45-year-old woman with a history of depression tells a nurse in her doctor’s
office that she has difficulty with sexual arousal and is fearful that her husband
will have an affair. Which of the following factors would the nurse identify as least
significant in contributing to the client’s sexual difficulty?
A. Education and work history
Correct answer
B. Medication used
C. Physical health status
D. Quality of spousal relationship
Correct Answer: A. Education and work history
Education and work history would have the least significance in relation to the
client’s sexual problem. Depression, performance anxiety, and other sexual
Page 3 of 55
, disorders can be strong contributing factors even when organic causes also exist.
While having a sexual dysfunction can feel isolating, it’s actually fairly common.
About 40 percent of women experience some type of sexual dysfunction, such as
FSIAD, in their life.
clitoris increases, causing swelling. The vagina produces natural lubricant.
Studies on female sexual arousal disorder show that low sexual desire and
problems with sexual arousal vary widely by age, cultural setting, duration of
symptoms, and presence of distress.
6. 6. Question
Which nursing intervention is most appropriate for a client with anorexia nervosa
during initial hospitalization on a behavioral therapy unit?
A. Emphasize the importance of good nutrition to establish normal weight.
B. Ignore the client’s mealtime behavior and focus instead on issues of
dependence and independence.
C. Help establish a plan using privileges and restrictions based on compliance
with refeeding.
Correct answer
D. Teach the client information about the long-term physical consequence of
anorexia.
Correct Answer: C. Help establish a plan using privileges and restrictions
based on compliance with refeeding.
Inpatient treatment of a client with anorexia usually focuses initially on
establishing a plan for refeeding to combat the effects of self-induced starvation.
Refeeding is accomplished through behavioral therapy, which uses a system of
rewards and reinforcements to assist in establishing weight restoration.
Treatment for anorexia nervosa is centered on nutrition rehabilitation and
psychotherapy. Refeeding, nutritional plans, and weight restoration are crucial
parts of the medical stabilization process which is necessary in order to proceed
with treatment and eventually achieve recovery. There are many serious and
deadly complications that arise during the refeeding process which is why
medical supervision is of the utmost importance.
7. 7. Question
Page 4 of 55
Exam | Mental Health Nursing
Questions And Answers 100%
accurate
1. Question
Which nursing intervention is best for facilitating communication with a
psychiatric client who speaks a foreign language?
A. Rely on nonverbal communication
B. Select symbolic pictures as aids
C. Speak in universal phrases
D. Use the services of an interpreter
Correct Answer: D. Use the services of an interpreter
An interpreter will enable the nurse to better assess the client’s problems and
concerns. Language barriers pose challenges in terms of achieving high levels of
satisfaction among medical professionals and patients, providing high- quality
healthcare and maintaining patient safety. To address these challenges, many
larger healthcare institutions offer interpreter services to improve healthcare
access, patient satisfaction, and communication.
they contribute to improving healthcare delivery, patient safety, and increase
(up to 92%) the satisfaction of both medical professionals and patients.
2. 2. Question
The nurse explains to a mental health care technician that a client’s obsessive-
compulsive behaviors are related to an unconscious conflict between id impulses
and the superego (or conscience). On which of the following theories does the
nurse base this statement?
A. Behavioral theory
Page 1 of 55
, B. Cognitive theory
C. Interpersonal theory
D. Psychoanalytic theory
Correct
Correct Answer: D. Psychoanalytic theory
Psychoanalytic is based on Freud’s beliefs regarding the importance of
unconscious motivation for behavior and the role of the id and superego in
opposition to each other. Psychoanalysis is defined as a set of psychological
theories and therapeutic methods which have their origin in the work and
theories of Sigmund Freud. The primary assumption of psychoanalysis is the
belief that all people possess unconscious thoughts, feelings, desires, and
memories. The aim of psychoanalysis therapy is to release repressed emotions
and experiences, i.e., make the unconscious conscious. It is only having a cathartic
(i.e., healing) experience can the person be helped and “cured.”
.
3. 3. Question
The nurse observes a client pacing in the hall. Which statement by the nurse may
help the client recognize his anxiety?
A. “I guess you’re worried about something, aren’t you?
B. “Can I get you some medication to help calm you?”
C. “Have you been pacing for a long time?”
D. “I notice that you’re pacing. How are you feeling?”
Correct Answer: D. “I notice that you’re pacing. How are you feeling?”
By acknowledging the observed behavior and asking the client to express his
feelings the nurse can best assist the client to become aware of his anxiety.
Recognition acknowledges a patient’s behavior and highlights it without giving
an overt compliment. A compliment can sometimes be taken as condescending,
especially when it concerns a routine task like making the bed. However, saying
something like “I noticed you took all of your medications” draws attention to the
action and encourages it without requiring a compliment.
4. 4. Question
Page 2 of 55
, A client with obsessive-compulsive disorder is hospitalized in an inpatient unit.
Which nursing response is most therapeutic?
A. Accepting the client’s obsessive-compulsive behaviors.
Correct answer
B. Challenging the client’s obsessive-compulsive behaviors.
C. Preventing the client’s obsessive-compulsive behaviors.
D. Rejecting the client’s obsessive-compulsive behaviors.
Correct Answer: A. Accepting the client’s obsessive-compulsive behaviors
A client with obsessive-compulsive behavior uses this behavior to decrease
anxiety. Accepting this behavior as the client’s attempt to feel secure is
therapeutic. When a specific treatment plan is developed, other nursing
responses may also be acceptable. Obsessive-compulsive disorder (OCD) is often
a disabling condition consisting of bothersome intrusive thoughts that elicit a
feeling of discomfort. To reduce the anxiety and distress associated with these
thoughts, the patient may employ compulsions or rituals. These rituals may be
personal and private, or they may involve others to participate; the rituals are to
compensate for the ego-dystonic feelings of the obsessional thoughts and can
cause a significant decline in function.
5. 5. Question
A 45-year-old woman with a history of depression tells a nurse in her doctor’s
office that she has difficulty with sexual arousal and is fearful that her husband
will have an affair. Which of the following factors would the nurse identify as least
significant in contributing to the client’s sexual difficulty?
A. Education and work history
Correct answer
B. Medication used
C. Physical health status
D. Quality of spousal relationship
Correct Answer: A. Education and work history
Education and work history would have the least significance in relation to the
client’s sexual problem. Depression, performance anxiety, and other sexual
Page 3 of 55
, disorders can be strong contributing factors even when organic causes also exist.
While having a sexual dysfunction can feel isolating, it’s actually fairly common.
About 40 percent of women experience some type of sexual dysfunction, such as
FSIAD, in their life.
clitoris increases, causing swelling. The vagina produces natural lubricant.
Studies on female sexual arousal disorder show that low sexual desire and
problems with sexual arousal vary widely by age, cultural setting, duration of
symptoms, and presence of distress.
6. 6. Question
Which nursing intervention is most appropriate for a client with anorexia nervosa
during initial hospitalization on a behavioral therapy unit?
A. Emphasize the importance of good nutrition to establish normal weight.
B. Ignore the client’s mealtime behavior and focus instead on issues of
dependence and independence.
C. Help establish a plan using privileges and restrictions based on compliance
with refeeding.
Correct answer
D. Teach the client information about the long-term physical consequence of
anorexia.
Correct Answer: C. Help establish a plan using privileges and restrictions
based on compliance with refeeding.
Inpatient treatment of a client with anorexia usually focuses initially on
establishing a plan for refeeding to combat the effects of self-induced starvation.
Refeeding is accomplished through behavioral therapy, which uses a system of
rewards and reinforcements to assist in establishing weight restoration.
Treatment for anorexia nervosa is centered on nutrition rehabilitation and
psychotherapy. Refeeding, nutritional plans, and weight restoration are crucial
parts of the medical stabilization process which is necessary in order to proceed
with treatment and eventually achieve recovery. There are many serious and
deadly complications that arise during the refeeding process which is why
medical supervision is of the utmost importance.
7. 7. Question
Page 4 of 55
