Comprehensive Mental Health and Psychiatric Nursing NCLEX Practice Quiz #2: 75 Questions
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
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
B. Cognitive theory
C. Interpersonal theory
D. Psychoanalytic theory - Correct answer D. Psychoanalytic theory
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?"
4. Question
A client with obsessive-compulsive disorder is hospitalized in an inpatient unit. Which nursing
response is most therapeutic?
,Comprehensive Mental Health and Psychiatric Nursing NCLEX Practice Quiz #2: 75 Questions
A. Accepting the client's obsessive-compulsive behaviors.
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.
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
B. Medication used
C. Physical health status
D. Quality of spousal relationship - Correct answer A. Education and work history
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.
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.
7. Question
A nurse is evaluating therapy with the family of a client with anorexia nervosa. Which of the
following would indicate that the therapy was successful?
A. The parents reinforce increased decision making by the client.
B. The parents clearly verbalize their expectations for the client.
, Comprehensive Mental Health and Psychiatric Nursing NCLEX Practice Quiz #2: 75 Questions
C. The client verbalizes that family meals are now enjoyable.
D. The client tells her parents about feelings of low self-esteem. - Correct answer A. The parents
reinforce increased decision making by the client.
8. Question
The nurse is working with a client with a somatoform disorder. Which client outcome goal
would the nurse most likely establish in this situation?
A. The client will recognize signs and symptoms of physical illness.
B. The client will cope with physical illness.
C. The client will take prescribed medications.
D. The client will express anxiety verbally rather than through physical symptoms. - Correct
answer D. The client will express anxiety verbally rather than through physical symptoms.
9. Question
Which method would a nurse use to determine a client's potential risk for suicide?
A. Wait for the client to bring up the subject of suicide.
B. Observe the client's behavior for cues of suicide ideation.
C. Question the client directly about suicidal thoughts.
D. Question the client about future plans. - Correct answer C. Question the client directly about
suicidal thoughts.
10. Question
A client with a bipolar disorder exhibits manic behavior. The nursing diagnosis is Disturbed
thought processes related to difficulty concentrating, secondary to flight of ideas. Which of the
following outcome criteria would indicate improvement in the client?
A. The client verbalizes feelings directly during treatment.
B. The client verbalizes a positive "self" statement.
C. The client speaks in coherent sentences.
D. The client reports feelings calmer. - Correct answer C. The client speaks in coherent
sentences.
11. Question
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
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
B. Cognitive theory
C. Interpersonal theory
D. Psychoanalytic theory - Correct answer D. Psychoanalytic theory
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?"
4. Question
A client with obsessive-compulsive disorder is hospitalized in an inpatient unit. Which nursing
response is most therapeutic?
,Comprehensive Mental Health and Psychiatric Nursing NCLEX Practice Quiz #2: 75 Questions
A. Accepting the client's obsessive-compulsive behaviors.
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.
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
B. Medication used
C. Physical health status
D. Quality of spousal relationship - Correct answer A. Education and work history
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.
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.
7. Question
A nurse is evaluating therapy with the family of a client with anorexia nervosa. Which of the
following would indicate that the therapy was successful?
A. The parents reinforce increased decision making by the client.
B. The parents clearly verbalize their expectations for the client.
, Comprehensive Mental Health and Psychiatric Nursing NCLEX Practice Quiz #2: 75 Questions
C. The client verbalizes that family meals are now enjoyable.
D. The client tells her parents about feelings of low self-esteem. - Correct answer A. The parents
reinforce increased decision making by the client.
8. Question
The nurse is working with a client with a somatoform disorder. Which client outcome goal
would the nurse most likely establish in this situation?
A. The client will recognize signs and symptoms of physical illness.
B. The client will cope with physical illness.
C. The client will take prescribed medications.
D. The client will express anxiety verbally rather than through physical symptoms. - Correct
answer D. The client will express anxiety verbally rather than through physical symptoms.
9. Question
Which method would a nurse use to determine a client's potential risk for suicide?
A. Wait for the client to bring up the subject of suicide.
B. Observe the client's behavior for cues of suicide ideation.
C. Question the client directly about suicidal thoughts.
D. Question the client about future plans. - Correct answer C. Question the client directly about
suicidal thoughts.
10. Question
A client with a bipolar disorder exhibits manic behavior. The nursing diagnosis is Disturbed
thought processes related to difficulty concentrating, secondary to flight of ideas. Which of the
following outcome criteria would indicate improvement in the client?
A. The client verbalizes feelings directly during treatment.
B. The client verbalizes a positive "self" statement.
C. The client speaks in coherent sentences.
D. The client reports feelings calmer. - Correct answer C. The client speaks in coherent
sentences.
11. Question
