Mental Health Final NCLEX exam questions with complete solutions (Rated A+)

Mental Health Final NCLEX exam questions with complete solutions (Rated A+) nurse is approaching client w schizo, best initial approach would be... -Tell me about the symptoms of schizo that you are having -What did you do that you have to come into hospital -I would like to hear about last job you hd -Discuss current events to develop rapport and assess reality orientation - Answer--Discuss current events to develop rapport and assess reality orientation client is starring at the wall and laughing what is first action of nurse? -Tell the client there is nothing funny on the wall -Ask the client what he is experiencing -Distract the client by asking him to play a game with nurse - Answer--Ask the client what he is experiencing -schizo client begins to masturbate in the day room. What is the nurses initial action? -Tell other clients to leave the day room for a few minutes -Tell client this behavior is inappropriate -Ask the client if he is feeling anxious -Ask client if he needs privacy and escort him to his room - Answer--Ask client if he needs privacy and escort him to his room [*model behavior, not shame] in dev of therapeutic relationship w a new admission with the Dx of post self-inflicted GSW to the head. Which is the if the priority for the nurse? -Assess your feelings towards this client -Assess the clients level of suicidality -Assess the clients support systems -Assess the clients plan for suicide - Answer--Assess your feelings towards this client [*avoid judgement, work out feelings] 16 yo Asian client request outside provider give her coining treatment. What is RN response? -Respect beliefs and allow -Respect but do not allow treatment in hospital -Educate family on western medicine -Encourage client to try accepted practices - Answer--Respect but do not allow treatment in hospital a terminal CA client states to nurse: " I wish my family would stop hoping for a cure. I know im going to die and I wish they would stop" best response -We cant control our familys feelings -It sounds as though you feeling angry - Answer--It sounds as though you feeling angry a pt tells nurse " I don't think ill ever get out of here" select nurse most therapeutic response? -Don't talk that way. Of course you will -Keep up the good work, you certainly will -You don't think you're making progress? -Everyone feels that way sometimes - Answer--You don't think you're making progress? [*reflecting] a client on psych unit states " I feel ike a bird" the best response is... -You are a patient not a bird -Birds can fly, can you? -That must be distressing for you, you don't look different to me -What you say indicates to me the reason you are in the hospital - Answer--That must be distressing for you, you don't look different to me a male pt is coming down fm a manic period. He states "I feel bad about cheating on my wife?" what is nurse best response? -You can't help it. It's part of your illness -Let's discuss your feelings with your wife -Hyper sexuality is part of your illness. Let's discuss early signs of a manic episode -You better be or your wife will divorce you - Answer--Hyper sexuality is part of your illness. Let's discuss early signs of a manic episode