Mental Health NCLEX practice exam questions and answers (Graded A+)

Mental Health NCLEX practice exam questions and answers (Graded A+) 4) During the nursing assessment of a female elderly client, the nurse enhances communication by: 1. Speaking loudly and using many gestures. 2. Restating terms or phrases in different ways if the client indicates she does not understand. 3. Interviewing the client with family present to verify responses to questions. 4. Quickly interview the client because she will need time to rest after the exhausting interview. - Answer-4) 2. Restating terms or phrases in different ways if the client indicates she does not understand. Rationale: Restating the information in different ways may assist the elderly client in understanding. Increasing speech volume and gesturing (option 1) only serve to further confusion the client. Relying on the family (option 3) is not respectful of the older adult's autonomy. Older adults do better with a slower paced interview with frequent breaks to decrease exhaustion (option 4). 5) The nurse is caring for a hostile schizophrenic client. When the nurse explains to the client and family about the reason for confinement, the nurse will explain that reason for commitment is primarily because the client is: 1. Suffering from hallucinations and delusions. 2. Homeless and refuses to participate in treatment. 3. Gravely disabled or a danger to self or others. 4. Uncooperative with the treatment staff. - Answer-5) 3. Gravely disabled or a danger to self or others Rationale: The primary purpose of commitment is to protect the client and others from harm. Experiencing hallucinations and delusions (option 1) does not necessarily make the client a danger to self or others. Clients who are not a danger to self or others have a right to refuse treatment and to remain homeless (option 2). Commitment does not depend on a client's willingness to be cooperative (option 4). 6) After orienting a group of student nurses to the psychiatric unit, the nurse educator assesses the students' understanding of confidentiality. The students demonstrate understanding if they state that breach of confidentiality may mean: 1. No formal action will be taken. 2. There are grounds for discipline by the state board of nursing. 3. Clients can sue nurses in the criminal justice system. 4. Failure of the nurse's duty to disclose. - Answer-6) 2. There are grounds for discipline by the state board of nursing. Rationale: The state board of nursing may implement disciplinary action against the nurse's license. Formal action (option 1), both with state boards of nursing and civil charges, is often pursued. Breach of confidentiality is a civil offense, not a criminal offense (option 3). Duty to disclose (option 4) supersedes the client's right to confidentiality.