Mental Health NCLEX
1. A family member asks you, "As both of my siblings have schizophrenia,
why are my brother's symptoms so different from my sister's? He withdraws
when there is a change in his environment or routine. She starts cursing and
yelling about the Mafia and the CIA when I do something that's less than
perfect." Based on your knowledge, your response should address:
1. There are many differences in the presentation of schizophrenia.
2.The significance of paranoid content in the differential diagnosis of
paranoid schizophrenia.
3. The typical progression of symptoms within an individual over time.
4. The effect of gender on clinical presentation in schizophrenia.: 1. There
,are many differences in the presentation of schizophrenia.
2. After staying several hours with her 9-year-old daughter who is admitted
to the hospital with an asthma attack, the mother leaves to attend to her
other children. The child exhibits continued signs and symptoms of
respiratory distress. Which of the following findings should lead the nurse to
believe the child is experiencing anxiety?
1. Not able to get comfortable.
2. Frequent requests for someone to stay in the room.
3. Inability to remember her exact address.
4. Verbalization of a feeling of tightness in her chest.: 2. Frequent requests
for someone to stay in the room.
3. A client recently diagnosed with depression tells a nurse that she is 2
months pregnant and is reluctant to take an antidepressant medication. The
client asks what other treatment options are available. Which type of therapy
should the nurse recommend as an alternate treatment for depression?
,1. Client-centered therapy
2. Gestalt therapy
3. Therapeutic touch therapy
4. Cognitive behavioral therapy: 4. Cognitive behavioral therapy
4. A client with chronic alcohol abuse has been admitted to a
rehabilitation unit. The nurse knows that the client is denying alcoholism
when he makes which of the following statements?
, 1. "My brother did this to me."
2. "Drinking always calms my nerves."
3. "I can stop drinking anytime I feel like it."
4. "Let's all plan to play cards tonight.": 3. "I can stop drinking anytime I
feel like it."
5. When assessing a patient with severe depression, which of the
following would the healthcare provider identify as a cognitive alteration?
A) Powerlessness
B) Low Self-Esteem
C) Anxiety
D) Somatic Delusions: D) Somatic Delusions
1. A family member asks you, "As both of my siblings have schizophrenia,
why are my brother's symptoms so different from my sister's? He withdraws
when there is a change in his environment or routine. She starts cursing and
yelling about the Mafia and the CIA when I do something that's less than
perfect." Based on your knowledge, your response should address:
1. There are many differences in the presentation of schizophrenia.
2.The significance of paranoid content in the differential diagnosis of
paranoid schizophrenia.
3. The typical progression of symptoms within an individual over time.
4. The effect of gender on clinical presentation in schizophrenia.: 1. There
,are many differences in the presentation of schizophrenia.
2. After staying several hours with her 9-year-old daughter who is admitted
to the hospital with an asthma attack, the mother leaves to attend to her
other children. The child exhibits continued signs and symptoms of
respiratory distress. Which of the following findings should lead the nurse to
believe the child is experiencing anxiety?
1. Not able to get comfortable.
2. Frequent requests for someone to stay in the room.
3. Inability to remember her exact address.
4. Verbalization of a feeling of tightness in her chest.: 2. Frequent requests
for someone to stay in the room.
3. A client recently diagnosed with depression tells a nurse that she is 2
months pregnant and is reluctant to take an antidepressant medication. The
client asks what other treatment options are available. Which type of therapy
should the nurse recommend as an alternate treatment for depression?
,1. Client-centered therapy
2. Gestalt therapy
3. Therapeutic touch therapy
4. Cognitive behavioral therapy: 4. Cognitive behavioral therapy
4. A client with chronic alcohol abuse has been admitted to a
rehabilitation unit. The nurse knows that the client is denying alcoholism
when he makes which of the following statements?
, 1. "My brother did this to me."
2. "Drinking always calms my nerves."
3. "I can stop drinking anytime I feel like it."
4. "Let's all plan to play cards tonight.": 3. "I can stop drinking anytime I
feel like it."
5. When assessing a patient with severe depression, which of the
following would the healthcare provider identify as a cognitive alteration?
A) Powerlessness
B) Low Self-Esteem
C) Anxiety
D) Somatic Delusions: D) Somatic Delusions