Mental Health Exam 2 NCLEX questions
1. a client with delirium becomes agitated and confused at night. The best
initial intervention by the nurse is to:
1.move the client next to the nurse's station
2.use a night light and turn off the
television
3. keep up the television and a soft light on during the night.
4. play soft music during the night and maintain a well-lit room: 2.use a
night light and turn off the television
2. a nurse is collecting data on a client who is actively hallucinating. WHich
nursing statement would be therapeutic at this time?
1."I know you feel they are out to get you, but its not true"
,2."I can hear the voice and she wants you to come to dinner"
3."sometimes people hear things or voices others can't
hear"
4."I talked to the voices you're hearing and they won't hurt you now":
3."some- times people hear things or voices others can't hear"
3. a nurse is caring for a client with a diagnosis of depression. the nurse
monitors for signs of constipation and urinary retention, knowing that
these problems are likely caused by:
1. poor dietary choices
2. lack of exercise and poor diet
3.inadequate dietary intake and
dehydration
4.psychomotor retardation and side effects of medication: 4.psychomotor
re- tardation and side effects of medication
4. a client is admitted to the in-patient unit and is being considered for
,electroconvulsive therapy (ECT). The client appears calm, but the family is
hypervigilant and anxious. the client's mother begins to cry and states, "my
child's brain will be destroyed. How can the doctor do this?" the nurse
makes which therapeutic response?
1."it sounds as though you need to speak to the psychiatrist."
2."perhaps you'd like to see the ECT room and speak to the
staff"
3. your child has decided to have this treatment. you should be supportive
of the decision"
4. it sounds as though you have some concerns about the ECT procedure.
Why don't we sit down together and discuss any concerns you may have?":
4.it sounds as though you have some concerns about the ECT
procedure. Why don't we sit down together and discuss any concerns
you may have?"
, 5. a client who is diagnosed with pedophilia and has been recently paroled
as a sex offender says "Im in treatment and I have served my time. Now this
group has posters of me all over the neighborhood telling about me with my
picture on it" which of the following is an appropriate response by the
nurse?
1. "when children are hurt as you hurt them, people want you isolated"
2. "you're lucky it doesn't escalate into something pretty scary after
your crime"
3."you understand that people fear for their children, but you're feeling
unfairly treated?"
4."you seem angry, but you have committed serious crimes against several
children, so your neighbors are frightened?": 3."you understand that
people fear for their children, but you're feeling unfairly treated?"
6. a nurse is preparing for the hospital discharge of a client with a history of
command hallucinations to harm self or others. The nurse instructs the
1. a client with delirium becomes agitated and confused at night. The best
initial intervention by the nurse is to:
1.move the client next to the nurse's station
2.use a night light and turn off the
television
3. keep up the television and a soft light on during the night.
4. play soft music during the night and maintain a well-lit room: 2.use a
night light and turn off the television
2. a nurse is collecting data on a client who is actively hallucinating. WHich
nursing statement would be therapeutic at this time?
1."I know you feel they are out to get you, but its not true"
,2."I can hear the voice and she wants you to come to dinner"
3."sometimes people hear things or voices others can't
hear"
4."I talked to the voices you're hearing and they won't hurt you now":
3."some- times people hear things or voices others can't hear"
3. a nurse is caring for a client with a diagnosis of depression. the nurse
monitors for signs of constipation and urinary retention, knowing that
these problems are likely caused by:
1. poor dietary choices
2. lack of exercise and poor diet
3.inadequate dietary intake and
dehydration
4.psychomotor retardation and side effects of medication: 4.psychomotor
re- tardation and side effects of medication
4. a client is admitted to the in-patient unit and is being considered for
,electroconvulsive therapy (ECT). The client appears calm, but the family is
hypervigilant and anxious. the client's mother begins to cry and states, "my
child's brain will be destroyed. How can the doctor do this?" the nurse
makes which therapeutic response?
1."it sounds as though you need to speak to the psychiatrist."
2."perhaps you'd like to see the ECT room and speak to the
staff"
3. your child has decided to have this treatment. you should be supportive
of the decision"
4. it sounds as though you have some concerns about the ECT procedure.
Why don't we sit down together and discuss any concerns you may have?":
4.it sounds as though you have some concerns about the ECT
procedure. Why don't we sit down together and discuss any concerns
you may have?"
, 5. a client who is diagnosed with pedophilia and has been recently paroled
as a sex offender says "Im in treatment and I have served my time. Now this
group has posters of me all over the neighborhood telling about me with my
picture on it" which of the following is an appropriate response by the
nurse?
1. "when children are hurt as you hurt them, people want you isolated"
2. "you're lucky it doesn't escalate into something pretty scary after
your crime"
3."you understand that people fear for their children, but you're feeling
unfairly treated?"
4."you seem angry, but you have committed serious crimes against several
children, so your neighbors are frightened?": 3."you understand that
people fear for their children, but you're feeling unfairly treated?"
6. a nurse is preparing for the hospital discharge of a client with a history of
command hallucinations to harm self or others. The nurse instructs the
