Mental Health Exam 2 NCLEX questions with
Verified Answers
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
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."sometimes
people hear things or voices others can't hear"
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
retardation and side effects of medication
, Mental Health Exam 2 NCLEX questions with
Verified Answers
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?"
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?"
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 client about about
interventions for hallucinations and anxiety and determines that the client understands the
interventions when the client states:
1. "my medications won't make me anxious"
Verified Answers
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
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."sometimes
people hear things or voices others can't hear"
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
retardation and side effects of medication
, Mental Health Exam 2 NCLEX questions with
Verified Answers
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?"
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?"
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 client about about
interventions for hallucinations and anxiety and determines that the client understands the
interventions when the client states:
1. "my medications won't make me anxious"
