NCLEX Comprehensive Mental Health and Psychiatric Nursing Practice Quiz #3: 75 Questions and 100% Correct Answers Latest 2025.

NCLEX
Comprehensive
Mental Health
%ij %ij




and %ij




Psychiatric
%ij




Nursing
Practice Quiz
%ij %ij




#3: 75 %ij %ij




Questions %ij

, NCLEX Comprehensive Mental Health and Psychiatric%ij %ij %ij %ij %ij



Nursing Practice Quiz #3: 75 Questions %ij %ij %ij %ij %ij %ij




1. 1. Question
%ij



A psychotic client reports to the evening nurse that the day nurse put
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


something suspicious in his water with his medication. The nurse replies,
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


“You’re worried
%ij %ij


about your medication?” The nurse’s communication is:
%ij %ij %ij %ij %ij %ij




o A. An example of presenting reality
%ij %ij %ij %ij %ij



o B. Reinforcing the client’s delusions
%ij %ij %ij %ij



o C. Focusing on emotional content
%ij %ij %ij %ij



o D. A non-therapeutic technique called mind-reading
%ij %ij %ij %ij %ij



Incorrect
Correct Answer: C. Focusing on emotional content
%ij %ij %ij %ij %ij %ij


The nurse should help the client focus on the emotional content rather
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


than delusional material. Sometimes during a conversation, patients
%ij %ij %ij %ij %ij %ij %ij %ij


mention something particularly important. When this happens, nurses
%ij %ij %ij %ij %ij %ij %ij %ij


can focus on their statement, prompting patients to discuss it further.
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


Patients don’t always have an objective perspective on what is relevant
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


to their case; as impartial observers, nurses can more easily pick out
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


the topics to focus on.
%ij %ij %ij %ij %ij


o Option A: Presenting reality isn’t helpful because it can lead to
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


confrontation and disengagement. It’s frequently useful for nurses %ij %ij %ij %ij %ij %ij %ij


to summarize what patients have said after the fact. This
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


demonstrates to patients that the nurse was listening and allows
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


the nurse to document conversations. Ending a summary with a
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


phrase like “Does that sound
%ij %ij %ij %ij %ij


correct?” gives patients explicit permission to make corrections if they’re
%ij %ij %ij %ij %ij %ij %ij %ij %ij


necessary.
o Option B: Agreeing with the client and supporting his beliefs are
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


reinforcing delusions. Patients often ask nurses for advice about
%ij %ij %ij %ij %ij %ij %ij %ij %ij


what they should do about particular problems or in specific
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


situations. Nurses can ask patients what they think they should
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


do, which encourages patients to be accountable for their own
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


actions and helps them come up with solutions themselves.
%ij %ij %ij %ij %ij %ij %ij %ij %ij

, UYTRE




Option D: Mind reading isn’t therapeutic. Similar to active listening,
o %ij %ij %ij %ij %ij %ij %ij %ij %ij


asking patients for clarification when they say something confusing
%ij %ij %ij %ij %ij %ij %ij %ij %ij


or ambiguous is important. Saying something like “I’m not sure I
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


understand. Can you explain it to me?” helps nurses ensure they
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


understand what’s actually being said and can help patients
%ij %ij %ij %ij %ij %ij %ij %ij %ij


process their ideas more thoroughly
2. 2. Question
%ij
%ij %ij %ij %ij %ij




A client is admitted to the inpatient unit of the mental health
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


center with a diagnosis of paranoid schizophrenia. He’s shouting
%ij %ij %ij %ij %ij %ij %ij %ij %ij


that the government of France is trying to assassinate him. Which
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


of the following responses
%ij %ij %ij %ij


is most appropriate?
%ij %ij




o A. “I think you’re wrong. France is a friendly country and an ally of
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


the United States. Their government wouldn’t try to kill you.”
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij



o B. “I find it hard to believe that a foreign government or
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


%ij anyone else is trying to hurt you. You must feel frightened by
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


%ij this.”
o C. “You’re wrong. Nobody is trying to kill you.”
%ij %ij %ij %ij %ij %ij %ij %ij



o D. “A foreign government is trying to kill you? Please tell me more about
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


%ij it.”
Incorrect
Correct Answer: B. “I find it hard to believe that a foreign
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


government or anyone else is trying to hurt you. You must feel
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


frightened by this.” Responses should focus on reality while
%ij %ij %ij %ij %ij %ij %ij %ij %ij


acknowledging the client’s feelings.
%ij %ij %ij %ij


Sometimes during a conversation, patients mention something particularly
%ij %ij %ij %ij %ij %ij %ij


important. When this happens, nurses can focus on their statement,
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


prompting patients to discuss it further. Patients don’t always have an
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


objective perspective on what is relevant to their case; as impartial
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


observers, nurses can more easily pick out the topics to focus on.
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


o Option A: Arguing with the client or denying his belief isn’t
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


therapeutic. By using nonverbal and verbal cues such as nodding
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


and saying “I see,” nurses can encourage patients to continue
%ij %ij %ij %ij %ij %ij %ij %ij %ij %ij


talking. Active listening involves showing interest in what patients
%ij %ij %ij %ij %ij %ij %ij %ij %ij


have to say, acknowledging that you’re listening and
%ij %ij %ij %ij %ij %ij %ij %ij


understanding, and engaging with them throughout the
%ij %ij %ij %ij %ij %ij %ij

, UYTRE

conversation. Nurses can offer general leads such as “What
%ij %ij %ij %ij %ij %ij %ij %ij %ij


happened
%ij


next?” to guide the conversation or propel it forward.
%ij %ij %ij %ij %ij %ij %ij %ij


o Option C: Arguing can also inhibit development of a trusting
%ij %ij %ij %ij %ij %ij %ij %ij %ij


relationship. Continuing to talk about delusions may aggravate
%ij %ij %ij %ij %ij %ij %ij %ij


the psychosis. It’s
%ij %ij %ij