Mental Health Final Exam (NCLEX-Style
Questions) questions and answers
2024\2025 A+ Grade
A nurse is assessing a client who, over the past 3 years has experienced feelings of sadness r/t death of a
beloved aunt. Client barely eats, or sleeps and is socially isolative. How should the nurse interpret the
behavior?
A. Clients functional impairment indicates a need for psychiatric commitment
B. Clients behaviors are part of normal grief process
C. Clients behaviors are not congruent with cultural norms
D. Clients functional impairment indicates potential mental illness
- correct answer D
Which of the following is an immediate physical response associated with fight or flight? (Select all that
apply)
A. Pupils constrict
B. Respiratory rate increases
C. Sweat gland secretions decrease
D. Renal and digestive system functions are suppressed
- correct answer B, D
The nurse is caring for a client who is experiencing alcohol withdrawal. The nurse would be most
concerned if the client exhibited which of the following?
A. Hallucinations
B. Nervousness
, C. Diaphoresis
D. Nausea
- correct answer A
A client asks a nurse not to tell his parents about his alcohol problem. What is the most appropriate
response by the nurse?
A. "How can you not tell them? Is that being honest?"
B. "Don't you think you'll need to tell them someday?"
C. "Do alcohol problems run in either side of your family?"
D. "What do you think will happen if you tell your parents?"
- correct answer D
A client who is withdrawing from alcohol is being given lorazepam (Ativan). The client's family asks the
nurse about the medication. What is the best response by the nurse?
A. "Short-term use of lorazepam can lead to dependence"
B. "The lorazepam will reduce the symptoms of withdrawal"
C. "The lorazepam will make him forget about symptoms of withdrawal"
D. "The lorazepam will also help with his heart disease"
- correct answer B
A nurse is caring for a client undergoing treatment for acute alcohol dependence. The client tells the
nurse, "I don't have a problem. My wife made me come here." Which defense mechanism does the
nurse interpret the client's statement as representing?
A. Projection and suppression
B. Denial and rationalization
C. Rationalization and repression
D. Suppression and denial
- correct answer B
Questions) questions and answers
2024\2025 A+ Grade
A nurse is assessing a client who, over the past 3 years has experienced feelings of sadness r/t death of a
beloved aunt. Client barely eats, or sleeps and is socially isolative. How should the nurse interpret the
behavior?
A. Clients functional impairment indicates a need for psychiatric commitment
B. Clients behaviors are part of normal grief process
C. Clients behaviors are not congruent with cultural norms
D. Clients functional impairment indicates potential mental illness
- correct answer D
Which of the following is an immediate physical response associated with fight or flight? (Select all that
apply)
A. Pupils constrict
B. Respiratory rate increases
C. Sweat gland secretions decrease
D. Renal and digestive system functions are suppressed
- correct answer B, D
The nurse is caring for a client who is experiencing alcohol withdrawal. The nurse would be most
concerned if the client exhibited which of the following?
A. Hallucinations
B. Nervousness
, C. Diaphoresis
D. Nausea
- correct answer A
A client asks a nurse not to tell his parents about his alcohol problem. What is the most appropriate
response by the nurse?
A. "How can you not tell them? Is that being honest?"
B. "Don't you think you'll need to tell them someday?"
C. "Do alcohol problems run in either side of your family?"
D. "What do you think will happen if you tell your parents?"
- correct answer D
A client who is withdrawing from alcohol is being given lorazepam (Ativan). The client's family asks the
nurse about the medication. What is the best response by the nurse?
A. "Short-term use of lorazepam can lead to dependence"
B. "The lorazepam will reduce the symptoms of withdrawal"
C. "The lorazepam will make him forget about symptoms of withdrawal"
D. "The lorazepam will also help with his heart disease"
- correct answer B
A nurse is caring for a client undergoing treatment for acute alcohol dependence. The client tells the
nurse, "I don't have a problem. My wife made me come here." Which defense mechanism does the
nurse interpret the client's statement as representing?
A. Projection and suppression
B. Denial and rationalization
C. Rationalization and repression
D. Suppression and denial
- correct answer B
