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Exam (elaborations)

NCLEX Comprehensive Mental Health & Psychiatric Nursing Exam (2024/2025, Verified Q&A)

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The Mental Health NCLEX Questions & Answers (2024/2025 Edition) is a verified, A+ graded study guide that prepares nursing students for the NCLEX-RN exam by focusing on psychiatric and mental health nursing concepts. It includes updated, high-priority questions with correct answers and rationales to strengthen test readiness.The Mental Health NCLEX review is part of the NCLEX-RN preparation curriculum and focuses on psychiatric nursing. This section of the NCLEX evaluates a nurse’s ability to provide safe, effective, and compassionate care to patients with mental health conditions. Key Learning Objectives: Apply the nursing process (ADPIE) to psychiatric care. Demonstrate therapeutic communication techniques. Identify and manage psychiatric disorders (depression, schizophrenia, bipolar disorder, anxiety, substance use). Recognize crisis intervention strategies and prioritize patient safety. Understand psychopharmacology (antidepressants, antipsychotics, mood stabilizers, anxiolytics). Apply ethical and legal principles in mental health nursing

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November 5, 2025
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2025/2026
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Mental Health NCLEX Questions and
answers 2024\2025 A+ Grade

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.
- correct answer 1. There are many differences in the presentation of schizophrenia.



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.
- correct answer 2. Frequent requests for someone to stay in the room.

,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
- correct answer 4. Cognitive behavioral therapy



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."
- correct answer 3. "I can stop drinking anytime I feel like it."



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
- correct answer D) Somatic Delusions

, A nurse is teaching a class to assistive personnel on depression. Which statement(s) by the nurse
provide accurate informatino about depression? Select all that apply.



1. Depression is a condition in which behaviors can fluctuate between low mood and euphoria.



2. Women are approximately twice as likely as men to develop depression.



3. The rate of depression among adolescents increases with age.



4. Children in all age groups can become depressed.



5. Symptoms of perfectionism and rigid thought patterns are indicative of depression.
- correct answer 2. Women are approximately twice as likely as men to develop depression.



3. The rate of depression among adolescents increases with age.



4. Children in all age groups can become depressed.



"An orthopedic client who broke his ankle while drinking at a party questions whether his drinking is
"okay". He has never been arrested for driving intoxicated, nor has he experienced any health or
relationship problems. He says he called in sick to work once after drinking and drove intoxicated several
times. Family information validates his self-report. The nurse concludes the client has an alcohol abuse
problem based on which characteristic of this syndrome?"



1. Drinking more than two drinks per occasion



2. The inability to stop drinking despite negative consequences.



3. Drinking that causes an individual to pass out or experience a blackout.

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