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RN Mental Health Online Practice A (70 Qs) – 2026 NCLEX Prep | Therapeutic Communication, Meds, Crisis, Ethics

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This document provides 70 NCLEX-style questions and answers from the official RN Mental Health Online Practice A exam, aligned with the 2026 NCLEX-RN blueprint. It is an ideal study tool for nursing students focusing on psychiatric-mental health nursing and seeking success in both coursework and licensure testing. Questions are formatted to reflect application-level scenarios that test clinical judgment, priority-setting, and evidence-based nursing interventions. This Q&A resource is ideal for exam simulation, remediation, or targeted content review. It closely follows the structure of ATI’s Mental Health Practice A exams and content areas outlined in texts like “Varcarolis’ Foundations of Psychiatric-Mental Health Nursing.” Major topics covered include: – Therapeutic Communication & Interventions: active listening, reflecting, open-ended questions, nonverbal cues – Mental Health Medications: SSRIs, antipsychotics, mood stabilizers, side effects, lithium toxicity, EPS – Crisis Management & Suicide Prevention: priority actions, no-suicide contracts, safety planning, risk assessment – Legal & Ethical Considerations: informed consent, involuntary admission, confidentiality, advocacy – Psychiatric Disorders: depression, schizophrenia, bipolar disorder, substance use disorders, eating disorders – Group Therapy & Milieu Management: leadership roles, environment structuring, group phases – Defense Mechanisms: identification and appropriate nursing responses – Patient Education: medication adherence, relapse prevention, coping skills, community resources This resource is ideal for: – Nursing students (BSN, ADN, and accelerated programs) – Individuals preparing for ATI Mental Health assessments – Students studying for the NCLEX-RN with a focus on mental health – Tutors, instructors, and remediation specialists needing trusted Q&A content With realistic question formatting and clinically sound answers, this document helps reinforce high-priority mental health nursing concepts and develop safe, therapeutic care skills. Keywords: mental health nursing, NCLEX-RN 2026, ATI Practice A, RN mental health exam, therapeutic communication, involuntary commitment, psych meds, lithium toxicity, schizophrenia, depression, bipolar disorder, EPS symptoms, suicide prevention, therapeutic milieu, ATI mental health questions, crisis intervention, psychiatric nursing, advocacy in nursing, nursing ethics, Varcarolis textbook, ATI RN mental health

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RN Mental Health Online
Practice A 2026 Exam Questions
and Answers | A+ Score Assured


A nurse is preparing to administer diazepam 7.5mg IV Bolus to a client for

alcohol withdrawal. Available is diazepam injection 5mg/1mL. How many

mL should the nurse administer? (Round the answer to the nearest tenth.

Use a leading zero if it applies. Do not use a trailing zero.) - 🧠 ANSWER

✔✔1.5 mL


A nurse is planning care for a client who has depression and has made

frequent suicide attempts. Which of the following statements indicates the

,client has a decreased risk for suicide? - 🧠 ANSWER ✔✔"It is easier to talk

about my feelings now."

A nurse is discussing a 12 steps program with a client who has alcohol use

disorder and is in an acute facility undergoing detoxification. Which of the

following information should the nurse include in the teaching? - 🧠

ANSWER ✔✔The client should obtain a sponsor before discharge for an

increased chance of recovery.

A nurse on a mental health unit observes a client who has acute mania hit

another client. Which of the following actions should the nurse take first? - 🧠

ANSWER ✔✔Call for a team of staff members to help with the situation.


A nurse in a community health center is working with a group of clients who

have post traumatic stress disorder. Which of the following interventions

should the nurse include to reduce anxiety among the group members? - 🧠

ANSWER ✔✔Guided imagery


A nurse is caring for a newly admitted Client.

,For each potential finding, click to specify if the finding is consistent with

positive or negative symptoms of schizophrenia. - 🧠 ANSWER

✔✔POSITIVE: Delusions of grandeur, clang associations, catatonia




NEGATIVE: Algoia, withdrawl from social activities

A nurse on a mental health unit is caring for a client who has

schizophrenia. After reviewing the client's medical record, the nurse should

notify the provider of which of the following findings?




SELECT THE 5 UNEXPECTED FINDINGS THAT REQUIRE

NOTIFICATION OF THE PROVIDER. - 🧠 ANSWER ✔✔Temperature


Bowel sounds

ANC level

Myalgia

Heart rate

A nurse is caring for a client who has a panic disorder.




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, Click to highlight the findings in the medical record that indicate

maladaptive uses of defense mechanisms. - 🧠 ANSWER ✔✔Returned from

exercise class in agitated state.




Client tells the nurse, "That exercise instructor was one of my favorite

people here. We had so much in common. But now I know their true

nature. She's evil!"

A nurse is caring for a client who has impaired cognitionA nurse is updating

the client's plan of care. For each of the following potential nursing

interventions, click to specify if the potential intervention is anticipated,

nonessential, or contraindicated for the client: - 🧠 ANSWER ✔✔Anticipated:


When addressing the client, approach them from the front when possible.

Give directions to the client slowly and in a moderate tone of voice.

Decrease sensory stimulation.

Assign the client to a room near the nurses' station.




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Subido en
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