PSYCHIATRIC MENTAL HEALTH
NURSING NCLEX QUESTIONS WITH
100%- CORRECT ANSWERS ALREADY
GRADEDA+
A 14-year-old client is brought to the clinic by her
mother. Her mother expresses concern about her
daughter's weight loss and constant dieting. The
nurse conducts health history interview. Which of
the following comments indicates that the client
may be suffering from anorexia nervosa?
A. "I like the way I look. I just need to keep my
weight down because I'nm a cheerleader."
B. "I don't like the food my mother cooks. I eat
plenty of fast food when I'm out with my friends."
C. "I just can't seem to get down to the weight I
want to be. I'm so fat compared to other girls."
D. "I do diet around my periods; otherwise, I just
get so bloated." - correct answer - C. "I just can't
seem to get down to the weight I want to be. I'm so
fat compared to other girls."
Rationale: Low self-esteem is the highest risk factor
for anorexia nervosa. Constant dieting to get down
to a "desirable weight" is characteristic of the
disorder. Feeling inadequate when compared to
,peers indicates poor self-esteem. Most clients with
anorexia nervosa don't like the way they look, and
their self-perception may be distorted. A girl with
cachexia may perceive herself to be other weight
when she looks in the mirror. Proffering fast food
over health food is common in this age-group.
Because of the absence of body fat necessary for
proper hormone production, amenorrhea is
common in this client with anorexia nervosa.
A 24-year-old client with anorexia nervosa tells the
nurse, "When I look in the mirror, I hate what I see.
I look so fat and ugly." Which strategy should the
nurse use to deal with the client's distorted
perceptions and feelings?
A. Avoid discussing the client's perceptions and
feelings
B. Focus discussions on food and weight
C. Avoid discussing unrealistic cultural standards
regarding weight
D. Provide objective data and feedback regarding
the client's weight and attractiveness - correct
answer - D. Provide objective data and feedback
regarding the client's weight and attractiveness
,Rationale: By focusing on reality, this strategy may
help the client develop a more realistic body image
and gain self-esteem. Option A is inappropriate
because discussing the client's perceptions and
feelings wouldn't help her identify, accept, and
work through them. Focusing discussions on food
and weight would the client attention for not
eating, making option B incorrect. Option C is
inappropriate because recognizing unrealistic
cultural standards wouldn't help the client establish
more realistic weight goals.
A 25-year-old client experiencing alcohol
withdrawal is upset about going through
detoxification. Which of the following goals is a
priority?
A. The client will commit to a drug-free lifestyle
B. The client will work with the nurse to remain
safe
C. The client will drink plenty of fluids daily
D. The client will make a personal inventory of
strengths - correct answer - B. The client will
work with the nurse to remain safe
, Rationale: The priority goal in alcohol withdrawal is
maintaining the client' safety. Committing to a
drug-free lifestyle, drinking plenty of fluids, and
identifying personal strengths are important goals,
but ensure the client's safety is the nurse's top
priority.
A client whose husband just left her has a
recurrence of anorexia nervosa. The nurse caring
for her realizes that this exacerbation of anorexia
nervosa results from the client's effort to:
A. Manipulate her husband
B. Gain control of one part of her life
C. Commit suicide
D. Live up to her mother's expectations - correct
answer - B. Gain control of one part of her life
Rationale: By refusing to eat, a client with anorexia
nervosa is unconsciously attempting to gain control
over the only part of her life she feels she can
control. This eating disorder doesn't represent an
attempt to manipulate others or live up to their
expectations (although anorexia nervosa has a
high incidence in families that emphasizes
achievement). The client isn't attempting to
NURSING NCLEX QUESTIONS WITH
100%- CORRECT ANSWERS ALREADY
GRADEDA+
A 14-year-old client is brought to the clinic by her
mother. Her mother expresses concern about her
daughter's weight loss and constant dieting. The
nurse conducts health history interview. Which of
the following comments indicates that the client
may be suffering from anorexia nervosa?
A. "I like the way I look. I just need to keep my
weight down because I'nm a cheerleader."
B. "I don't like the food my mother cooks. I eat
plenty of fast food when I'm out with my friends."
C. "I just can't seem to get down to the weight I
want to be. I'm so fat compared to other girls."
D. "I do diet around my periods; otherwise, I just
get so bloated." - correct answer - C. "I just can't
seem to get down to the weight I want to be. I'm so
fat compared to other girls."
Rationale: Low self-esteem is the highest risk factor
for anorexia nervosa. Constant dieting to get down
to a "desirable weight" is characteristic of the
disorder. Feeling inadequate when compared to
,peers indicates poor self-esteem. Most clients with
anorexia nervosa don't like the way they look, and
their self-perception may be distorted. A girl with
cachexia may perceive herself to be other weight
when she looks in the mirror. Proffering fast food
over health food is common in this age-group.
Because of the absence of body fat necessary for
proper hormone production, amenorrhea is
common in this client with anorexia nervosa.
A 24-year-old client with anorexia nervosa tells the
nurse, "When I look in the mirror, I hate what I see.
I look so fat and ugly." Which strategy should the
nurse use to deal with the client's distorted
perceptions and feelings?
A. Avoid discussing the client's perceptions and
feelings
B. Focus discussions on food and weight
C. Avoid discussing unrealistic cultural standards
regarding weight
D. Provide objective data and feedback regarding
the client's weight and attractiveness - correct
answer - D. Provide objective data and feedback
regarding the client's weight and attractiveness
,Rationale: By focusing on reality, this strategy may
help the client develop a more realistic body image
and gain self-esteem. Option A is inappropriate
because discussing the client's perceptions and
feelings wouldn't help her identify, accept, and
work through them. Focusing discussions on food
and weight would the client attention for not
eating, making option B incorrect. Option C is
inappropriate because recognizing unrealistic
cultural standards wouldn't help the client establish
more realistic weight goals.
A 25-year-old client experiencing alcohol
withdrawal is upset about going through
detoxification. Which of the following goals is a
priority?
A. The client will commit to a drug-free lifestyle
B. The client will work with the nurse to remain
safe
C. The client will drink plenty of fluids daily
D. The client will make a personal inventory of
strengths - correct answer - B. The client will
work with the nurse to remain safe
, Rationale: The priority goal in alcohol withdrawal is
maintaining the client' safety. Committing to a
drug-free lifestyle, drinking plenty of fluids, and
identifying personal strengths are important goals,
but ensure the client's safety is the nurse's top
priority.
A client whose husband just left her has a
recurrence of anorexia nervosa. The nurse caring
for her realizes that this exacerbation of anorexia
nervosa results from the client's effort to:
A. Manipulate her husband
B. Gain control of one part of her life
C. Commit suicide
D. Live up to her mother's expectations - correct
answer - B. Gain control of one part of her life
Rationale: By refusing to eat, a client with anorexia
nervosa is unconsciously attempting to gain control
over the only part of her life she feels she can
control. This eating disorder doesn't represent an
attempt to manipulate others or live up to their
expectations (although anorexia nervosa has a
high incidence in families that emphasizes
achievement). The client isn't attempting to
