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WorksheetsNCLEX - MENTAL HEALTH Day1 (Part 1)
Total questions: 15
Worksheet time: 15mins
Name
Class
Date
1.
The nurse is assessing a client with posttraumatic stress disorder. Which of the following findings would the nurse expect to observe?
a)
increased energy levels and euphoric mood
b)
feelings of paranoia and auditory hallucinations
c)
reliving of the event and detachment from others
d)
excessive need for admiration and inflated self-importance
2.
The nurse is talking with a client whose spouse recently attempted suicide. The client states, "If I had not intervened, my spouse would have died. I cannot believe this is happening." Which of the following responses would be most appropriate for the nurse to make?
a)
Do not focus on the negative. You should try to focus on helping your spouse get better.
b)
I imagine that this is overwhelming. Tell me more about how you are feeling right now.
c)
Do you have any relatives or close friends who can help support you through this?
d)
Has your spouse been experiencing worsening depression recently?
3.
The nurse on the medical-surgical unit is planning care for an 11-year-old client with attention deficit hyperactivity disorder who is scheduled for surgical repair of a fractured femur. Which of the following interventions would be a priority to include in the client's plan of care?
a)
Create a structured and consistent environment with a daily schedule.
b)
Give the client a written schedule of activities.
c)
Provide a verbal explanation of what to expect during hospitalization.
d)
Restrict visitors while the client is hospitalized.
4.
The nurse is observing a staff member talking with the parent of a pediatric client. The parent is crying and states, "I do not know what to do about this situation with my child." The staff member responds, "I am sure you will do the right thing." The nurse should recognize that the staff member's response
a)
expresses interest in the parent's concern
b)
demonstrates respect for the parent's privacy
c)
devalues the parent's feelings and gives false reassurance
d)
conveys empathy toward the parent and promotes self-confidence
5.
The nurse is talking with the parents of an adolescent client who was brought to the emergency department after making superficial cuts on the arms with a razor blade. There are several cuts in various stages of healing on the client's forearms. Which of the following statements would be appropriate for the nurse to make?
a)
This must be difficult for you.
b)
Everything is going to be all right.
c)
We have cleaned and bandaged the cuts.
d)
Why did you wait until now to bring your child here?
e)
Tell me about when you started noticing this behavior.
6.
The nurse is caring for a client with panic disorder who is reporting palpitations and intense feelings of fear. The client is shaking and hyperventilating. Which of the following actions would be a priority for the nurse to take?
a)
Assess the client for auditory and visual hallucinations.
b)
Administer a benzodiazepine to the client.
c)
Explore possible triggers for the episode with the client.
d)
Remain in the room with the client.
7.
The nurse is caring for a client with major depressive disorder. The nurse notes that the client does not move for prolonged periods and responds slowly in conversation. Which of the following actions should the nurse take?
a)
Avoid periods of silence when talking with the client.
b)
Use simple phrases and allow time for the client to think and respond.
c)
Teach the client about journaling and meditation for stress management.
d)
Ensure that the client eats the entire meal at breakfast, lunch, and dinner.
8.
The nurse is evaluating the effectiveness of the treatment regimen for a client with somatic symptom disorder with cardiac manifestations. Which of the following statements by the client would indicate that the treatment regimen has been ineffective?
a)
I have started drawing in a sketchbook during periods of increased stress.
b)
I am looking for another health care provider to evaluate my symptoms.
c)
I journal daily about my stress level and any heart-related symptoms.
d)
I asked my spouse for support while I cope with my mother's death.
9.
The nurse is evaluating the effectiveness of the treatment regimen for a client with alcohol use disorder. Which of the following statements by the client would indicate that the treatment regimen has been effective?
a)
I will not crave alcohol as much once my divorce is final.
b)
My focus is now on fitness training and going back to college.
c)
I contact my Alcoholics Anonymous sponsor when cravings occur.
d)
My drinking is under control now that I drink only on special occasions.
e)
My drinking led to my divorce and the loss of my relationships with my children.
10.
During group therapy, a client becomes violent and throws a fire extinguisher. What should the nurse do first?
a)
Activate the rapid response team
b)
Approach the client calmly
c)
Escort other clients away from the area
d)
Inform the client the action is unacceptable
11.
A 77-year-old client post-extubation shows disorientation and lethargy. What is the most likely cause?
a)
Delirium
b)
Amnesia
c)
Dementia
d)
Psychosis
12.
The nurse is caring for a dying child. What is the most important thing to say to the parents immediately after death?
a)
Support groups can be helpful.
b)
Self-care is important now.
c)
Take the time you need to say goodbye.
d)
How have you dealt with loss in the past?
13.
A client with newly diagnosed conversion disorder says, "My provider must think I'm crazy." How should the nurse respond?
a)
I'm sure friends and family can support you.
b)
Don't be concerned; everything will be okay.
c)
The diagnosis acknowledges your symptoms are real.
d)
It must be reassuring that it’s not a serious illness.
14.
Which statements should the nurse include when teaching about intimate partner violence?
a)
Most common in high-income families.
b)
Rare in same-sex partnerships.
c)
Abuser often shows jealousy and possessiveness.
d)
Victims may not leave due to fear or finances.
e)
Violence intensifies during pregnancy.
15.
A client with schizophrenia says, "There is a bad person in my room." What should the nurse say?
a)
Your illness is making you hallucinate.
b)
I know you're frightened, but I don't see anyone.
c)
Don't worry. The meds will make it go away.
d)
Let's play a board game in the dayroom.
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