Mental Health NCLEX Questions with Rationale

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Question 1 of 5.

Which emotional responses are the parents most likely to experience immediately after the sudden death of their infant?

A. Anger

B. Guilt

C. Fear

D. Depression

Explanation: Guilt is a common immediate response as parents often question their actions or feel responsible for the infant's death, reflecting early grief processing.

Question 2 of 5.

The emergency department nurse describes procedures and their purposes to the rape victim before they are implemented. What is the rationale for the nurse's action?

A. It diminishes feelings of powerlessness.

B. It tends to reduce the client's anxiety.

C. It is a policy of the emergency department.

D. It meets the client's need for teaching.

Explanation: Explaining procedures empowers the victim by restoring some control, counteracting the powerlessness experienced during the assault.

Question 3 of 5.

Which nursing actions will best protect the client's safety? Select all that apply.

A. Station a security guard outside the client's room at all times.

B. Remove all cords, wires, and strings in the room.

C. Provide paper dishes and plastic utensils.

D. Assess whether the client has swallowed all medications.

E. Ask a family member to stay with the client during the night.

F. Check in on the client every 30 minutes.

Explanation: Removing potential hazards, using safe utensils, ensuring medication compliance, and frequent checks minimize suicide risk by reducing means and monitoring behavior.

Question 4 of 5.

If the client snorts cocaine on a regular basis, which physical assessment findings will the nurse most likely find? Select all that apply.

A. Dry, stuffy nose

B. Perforated nasal septum

C. Hoarseness and cough

D. Sinus pain under the eyes

E. Elevated blood pressure

F. Inability to sleep

Explanation: Regular cocaine snorting causes nasal irritation, septal damage, sinus pain, hypertension, and insomnia due to its stimulant effects.

Question 5 of 5.

When the client begins crying and says, 'Nurse, I feel like I'm going to die,' which response is most therapeutic?

A. You are having a panic attack.

B. You don't want the physician to see you this way.

C. Everyone feels frightened in an emergency.

D. I'll stay with you until you feel better.

Explanation: Staying with the client provides reassurance and support, directly addressing their fear and promoting a sense of security.

Question 1 of 5.

Which emotional responses are the parents most likely to experience immediately after the sudden death of their infant?

A. Anger

B. Guilt

C. Fear

D. Depression

Question 2 of 5.

The emergency department nurse describes procedures and their purposes to the rape victim before they are implemented. What is the rationale for the nurse's action?

A. It diminishes feelings of powerlessness.

B. It tends to reduce the client's anxiety.

C. It is a policy of the emergency department.

D. It meets the client's need for teaching.

Question 3 of 5.

Which nursing actions will best protect the client's safety? Select all that apply.

A. Station a security guard outside the client's room at all times.

B. Remove all cords, wires, and strings in the room.

C. Provide paper dishes and plastic utensils.

D. Assess whether the client has swallowed all medications.

E. Ask a family member to stay with the client during the night.

F. Check in on the client every 30 minutes.

Question 4 of 5.

If the client snorts cocaine on a regular basis, which physical assessment findings will the nurse most likely find? Select all that apply.

A. Dry, stuffy nose

B. Perforated nasal septum

C. Hoarseness and cough

D. Sinus pain under the eyes

E. Elevated blood pressure

F. Inability to sleep

Question 5 of 5.

When the client begins crying and says, 'Nurse, I feel like I'm going to die,' which response is most therapeutic?

A. You are having a panic attack.

B. You don't want the physician to see you this way.

C. Everyone feels frightened in an emergency.

D. I'll stay with you until you feel better.

Question 1 of 5.

Which emotional responses are the parents most likely to experience immediately after the sudden death of their infant?

A. Anger

B. Guilt

C. Fear

D. Depression

Question 2 of 5.

The emergency department nurse describes procedures and their purposes to the rape victim before they are implemented. What is the rationale for the nurse's action?

A. It diminishes feelings of powerlessness.

B. It tends to reduce the client's anxiety.

C. It is a policy of the emergency department.

D. It meets the client's need for teaching.

Question 3 of 5.

Which nursing actions will best protect the client's safety? Select all that apply.

A. Station a security guard outside the client's room at all times.

B. Remove all cords, wires, and strings in the room.

C. Provide paper dishes and plastic utensils.

D. Assess whether the client has swallowed all medications.

E. Ask a family member to stay with the client during the night.

F. Check in on the client every 30 minutes.

Question 4 of 5.

If the client snorts cocaine on a regular basis, which physical assessment findings will the nurse most likely find? Select all that apply.

A. Dry, stuffy nose

B. Perforated nasal septum

C. Hoarseness and cough

D. Sinus pain under the eyes

E. Elevated blood pressure

F. Inability to sleep

Question 5 of 5.

When the client begins crying and says, 'Nurse, I feel like I'm going to die,' which response is most therapeutic?

A. You are having a panic attack.

B. You don't want the physician to see you this way.

C. Everyone feels frightened in an emergency.

D. I'll stay with you until you feel better.

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