NCLEX Mental Health Questions
Question 1 of 5.
The nurse explains to the client's family the alcoholic's recovery process. What is the first step in recovering from alcohol?
A. Admitting an inability to control drinking
B. Forming a close support network
C. Relying on some form of religious belief
D. Checking into an inpatient rehabilitation unit
Explanation: Admitting powerlessness over alcohol is the foundational step in recovery models like Alcoholics Anonymous, as it acknowledges the problem and initiates the commitment to change.
Question 2 of 5.
Which nursing action is most appropriate for determining whether domestic abuse is occurring?
A. Ask directly if domestic abuse is occurring.
B. Arrange a second visit to validate suspicions.
C. Assess the young children for signs of injury.
D. Make inquiries among relatives or neighbors.
Explanation: Directly asking about abuse in a safe, private setting encourages honest disclosure and is the most effective initial step to confirm suspicions.
Question 3 of 5.
Which is the most desired outcome of a self-help group of rape victims?
A. Obtaining mutual assistance with similar problems
B. Receiving authoritative information about rape trauma
C. Establishing new friendships with other victims
D. Developing additional social skills for the future
Explanation: Self-help groups provide mutual support, allowing victims to share experiences and coping strategies, fostering recovery through shared understanding.
Question 4 of 5.
If the client has been taking an antidepressant for several weeks, which outcome would be the most desired therapeutic effect?
A. The client is feeling less depressed.
B. The client is eating more nutritiously.
C. The client is having fewer food binges.
D. The client is feeling less suicidal.
Explanation: Reducing binge episodes is the primary goal for bulimia treatment, as antidepressants target the compulsive behaviors associated with the disorder.
Question 5 of 5.
During a home visit, which assessment finding is most suggestive that the client is experiencing auditory hallucinations?
A. The client sings a song while walking around the room.
B. The client quickly changes the topic of conversation.
C. The client repeats a sentence over and over again.
D. The client turns an ear as if listening to someone.
Explanation: Turning an ear as if listening suggests the client is responding to auditory hallucinations, a common symptom in schizophrenia.