Mental Health NCLEX
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Question 1 of 5.
The new nurse is working with the cognitively impaired client who has a history of violent behavior. Which statement made by the new nurse reflects an immediate need for follow-up by the mentor?
A. “My first concern is the safety of all those on the unit.â€
B. “I know to turn off the television when the client starts pacing the floor.â€
C. “When the client started getting aggressive I tried talking the client down.â€
D. “I'm going to try and assign the same staff to work with the client each shift.â€
Explanation: Talking during aggression (C) adds stimuli and requires mentor follow-up. Safety focus (A) reducing stimuli (B) and consistent staff (D) are appropriate.
Question 2 of 5.
The nurse correctly informs the caller that most people have which physical signs after recent marijuana use? Select all that apply.
A. Shivering
B. Inflamed eyes
C. Rapid pulse
D. Restlessness
E. Pinpoint pupils
F. Increased sex drive
Explanation: Recent marijuana use commonly causes inflamed (red) eyes due to vasodilation, rapid pulse from cardiovascular stimulation, and restlessness from its psychoactive effects.
Question 3 of 5.
If a client is typical of other victims who remain in abusive relationships, what is the client most likely to believe?
A. The client is not in any serious danger.
B. The client can turn to the family for protection.
C. The client can prevent the battering behavior.
D. The client is free to leave the home at any time.
Explanation: Victims often believe they can control or prevent the abuse, reflecting denial or rationalization that keeps them in the abusive situation.
Question 4 of 5.
Which initial reaction would the nurse expect if the client is typical of others who just received news of this diagnosis?
A. Anger
B. Shock
C. Resentment
D. Depression
Explanation: Shock is the most common initial reaction to an HIV diagnosis, as it reflects the overwhelming and unexpected nature of the news.
Question 5 of 5.
Which assessment finding by the nurse is most suggestive to the obese client is taking dextroamphetamine (Dexedrine) at this time?
A. The client stares blankly into space.
B. The client monopolizes the discussions.
C. The client wears sunglasses indoors.
D. The client slurs words when speaking.
Explanation: Monopolizing discussions reflects the hyperactivity and talkativeness associated with stimulant use like dextroamphetamine.