When one older adult at reminiscence therapy says, 'If I had it to do

Mental Health and Mental Illness NCLEX Questions

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Question 1 of 5.

When one older adult at reminiscence therapy says, 'If I had it to do all over again, I wouldn't change a thing,' the nurse is most accurate in interpreting this to mean that the client has acquired which developmental characteristic?

A. Trust

B. Integrity

C. Intimacy

D. Autonomy

Explanation: Accepting one's life without regret reflects integrity, per Erikson's stage of integrity vs. despair in late adulthood.

Question 2 of 5.

The client's family asks the nurse for a list of organizations where they can go for support during this difficult time. Which resource is most appropriate in this situation?

A. Alcoholics Anonymous

B. Recovery Anonymous

C. Al-Anon

D. Synanon

Explanation: Al-Anon is specifically designed to support family members of individuals with alcoholism, providing them with coping strategies and emotional support.

Question 3 of 5.

If the client admits that incidences of domestic abuse are occurring, which nursing intervention is most beneficial?

A. Offering the victim money to leave home

B. Identifying resources for shelter and safety

C. Recommending termination of the abusive relationship

D. Suggesting joint counseling with a therapist or clergyman

Explanation: Providing resources for shelter and safety ensures the victim's immediate protection and access to support, addressing the urgent need for security.

Question 4 of 5.

If the rape victim shares all of the following information during a group session, which findings are most indicative of a severe adjustment reaction? Select all that apply.

A. The victim reports feeling somewhat anxious.

B. The victim describes having sporadic nightmares.

C. The victim has lost weight and eats out of habit.

D. The victim has occasional doubts about self-worth.

E. The victim refuses to have sexual relations.

F. The victim has started to drink wine before bedtime.

Explanation: Nightmares, weight loss, sexual avoidance, and new alcohol use indicate significant distress and maladaptive coping, suggestive of a severe adjustment reaction.

Question 5 of 5.

Which nursing action is most appropriate at this time?

A. Criticize the nature of the client's rude behavior.

B. Support the emaciated client who was targeted by the remark.

C. Invite others in the group to respond to the situation.

D. Embarrass the bulimic client with a similar comment.

Explanation: Supporting the targeted client validates their feelings and maintains a safe group environment, addressing the immediate emotional impact.