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NCLEX Questions (Mental Health Exam 1) – Q’s and A’s
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NCLEX Questions (Mental HealthExam 1) – Q’s and A’s
Which statement about mental illness is true?
a) mental illness is a matter of individual nonconformity with social norms
b) mental illness is present when individual irrational and illogical behavior
occurs
c) mental illness changes with culture, time in history, political system, and
group defining it
d) mental illness is evaluated solely by considering individual control over
behavior and appraisal of reality - -c) mental illness changes with culture,
time in history, political system, and group defining it
-A nursing student new to psychiatric nursing asks a peer what resource
he/she can use to figure out which symptoms are part of the picture of a
specific psychiatric disorder. The best answer would be:
a) nursing intervention classifications
b) nursing interventions outcomes
c) NANDA nursing diagnosis
d) DSM-V - -d) DSM-V
-Why is it important for the nurse to be aware of the multiple factors that
can influence an individual's mental health?
a) rates of illness differ among various groups
b) the DSM-V cannot be used without the information
c) a holistic nursing assessment requires this awareness
d) the nurse must contribute this data for epidemiological research - -c) a
holistic nursing assessment requires this awareness
-Which statement best describes a major difference between a DSM-V
diagnosis and a nursing diagnosis?
a) there is no functional difference between the two. Both serve to identify a
human deviance
b) the DSM-V diagnosis disregards culture, whereas the nursing diagnosis
takes culture into account
c) the DSM-V is associated with present distress or disability, whereas a
nursing diagnosis considers past and present responses to actual mental
health problems
d) the DSM-V diagnosis impacts the choice of medical treatment, whereas
the nursing diagnosis offers a framework for identifying interventions for
,phenomena a client is experiencing - -d) the DSM-V diagnosis impacts the
choice of medical treatment, whereas the nursing diagnosis offers a
framework for identifying interventions for phenomena a client is
experiencing
-Resilience, the capacity to rebound from stressors via adaptive coping is
associated with positive mental health. Your friend has just been laid off from
his job. Which of the following responses on your part most likely contribute
to enhanced resilience?
a) using your connection to set up an interview with your employer
b) connecting him with a friend with the family who owns his own business
c) supporting him in arranging, preparing for, and completing multiple
interviews
d) helping him to understand that the layoff resulted from troubles in the
economy and is not his fault - -c) supporting him in arranging, preparing for,
and completing multiple interviews
-After several therapeutic encounters with a patient who recently attempted
suicide, the behavior that would cause the nurse to consider the possibility of
countertransference is that:
a) the client's reaction toward the nurse seem realistic and appropriate
b) the client states the nurse is concerned about her, just like her father
c) the nurse develops a trusting relationship with the client
d) the nurse feels exceptionally happy when the client's mood begins to lift -
-d) the nurse feels exceptionally happy when the client's mood begins to lift
-Termination of the therapeutic nurse-client relationship with a client has
been handled successfully when the nurse:
a) gives the client his personal telephone number and permission to call after
discharge
b) avoids upsetting the client by focusing on other clients beginning 1 week
before the client's discharge
c) discusses with the client the changes that have happened during their
time together and evaluates outcome attainment
d) offers to meet the client for coffee and conversation three times a week
for 2 weeks after discharge - -c) discusses with the client the changes that
have happened during their time together and evaluates outcome
attainment
-During which phase of the nurse-client relationship can the nurse anticipate
that identified client issues will be explored and resolved?
a) the working phase
, b) the identifying phase
c) the dysfunctional phase
d) the termination phase - -a) the working phase
-At what point in the nurse-client relationship can the nurse anticipate that
identified client issues will be explored and resolved?
a) in the working phase
b) in the termination phase
c) in the orientation phase
d) when the client initially brings up the topic - -c) in the orientation phase
-The nurse introduces the matter of a contract during the first session
because contracts:
a) specify what the nurse will do for the client
b) are indicative of the feeling tone established between the participants
c) are binding and prevent either party from prematurely ending the
relationship
d) spell out the participation and responsibilities of both parties - -d) spell
out the participation and responsibilities of both parties
-The remark by a client that would indicate passage into the working phase
of the nurse-client relationship is
a) "I don't have any problems"
b) "it is so difficult for me to talk about problems"
c) "I don't know how talking about things twice a week can help"
d) "I think I would like to find a way to deal with my anger without blowing
up" - -d) "I think I would like to find a way to deal with my anger without
blowing up"
-The nurse attempts to explain to the family of a mentally ill client how the
nurse-client relationship differs from other interpersonal relationships. The
best explanation is that:
a) the focus is on the client; problems are discussed by the nurse and client;
and solutions are implemented by the client
b) the focus shifts from nurse to client; advice is given by both parties; and
solutions are implemented by each
c) the focus is socialization; mutual needs are met; and feelings are shared
d) the focus is creation of a partnership in which each member is concerned
with growth and satisfaction of the other - -a) the focus is on the client;
problems are discussed by the nurse and client; and solutions are
implemented by the client
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