Overview of Psychiatric-Mental Health Nursing NCLE
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Overview Of Psychiatric-Mental Health Nursing NCLE
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Overview of Psychiatric-Mental Health
Nursing NCLEX / Newest 2025
The nurse is planning to conduct reminiscence therapy for a group of older adults. The
nurse implements this by doing which of the following?
A. Encouraging each member to socialize with every other member of the group
B. Role-modeling adaptive was to cope with aging
C. Encouraging each group member to recall and discuss earlier life experiences
D. Validating clients' positive feelings about aging - CORRECT ANSWERS -C
While an older client is completing a life review with the nurse, the client shows despair
over life events and injustices that occurred, personal inability to find any meaning in
own life, and feelings of hopelessness about the future. The nurse should formulate
which of the following as the most appropriate nursing diagnosis?
A. Spiritual distress
B. Chronic sorrow
C. Chronic low self-esteem
D. Risk for violence, self-directed - CORRECT ANSWERS -A
A client with a history of drug abuse verbalizes the need for help during the nursing
history. When planning treatment for the client, what is the most important initial
information the nurse should obtain?
A. How the client has supported the drug use
B. The client's current height and weight
C. The client's family response to the drug use
D. The types and quantities of drugs involved - CORRECT ANSWERS -D
A 6-year-old child was recently admitted to the hospital with a diagnosis of autism. The
child picks up a toy and begins to hit another child. What is the most appropriate
response by the nurse?
A. Isolate the child for 24 hours
B. Encourage the client to explain his angry thoughts
C. Assume a nonpunitive stance and stop the behavior
D. Call the client's parents for their input - CORRECT ANSWERS -C
The nurse wishes to encourage the client to express personal feelings and to develop
increased awareness about what those feelings mean. Which approach by the nurse
would be best?
A. Challenge the client
B. Offer reassurance
C. Give advice
D. Offer empathy - CORRECT ANSWERS -D
, While the nurse and client are talking, the client states "You are just like my mother; you
don't trust me or like me. The two of you wish I were dead." The nurse interprets this
statement as indicating which of the following processes?
A. Psychosis
B. Countertransference
C. Transference
D. Projection - CORRECT ANSWERS -C
The client states, "Who is confused? He said I should go, but I didn't. Is that weird?"
Which response by the nurse would be best to clarify the client's statement?
A. How did you feel before you talked to him?
B. When did you first notice yourself feeling confused?
C. Did he indicate to you exactly what he meant?
D. I don't understand. Can you explain in another way? - CORRECT ANSWERS -D
During the initial interview with a client, the nurse begins to feel uncomfortable and
realizes the client's behavior and mannerisms remind the nurse of the nurse's abusive
parent. The nurse concludes that the current situation represents which phenomenon?
A. Transference
B. Countertransference
C. Denial
D. Reaction formation - CORRECT ANSWERS -B
A client asks the nurse what to do about leaving the spouse. The nurse replies "Why are
you having trouble making a decision? It's easy to see that you should file for divorce."
The nurse manager overhearing the conversation would counsel this nurse because the
nurse's response: (Select all that apply)
A. Restricts the client's opportunity for self-exploration & problem solving skills
B. Belittles the client & the client's indecisiveness
C. Challenges the client's belief system
D. Assumes that the client is incapable of reaching an independent decision -
CORRECT ANSWERS -A,B,D
While communicating with a client, the nurse decides to provide the client with
feedback. The primary reason for this is that giving appropriate feedback makes it
possible for the nurse to:
A. Present advice
B. Explore feelings
C. Provide information
D. Explain behavior - CORRECT ANSWERS -C
The nurse assesses a client as being on the mental health end of the mental
health/mental illness continuum. Which statement by the client best supports this
assessment? (Select all that apply)
A. I am satisfied with my life and life choices
B. My family thinks that I am a good person
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