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Mental Health Nclex style Questions - focus on schizophrenia- EXAM 1 Questions and Answers
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Mental Health Nclex style Questions - focus on schizophrenia- EXAM 1 Questions and Answers
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Mental Health Nclex style Questions -focus on schizophrenia- EXAM 1
Questions and Answers
A client experiencing disturbed thought processes believes
that his food is being poisoned. Which communication
technique should the nurse use to encourage the client to
eat?
A. Using open-ended questions and silence
B. Sharing personal preference regarding food choices
C. Documenting reasons why the client does not want to eat
D. Offering opinions about the necessity of adequate nutrition
- Correct Answer ✅A. Using open-ended questions and
silence
Rationale:
Open-ended questions and silence are strategies used to
encourage clients to discuss their problems. Sharing personal
food preferences is not a client-centered intervention. The
remaining options are not helpful to the client because they
do not encourage the client to express feelings. The nurse
should not offer opinions and should encourage the client to
identify the reasons for the behavior.
A client admitted to a mental health unit for treatment of
psychotic behavior spends hours at the locked exit door
,Mental Health Nclex style Questions -
focus on schizophrenia- EXAM 1
Questions and Answers
shouting, "Let me out. There's nothing wrong with me. I don't
belong here." What defense mechanism is the client
implementing?
A. Denial
B. Projection
C. Regression
D. Rationalization - Correct Answer ✅A. Denial
Rationale:
Denial is refusal to admit to a painful reality, which is treated
as if it does not exist. In projection, a person unconsciously
rejects emotionally unacceptable features and attributes
them to other persons, objects, or situations. Regression
allows the client to return to an earlier, more comforting,
although less mature, way of behaving. Rationalization is
justifying illogical or unreasonable ideas, actions, or feelings
by developing acceptable explanations that satisfy the teller
and the listener.
, Mental Health Nclex style Questions -
focus on schizophrenia- EXAM 1
Questions and Answers
A client says to the nurse, "The federal guards were sent to
kill me." What is the best nursing response to the client's
concern?
A. "I don't believe this is true."
B. "The guards are not out to kill you."
C. "Do you feel afraid that people are trying to hurt you?"
D. "What makes you think the guards were sent to hurt you?"
- Correct Answer ✅C. "Do you feel afraid that people are
trying to hurt you?"
Rationale:
It is most therapeutic for the nurse to empathize with the
client's experience. The remaining options lack this
connection with the client. Disagreeing with delusions may
make the client more defensive, and the client may cling to
the delusions even more. Encouraging discussion regarding
the delusion is inappropriate.
A client is admitted to a medical nursing unit with a diagnosis
of acute blindness after being involved in a hit-and-run
accident. When diagnostic testing cannot identify any organic
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ANCC IQ Domains 5 answered all correctly answered; latest updated summer 2022.
