MENTAL HEALTH NURSING NCLEX PRACTICE QUESTIONS AND ANSWERS

A client with a known history of panic disorder comes to the emergency department and states to the nurse, "Please help me. I think I'm having a heart attack." What is the priority nursing action?
Assess the client's vital signs.

The nurse admits a client with a suspected diagnosis of bulimia nervosa. While performing the admission assessment, the nurse expects to elicit which data about the client's beliefs?
Views purging as an accepted behavior

The nurse is caring for a client who was recently admitted with a diagnosis of anorexia nervosa. When the nurse enters the room, the client is engaged in rigorous push-ups. Which nursing action should the nurse implement?
Interrupting the client and offer to take the client for a walk

A client experiencing a severe major depressive episode is unable to address activities of daily living (ADL). Which nursing intervention best meets the client's current needs therapeutically?
Feed, bathe, and dress the client as needed until the client's condition improves so that she or he can perform these activities independently.

The nurse in the mental health unit is preparing to admit a severely depressed client. Which findings on assessment support the diagnosis of this client? Select all that apply.
Insomnia Flat affect
Substantial weight loss
Reports, "I don't have any more tears to cry."
A client admitted 2 days ago with a diagnosis of moderate depression begins smiling and reporting that the crisis is over. Which priority modification to the treatment plan should occur based on the behavioral cues of the client?
Increasing the level of suicide precautions
The nurse is planning care for a client admitted with suicidal ideations. To best assure client safety the nurse will implement additional precautions during which time period? During the unit shift change
The nurse is planning care for a suicidal client who is hallucinating and delusional. Which intervention should the nurse incorporate into the nursing care plan to best assure client safety?
Initiate one-to-one suicide precautions immediately.

An older adult client has been identified as a victim of psychological abuse. Which action by the nurse is the priority nursing intervention?
Removing the client from any situation that presents immediate danger

The nurse is planning the discharge instructions for an adult client who is a victim of

family violence. The nurse should understand that it is most important that which information is included in the discharge plans?
Specific information regarding "safe havens" or shelters in the client's neighborhood The nurse is planning activities for a client diagnosed with depression who was just admitted to the hospital. Which therapeutic action should be implemented as part of the nurse's plan?
Provide a structured daily program of activities and encourage the client to participate.