Mental Health NCLEX Questions (1-5)

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1. Nursing care for a client after electroconvulsive therapy (ECT) should include:

a) nothing by mouth 24 hours after the treatment because of the anesthetic agent.
b) bed rest for the first 8 hours after a treatment
c) assessment of short-term memory loss
d) no special care

2. A client doesn't make eye contact with the nurse during an interview. The nurse suspects that the clients behavior has a cultural basis. What should the nurse do first?

a) read several articles about the client's culture
b) ask staff members of a similar culture about the client's behavior
c) observe how the client and the client's family and friends interact with one another and with other staff members
d) accept the client's behavior because it's probably culturally-based.

3. A busy attorney with a successful law practice is admitted to an acute care facility with epigastric pain. Since admission, the client has called the nurse every 15 minutes with one request or another. This client is most likely exhibiting:

a) repression
b) somatization
c) regression
d) conversion

4. A man at pizza parlor verbally confronts the waiter for lack of attentiveness. Later, in the back room, the waiter spits on man's pizza. This is an example of a behavior typical of which disorder?

a) obsessive-compulsive
b) narcissistic
c) passive-aggressive
d) dependent

5. The third major health problem in the United States is which disorder?

a) cancer
b) heart disease
c) alcoholism
d) bipolar illness

Mental Health NCLEX Questions
Answers and Rationale

1) C
- The nurse must assess the level of short-term memory loss. The client might need to be reoriented. The client can get out of the bed and eat as soon as he feels comfortable.

2) C
- Assessing the client's interactions with others helps to determine whether the behavior is part of a usual patter. It also help the nurse understand the meaning of the behavior for this particular client. Reading about a different culture, consulting other staff members, and talking with the client are helpful after the nurse has an observed the client's interaction with others. The nurse must be able to accept the client as an individual but need not to accept unhealthy or inappropriate behaviors. The nurse should  work with the client to better understand the cultural difference.

3) C
- The client is exhibiting the defense mechanism regression, a return to behavior that is characteristic of an earlier developmental level. Dependent, attention-seeking behavior is an attempt to relieve anxiety. Repression manifest as a denial of the symptoms. Somatization is the channeling of anxiety in to a preoccupation with physical complaints. Conversion involves the transfer of a mental conflict into a physical symptom to relieve anxiety.

4) C
- This is an example of a negative attitude and passive-aggressive behavior in response to word demands for adequate performance. People with this disorder won't confront or discuss issues with others but will go to great lengths to "get even". Obsessive-compulsive disorder involves rituals or rules that interfere with normal functioning. A person with a narcissistic personality has an exaggerated sense of self-worth. A person with a dependent personality is submissive and frequently apologizes and backs down when confronted.

5) C
- Alcoholism is the third major health problems in the United States. Between 9 and 10 million people are "problem" drinkers. In addition, alcoholism adversely affects the mental health of 30 million friends and relatives of alcoholics. Alcohol also adversely affects the liver, brain, and other organs. Heart disease  and cancer are the number one and two health problems, respectively, in the United States. Bipolar illness isn't considered a major illness. 

Proceed to the next set of questions:

Mental Health NCLEX Questions (6-10)