Mental Health NCLEX Questions (6-10)

Welcome to Mental Health NCLEX Questions. Enjoy answering and I hope that NCLEX Review Classes can somehow help you in your future examination. 
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6. Low doses of central nervous system (CNS) depressants produce an initial excitatory response. This reaction is caused by:

a) a stimulating effect on the CNS
b) the depression of acetylcholine
c) the stimulation of dopamine by depressant drugs
d) inhibitory synapses in the brain being depressed before excitatory synapses.

7. A client with borderline personality disorder dramatically expresses feelings about each nurse on the staff, stating that only one nurse is understanding and trustworthy - namely, the nurse the client is talking to at the time. This client is demonstrating which behavior?

a) confidentially
b) splitting
c) empathy
d) gnawing

8. In the group therapy setting, one member is very demanding, repeatedly interrupting others and taking most of the group time. The nurse's best response would be:

a) "Will you briefly summarize your print because others need time also?"
b) "Your behavior is obnoxious and drains the group."
c) "I'm so frustrated with your behavior."
d) to ignore the behavior and allow him to vent.

9. The nurse at a substance abuse center answers the phone. A probation officer asks if a client is in treatment. The nurse responds, "No, the client you're looking for isn't here." Which statement best describes the  nurse's response.

a) correct, because she didn't give out information about the client
b) a violation of confidential because she informed the officer that the client wasn't there
c) a breech of the principle of veracity because the nurse is misleading the officer
d) illegal, because she's withholding information from law enforcement agents

10. On admission to the impatient psychiatric unit, a client's facial expression  indicates severe panic. The client repeatedly states, "I know the police are going to shoot me. They found out that I'm the child of the devil." What should the nurse says to initiate a therapeutic relationship with the client?

a)"You certainly look stressed. Can you tell me about the upsetting events that have occurred in your life recently?"
b) "Hello, my name is__. I'm a nurse, and I'll care for you when I'm on duty. Should I call you ___, or do"You're having very frightening thoughts. I'll help you find ways to cope with this scary thinking."
d) "Hello, ___. I'm going to be caring for you while I'm on duty. You look very frightened, but I'm sure you'll feel better by tomorrow."

Mental Health NCLEX Questions
Answers and Rationale

6. D
- Excitation can occur when inhibitory synapses are depressed. The other options are incorrect because depressants don't stimulate the CNS or dopamine and don't depress acetylcholine.

7. B
- In splitting, or primitive dissociation, the client categorizes people as good or bad and tries to keep the bad from contaminating the good. Such a client may view a staff member is ideal and then devalue that person. Confidentially is the protection of client information. Empathy is the nurse's attempt to understand and respond to a client's needs and feelings. Gnawing isn't a term used in psychiatric nursing.

8. C
- Option A redirects the client to focus his comments and allows him to make his point. Option B is judgmental, and option 3 doesn't facilitate communication Option D focuses more on the nurse than on the client's need.

9. B
- The nurse violated confidentiality by informing the officer that the client wasn't in treatment. Even with the law enforcement agents, the nurse must be a client advocate and protect the client's confidentiality. Information can be legally withheld a court order isn't in place.

10. B
- The first task during the introductory, or orientation, phase of the nurse-client relationship is to formulate a contract, which begins with the exchange of names and an explanation of the roles and limits of the relationship. These tasks should precede the exploration of relevant stressors and new coping mechanism. Offering false reassurance is never therapeutic.

After you reviewed your answers through its rationale, you can also go back to the first page to start from the beginning:

Mental Health NCLEX Questions (1-5)

 Or proceed to the next set of questions:

Mental Health NCLEX Questions (11-20)