NCLEX-RN
NCLEX RN Mental Health Questions Questions
Question 1 of 5
As an angry client becomes more agitated while talking about his problems, the nurse decides to ask for staff assistance in taking control of the situation when the client demonstrates which of the following behaviors?
Correct Answer: B
Rationale: Picking up a pool cue stick and telling the nurse to get out indicates a potential for violence, necessitating immediate staff assistance to ensure safety. Swearing, pounding the table, or leaving time-out are concerning but less immediately threatening.
Question 2 of 5
A client with schizophrenia exhibits loose associations. Which nursing intervention is most appropriate?
Correct Answer: A
Rationale: Redirecting to a single topic helps organize the client's thoughts, improving communication.
Question 3 of 5
For the client who has difficulty falling asleep at night because of withdrawal symptoms from alcohol, which are abating, which of the following nursing interventions is likely to be most effective?
Correct Answer: D
Rationale: Teaching relaxation exercises is most effective, as it addresses insomnia by reducing anxiety and promoting self-management, directly targeting withdrawal-related sleep issues.
Question 4 of 5
A client with schizophrenia refuses medication, stating, 'It makes me feel like a zombie.' What is the nurse's best response?
Correct Answer: A
Rationale: Discussing the medication's benefits encourages adherence while addressing the client's concerns, fostering collaboration.
Question 5 of 5
A client is receiving haloperidol decanoate (Haldol decanoate). He begins to complain of stiff muscles, restlessness, and internal jumpiness. The client has all of the following medications ordered as needed. Which one would be most appropriate for the nurse to administer to decrease the client's symptoms?
Correct Answer: B
Rationale: The symptoms described (stiff muscles, restlessness, internal jumpiness) indicate extrapyramidal side effects (EPS) from haloperidol, which benztropine, an anticholinergic, effectively treats.