NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
A 13-year-old junior high school student has come to the school nurse, stating that her father has physically abused her for 3 years. Initially, the client is a lot of the house, thinking it was because her father had been laid off, but the abuse continued after he got a job 4 months ago. She fears that her mother will not believe her and her father will reject her if they discover she has revealed the abuse. The nurse should first:
Correct Answer: D
Rationale: Reporting to Child Protective Services is the legal and ethical priority to ensure the child's safety.
Question 2 of 5
When conducting a mental status examination with a newly admitted client who has an Axis I diagnosis of paranoid schizophrenia, the client states, 'I'm being followed; it's not safe. They're monitoring my every move.' In which of the following areas of the mental status examination should be the mental status examined.
Correct Answer: A
Rationale: The client's statement reflects paranoid delusions, which are assessed under thought content in a mental status examination, as this area evaluates the presence of delusions or hallucinations.
Question 3 of 5
A client is diagnosed with Generalized Anxiety Disorder (GAD) and given a prescription for venlafaxine (Effexor). Which of the following information should be included in the teaching plan for this client? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Include anxiety reduction strategies, Effexor's benefits/mechanisms, side effect management, and adaptive coping. Effexor doesn't eliminate anxiety completely, and effects take weeks.
Question 4 of 5
A client with Alzheimer's disease has difficulty swallowing. Which intervention should the nurse prioritize?
Correct Answer: B
Rationale: Consulting a speech therapist evaluates swallowing difficulties, ensuring safe nutrition and preventing aspiration.
Question 5 of 5
A nurse works with a client diagnosed with bulimia. What is an appropriate long-term client goal for this client?
Correct Answer: C
Rationale: Managing stress without bingeing or purging addresses the root cause of bulimia, promoting long-term recovery.