NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
A 15-year-old client diagnosed with PTSD is admitted to the unit after slicing both arms with a razor blade. He says, 'Maybe my mother will listen to me now. She tells me I'm just crazy when I say I'm screwed up because my step dad had sex with me for years.' The nurse should do the following in which order of priority first to last?
Correct Answer: C, B, D, A
Rationale: The order is: 1) Sign a No Harm Contract for safety (
C). 2) Clarify 'screwed up' to understand trauma (
B). 3) Discuss ways to express anger to promote coping (
D). 4) Ask about other abuse to protect others (
A). Safety is the priority, followed by understanding and coping.
Question 2 of 5
During the third session with the nurse, a client who is being abused states, 'I don't know what to do anymore. He doesn't want me to go anywhere while he's at work, not even to visit my friends.' Which nursing diagnosis should the nurse formulate regarding this information?
Correct Answer: C
Rationale: The client's statement reflects a lack of control over her actions due to her husband's restrictions, which aligns with the nursing diagnosis of powerlessness.
Question 3 of 5
When developing the teaching plan for the family of a client with severe depression who is to receive electroconvulsive therapy (ECT), which of the following information should the nurse include?
Correct Answer: A
Rationale: Temporary confusion and disorientation are common post-ECT effects, and families should be prepared.
Question 4 of 5
A client with alcohol dependency is prescribed a B-complex vitamin. The client states, 'Why do I need a vitamin? My appetite is just fine.' Which of the following responses by the nurse is most appropriate?
Correct Answer: C
Rationale: Saying 'The vitamin is a nutritional supplement important to your health' is most appropriate, as it explains the need for B-complex vitamins to address deficiencies common in alcohol dependency.
Question 5 of 5
A client with an Axis II diagnosis of antisocial personality disorder has a potential for violence and aggressive behavior. Which of the following client outcomes to be accomplished in the short term is most appropriate for the nurse to include in the plan of care?
Correct Answer: B
Rationale: Discussing feelings of anger with staff is the most appropriate short-term outcome, as it promotes safe expression of emotions and builds trust, reducing the risk of aggressive outbursts.