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NCLEX-RN Mental Health Questions

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Question 1 of 5

A 45-year-old client has been rehospitalized with a severe exacerbation of lupus that affects her central nervous system. After visiting with the client, her husband approaches the nurse. He says, 'My wife is scaring me. She says she does not want to live with this illness anymore. Our kids are grown and she feels useless as a mother and a wife.' Which of the following statements are the most important responses to the husband? Select all that apply.

Correct Answer: A,C,E

Rationale: The nurse should assess for suicidality (
A) due to the wife's statements, acknowledge the husband's fear (
C) to build trust, and discuss supportive communication strategies (E) to empower him. Advising optimism (
B) may dismiss his feelings, and assuming she'll feel differently (
D) minimizes the current concern.

Question 2 of 5

Which of the following is a priority to include in the plan of care for a client with Alzheimer's disease who is experiencing difficulty processing and completing complex tasks?

Correct Answer: B

Rationale: Breaking tasks into single steps simplifies instructions for clients with Alzheimer's, accommodating their impaired ability to process complex tasks.

Question 3 of 5

A true crisis state, involving a period of severe disorganization, is difficult to endure emotionally and physically. The nurse recognizes that a client will only be able to tolerate being in crisis for which of the following lengths of time?

Correct Answer: B

Rationale: A true crisis state is typically short-lived, lasting 4 to 6 weeks, as it is emotionally and physically unsustainable beyond this period. Shorter or longer durations do not align with the typical crisis resolution timeline.

Question 4 of 5

A client with schizophrenia refuses to take prescribed antipsychotic medication, stating, 'It makes me feel like a zombie.' Which of the following responses by the nurse is most appropriate?

Correct Answer: B

Rationale: Discussing side effects with the doctor encourages collaboration and addresses the client's concerns.

Question 5 of 5

A client states, 'I'm so tired of living and just want to end it all.' Which of the following responses is most therapeutic?

Correct Answer: C

Rationale: Acknowledging the client's pain and offering support is therapeutic and validating.

Similar Questions

A client with major depression is prescribed escitalopram (Lexapro) 10 mg daily. The client asks the nurse, 'How long will it take for me to feel better?' Which of the following responses by the nurse is most appropriate?
After administering naloxone (Narcan), an opioid antagonist, the nurse should monitor the client carefully for which of the following?
A 45-year-old client has been rehospitalized with a severe exacerbation of lupus that affects her central nervous system. After visiting with the client, her husband approaches the nurse. He says, 'My wife is scaring me. She says she does not want to live with this illness anymore. Our kids are grown and she feels useless as a mother and a wife.' Which of the following statements are the most important responses to the husband? Select all that apply.
A client is scheduled for the first electroconvulsive therapy (ECT) treatment in the morning. The client has been unable to sleep, but at 10 p.m. The client is still unable to sleep at 11:15 p.m. In what order should the nurse do the following?
When obtaining a nursing history from parents who are suspected of abusing their child, which of the following characteristics about the parents should the nurse particularly assess?

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