NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
A 77-year-old client is brought to the emergency department by her son. The client is complaining to assess the number of the questions, 'I'm so worried about everything.' Her son says that she has heart failure and chronic schizophrenia. 'In addition to all of her heart medicines, she is on aripiprazole (Abilify), which was increased to 30 mg by her family doctor 3 days ago.' In addition to documenting all of the client's medications and exact dosages, the nurse should particularly investigate which of the following? Select all that apply.
Correct Answer: B,C,D
Rationale: Investigating schizophrenia symptoms (
B) assesses the need for aripiprazole; checking the dose (
C) is critical, as 30 mg is high for an elderly patient; and evaluating heart failure symptoms (
D) ensures medical stability, as aripiprazole can affect cardiac function.
Question 2 of 5
After a client reveals a history of childhood sexual abuse, the nurse should ask which of the following questions first?
Correct Answer: D
Rationale: Asking about the abuser's current access to children prioritizes safety and potential ongoing risk to others.
Question 3 of 5
A 9-year-old client with attention deficit hyperactivity disorder tells the nurse, 'No one in my class likes me because they think I'm stupid. They're right, I am stupid!' The nurse identifies which of the following nursing diagnoses as relevant for this client?
Correct Answer: A
Rationale: The client's statement reflects low self-esteem tied to perceived peer rejection, making this diagnosis most relevant.
Question 4 of 5
An outpatient client who has a history of paranoid schizophrenia and chronic alcohol dependency has been taking risperidone (Risperdal) for several months. She reports that she stopped drinking 4 days ago, the client is a very satisfied by the tactile hallucinations of bugs crawling under her skin. Which of the following factors should the nurse incorporate into the plan of care when explaining the tactile hallucinations?
Correct Answer: C
Rationale: Tactile hallucinations, such as feeling bugs crawling under the skin, are commonly associated with alcohol withdrawal, especially 4 days after cessation, and should be addressed in the care plan.
Question 5 of 5
A client is taking diazepam (Valium) for generalized anxiety disorder. Which instruction should the nurse give to this client? Select all that apply.
Correct Answer: A, D, E
Rationale: Instructions include: Consult provider before stopping (
A) to avoid withdrawal, avoid alcohol (
D) to prevent CNS depression, and stop if allergic reactions occur (E). Cheese (
B) is irrelevant, and empty stomach (
C) is not required.