NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 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 2 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 3 of 5
A client reports that men in blue clothes keep looking in her window and talking about her. Which of the following responses by the nurse is most uncommitted?
Correct Answer: C
Rationale: Suggesting a distraction like playing cards is a neutral, non-confrontational response that avoids challenging or reinforcing the delusion, making it the most uncommitted approach.
Question 4 of 5
A nurse is assessing a client who is being abused. The nurse should assess the client for which characteristic? Select all that apply.
Correct Answer: B,D,E
Rationale: Clients experiencing abuse often exhibit self-blame, suicidal thoughts, and guilt due to the psychological impact of abuse. Assertiveness is unlikely, and alcohol abuse is not a universal characteristic.
Question 5 of 5
Three months after the death of her husband in an automobile accident, a client is admitted to the hospital after attempting to overdose on her antidepressant. She states, 'I can't live without him. It's no use.' Which of the following nursing diagnoses is the priority in the client's plan of care?
Correct Answer: D
Rationale: Risk for self-directed violence is the priority due to the recent suicide attempt and expressed desire to die, posing an immediate safety concern. Complicated grieving, powerlessness, and hopelessness are relevant but secondary to ensuring safety.