NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
A client admitted for violent behavior toward a family member expresses remorse and asks how to prevent future incidents. Which of the following should the nurse include in the teaching plan?
Correct Answer: B
Rationale: Attending anger management classes provides the client with tools to manage emotions and prevent violence, addressing the root cause. Avoiding family is impractical, sedatives are a temporary measure, and an apology letter does not teach coping skills.
Question 2 of 5
Which of the following client statements indicates an understanding of the signs of alcohol relapse?
Correct Answer: B
Rationale: Saying 'Stopping AA and not expressing feelings can lead to relapse' shows understanding, as it identifies specific behaviors linked to relapse risk, reflecting self-awareness.
Question 3 of 5
As an angry client becomes more agitated while talking about his problems, the nurse decides to ask for staff assistance in taking control of the situation when the client demonstrates which of the following behaviors?
Correct Answer: B
Rationale: Picking up a pool cue stick and telling the nurse to get out indicates a potential for violence, necessitating immediate staff assistance to ensure safety. Swearing, pounding the table, or leaving time-out are concerning but less immediately threatening.
Question 4 of 5
A client with paranoid schizophrenia threatens staff. Which documentation is most appropriate?
Correct Answer: B
Rationale: Quoting the client's threat and describing behavior provides objective, specific documentation for safety planning.
Question 5 of 5
The client with bipolar disorder, manic phase, states, 'You're looking good. I'm taking you out to dinner.' Which of the following replies by the nurse is most therapeutic?
Correct Answer: D
Rationale: Reintroducing professional boundaries calmly redirects the client's inappropriate advance.