Questions 74

NCLEX-RN

NCLEX-RN Test Bank

Mental Health RN NCLEX Questions Questions

Extract:


Question 1 of 5

A client commonly jumps when spoken to and reports feeling uneasy. The client says, 'It's as though something bad is going to happen.' In which order from first to last should the following nursing actions be done?

Correct Answer: D,B,C,A

Rationale: First reduce stimuli, then use deep breathing, discuss feelings, and finally teach problem-solving to manage anxiety.

Question 2 of 5

A nurse is counseling a client who has experienced domestic abuse for several years. The client expresses fear of leaving the abuser due to financial dependence. What is the nurse's priority intervention?

Correct Answer: B

Rationale: Providing information about shelters and resources addresses the client's immediate safety and financial concerns, which is the priority in cases of domestic abuse.

Question 3 of 5

The client is fidgeting and has trouble sitting still. He has difficulty concentrating and is tangential. Which of the following interventions should help manage this client's level of anxiety? Select all that apply.

Correct Answer: A, C, E

Rationale: Interventions include: Refocusing attention (
A) to manage distractibility, suggesting a time-out (
C) to reduce overstimulation, and assisting with problem solving (E) to address anxiety triggers. Ventilation (
B) and IM medication (
D) are less appropriate initially.

Question 4 of 5

A client commonly jumps when spoken to and reports feeling uneasy. The client says, 'It's as though something bad is going to happen.' In which order from first to last should the following nursing actions be done?

Order the Items

Source Container

Teach problem solving strategies.
Ask the client to deep breathe for 2 minutes.
Discuss the client's feelings in more depth.
Reduce environmental stimuli.

Correct Answer: D,B,C,A

Rationale: First reduce stimuli, then use deep breathing, discuss feelings, and finally teach problem-solving to manage anxiety.

Question 5 of 5

In a family education group for those who have relatives with paranoid schizophrenia, which of the following statements by a family member indicates a need for further teaching about symptom management?

Correct Answer: B

Rationale: Pushing clients to socialize may increase stress and exacerbate symptoms like hallucinations, indicating a misunderstanding of symptom management. The other statements reflect appropriate strategies for managing overwhelm, negative symptoms, and hallucinations.

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