NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
A client diagnosed with pain disorder is talking with the nurse about fishing when he suddenly reverts to talking about the pain in his arm. Which of the following should the nurse do next?
Correct Answer: D
Rationale: Redirecting back to fishing is appropriate, as it reinforces positive engagement and discourages focus on pain, a common strategy in managing pain disorder.
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
A client taking paroxetine (Paxil) 40 mg P.O. every morning tells the nurse that her mouth 'feels like cotton.' Which of the following statements by the client necessitates further assessment by the nurse?
Correct Answer: D
Rationale: Drinking 12 glasses of water daily may indicate overcompensation or another issue, requiring further assessment.
Question 4 of 5
A client diagnosed with Undifferentiated Schizophrenia gained 50 lb in 6 months while taking olanzapine (Zyprexa). After seeing her psychiatrist who changed the medication to ziprasidone (Geodon), the client tells the nurse, 'I don't want to take this Geodon either. I can't gain any more weight.' Which response by the nurse is most appropriate for this client?
Correct Answer: A
Rationale: Addressing the client's concern about weight gain by noting that ziprasidone is associated with less weight gain than olanzapine provides reassurance and encourages adherence.
Question 5 of 5
A client is to be discharged from an alcohol rehabilitation program. Which of the following should the nurse emphasize in the discharge plan as a priority?
Correct Answer: D
Rationale: Follow-up care is the priority, as it ensures ongoing support, monitoring, and resources to maintain sobriety and prevent relapse post-discharge.