NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
A client diagnosed with schizophrenia is brought to the hospital from a group home where he became agitated, threw a chair at another client, and has been refusing medication for 8 weeks. The client exhibits a flat affect, is not caring for his hygiene, and has become increasingly withdrawn and asocial. The physician orders treatment with risperidone (Risperdal) to improve the client's negative and positive symptoms of schizophrenia. When evaluating the drug's effectiveness on the client's negative symptoms, the nurse should expect improvement in which of the following?
Correct Answer: A
Rationale: Risperidone, an atypical antipsychotic, is effective for negative symptoms like apathy, lack of motivation, and asocial behavior, which are evident in the client's presentation.
Question 2 of 5
A client with a new diagnosis of hypertension expresses anxiety about lifestyle changes. Which nursing intervention is most effective in reducing the client's anxiety?
Correct Answer: B
Rationale: Teaching relaxation techniques directly addresses the client's anxiety by providing tools to manage stress, which can also help control hypertension. A pamphlet is informative but less immediate, a nutritionist referral is secondary, and false reassurance about medication dismisses the client's concerns.
Question 3 of 5
The nurse is conducting a quality improvement audit on the psychiatric unit. Which of the following findings indicates a need for corrective action?
Correct Answer: C
Rationale: Allowing a client with depression to keep a razor in their room poses a safety risk, indicating a need for corrective action.
Question 4 of 5
A client with schizophrenia comes to the outpatient mental health clinic 5 days after being discharged from the hospital. The client was given a 1-week supply of clozapine (Clozaril). The client tells the nurse that she has too much saliva and frequently needs to spit. The nurse interprets the client's statement as indicating which of the following?
Correct Answer: C
Rationale: Excessive salivation (sialorrhea) is a common side effect of clozapine, and the nurse should recognize it as an expected adverse effect rather than a delusion or symptom.
Question 5 of 5
The client with diagnosed borderline personality disorder tells the nurse, 'You're the best nurse here. I can talk to you and you listen. You're the only one here that can help me.' Which of the following responses by the nurse is most therapeutic?
Correct Answer: B
Rationale: Saying 'All of the nurses here provide good care' is therapeutic as it gently counters the client's idealization, promotes a realistic view of the care team, and maintains professional boundaries.