NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
A client is becoming agitated during a discussion: 'The client is the same, “I know that the nurse.' She leaves the group and goes to her room. Which action by the nurse is most therapeutic for the client?
Correct Answer: A
Rationale: Approaching the client individually after the group allows her to process her agitation in a safe, private setting, reducing potential embarrassment and fostering trust.
Question 2 of 5
When conducting a mental status examination with a newly admitted client who has an Axis I diagnosis of paranoid schizophrenia, the client states, 'I'm being followed; it's not safe. They're monitoring my every move.' In which of the following areas of the mental status examination should be the mental status examined.
Correct Answer: A
Rationale: The client's statement reflects paranoid delusions, which are assessed under thought content in a mental status examination, as this area evaluates the presence of delusions or hallucinations.
Question 3 of 5
A client will be discharged on lithium carbonate 600 mg three times daily. When teaching the client and his family about lithium therapy, the nurse determines that teaching has been effective if the client and family state that they will notify the prescribing health care provider immediately if which of the following occur? Select all that apply.
Correct Answer: B, C, E, F
Rationale: Muscle weakness, vertigo, vomiting, and anorexia are signs of lithium toxicity, requiring immediate notification.
Question 4 of 5
A 35-year-old has been killed as a result of a terrorist attack. What should the nurse advise the friends and relatives of the victim to do during the early stages of the recovery process? Select all that apply.
Correct Answer: A,B,C,E
Rationale: The nurse should advise maintaining contact with family and friends (
A), attending memorial services (
B), using relaxation and physical activities (
C), and attending community meetings (E) to support early recovery through social connection and coping. Public speaking (
D) may be premature and distressing in early stages.
Question 5 of 5
One evening the client takes the nurse aside and whispers, 'Don't tell anybody, but I'm going to call in a bomb threat to this hospital tonight.' Which of the following actions is the priority?
Correct Answer: D
Rationale: Explaining that the information must be shared immediately prioritizes safety, as the threat poses a serious risk to the hospital, requiring prompt reporting to ensure protection.