NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
A client is sitting in the corner of the dayroom cocking his head to one side as if he hears something, but no one is nearby. The nurse suspects he is having auditory hallucinations. Which of the following questions should the nurse ask first?
Correct Answer: B
Rationale: Directly asking about what the client is hearing addresses the suspected auditory hallucinations, allowing the nurse to assess the content and severity of the symptom.
Question 2 of 5
While conducting a home visit for a client diagnosed with paranoid schizophrenia discharged 1 week ago, the client's mother tearfully states, 'I can hardly sleep because I'm so worried about my daughter. I'm afraid to leave her alone in the house. What if something should happen while I'm gone?' Which of the following problems related to the caregiver would be the most inclusive one for the nurse to incorporate into the client's plan of care?
Correct Answer: A
Rationale: Caregiver role strain encompasses the mother's anxiety, fear, and sleep disturbances, as it reflects the overall burden of caregiving, making it the most inclusive problem to address.
Question 3 of 5
When comparing the signs and symptoms of depression found in children with those found in adults, which of the following should the nurse expect?
Correct Answer: A
Rationale: Children with depression often present with somatic complaints and behavioral issues, unlike adults who show more overt sadness.
Question 4 of 5
A week ago, a tornado destroyed the client's home and seriously injured her husband. The client has been walking around the hospital in a daze without any outward display of emotions. She tells the nurse that she feels like she's going crazy. Which of the following actions should the nurse use first?
Correct Answer: B
Rationale: Reassuring that her feelings are typical reactions to trauma is first, as it normalizes her experience, reduces fear, and builds trust.
Question 5 of 5
After the nurse teaches a client with bipolar disorder about lithium therapy, which of the following client statements indicates the need for additional teaching?
Correct Answer: B
Rationale: Doubling a missed lithium dose is dangerous and can lead to toxicity; additional teaching is needed.