NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
A client known to have alcohol dependence is admitted to the emergency department with a temperature of 99°F, a pulse of 110, respirations of 26, and blood pressure of 150/98. The blood alcohol level is 0.25%, three times the legal limit. Now the client is becoming belligerent and uncooperative. In which order from first to last should the following nursing and medical orders be implemented?
Correct Answer: D, A, C, B
Rationale: The order is: 1) Place the client in a quiet room to reduce stimulation and agitation (
D). 2) Administer lorazepam to manage belligerence and withdrawal symptoms (
A). 3) Take vital signs every 15 minutes to monitor stability (
C). 4) Draw blood for magnesium level to assess electrolyte status (
B). This prioritizes de-escalation, symptom management, monitoring, and diagnostics.
Question 2 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 3 of 5
When coping becomes dysfunctional enough to require the client to be admitted to the hospital, the nurse should assess the client for the ability to demonstrate which of the following?
Correct Answer: D
Rationale: When coping is dysfunctional enough for hospitalization, the client is likely demonstrating minimal functioning with new problems developing, indicating a need for comprehensive assessment and intervention. Objective problem solving is unlikely in this state, tension reduction may be a goal but not the primary assessment focus, and anger management is too specific for the broad assessment needed.
Question 4 of 5
Which of the following statements indicates to the nurse that the client is progressing toward recovery from a somatoform disorder?
Correct Answer: A
Rationale: Saying 'Pain feels worse when worried about my divorce' indicates progress, as it shows insight into the link between emotional stress and physical symptoms.
Question 5 of 5
A client with suspected abuse describes her husband as a good man who works hard and provides well for his family. She does not work outside the home and states that she is proud to be a wife and mother will be taken to the client. The nurse interprets the family pattern described by the client as best illustrating which of the following as characteristic of abusive families?
Correct Answer: C
Rationale: The client's description of rigid gender roles (husband as provider, wife as homemaker) suggests role stereotyping, which is common in abusive families where traditional roles may reinforce power imbalances.