NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
A client reports that men in blue clothes keep looking in her window and talking about her. Which of the following responses by the nurse is most uncommitted?
Correct Answer: C
Rationale: Suggesting a distraction like playing cards is a neutral, non-confrontational response that avoids challenging or reinforcing the delusion, making it the most uncommitted approach.
Question 2 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 3 of 5
A 20-year-old client diagnosed with paranoid schizophrenia is recovering from a psychotic break. Before discharge from the hospital, the client becomes depressed and states, 'I don't want this illness. I'm about to begin my junior year in college.' Which of the following issues would be most important for the nurses to address at this time?
Correct Answer: D
Rationale: Medication non-compliance is critical to address to prevent relapse, especially given the client's distress.
Question 4 of 5
The nurse meets with the mother of a child diagnosed with attention deficit hyperactivity disorder. The mother states, 'I feel so guilty that he has this disease, like I did something wrong. I feel like I need to be with him constantly in order for him to get better. But still sometimes I feel like I'm going to lose control and hurt him.' The nurse should suggest which of the following to the mother?
Correct Answer: A
Rationale: Respite care provides the mother with breaks, reducing stress and the risk of losing control, while supporting her ability to care for her child.
Question 5 of 5
A client with schizophrenia is experiencing disorganized speech and thought processes. Which of the following nursing actions is most appropriate?
Correct Answer: B
Rationale: Clear, simple instructions accommodate disorganized thinking, promoting understanding and cooperation.