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NCLEX-RN Mental Health Questions

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Question 1 of 5

A client states, 'I'm so tired of living and just want to end it all.' Which of the following responses is most therapeutic?

Correct Answer: C

Rationale: Acknowledging the client's pain and offering support is therapeutic and validating.

Question 2 of 5

A client states, 'I'm so tired of living and just want to end it all.' Which of the following responses is most therapeutic?

Correct Answer: C

Rationale: Acknowledging the client's pain and offering support is therapeutic and validating.

Question 3 of 5

When assessing a 17-year-old male client with depression for suicide risk, which of the following questions is best?

Correct Answer: D

Rationale: Directly asking about suicidal thoughts is the most effective way to assess immediate risk.

Question 4 of 5

A client with paranoid schizophrenia refuses to eat, stating, 'The food is laced with poison.' Which nursing intervention is most appropriate initially?

Correct Answer: A

Rationale: Offering a sealed beverage addresses the client's delusion in a non-confrontational way, increasing the likelihood of acceptance while ensuring hydration.

Question 5 of 5

When a client who exhibits feelings of inferiority is asked to attend group activities, she gets more anxious. Within 10 minutes, she begins ridiculing others in the group and receives negative attention. Which of the following statements best reflects the nurse's interpretation of the client's behavior? Select all that apply.

Correct Answer: A,B,C

Rationale: Increased anxiety can lead to defensive behaviors like ridiculing others (
A). Negative attention can reinforce such behaviors (
B), and for some clients, any attention is preferable to none (
C). Excluding the client (
D) or assuming medication is needed (E) does not address the underlying behavior dynamics.

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