Questions 74

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Mental Health RN NCLEX Questions Questions

Extract:


Question 1 of 5

A client who is depressed states, 'I'm an awful person. Everything about me is bad. I can't do anything right.' Which of the following responses by the nurse is most therapeutic?

Correct Answer: C

Rationale: Discussing specific accomplishments challenges negative self-perceptions and promotes cognitive restructuring.

Question 2 of 5

The family of a client, diagnosed with Alzheimer's disease, wants to keep the client at home. They say that they have the most difficulty in managing his wandering. The nurse should suggest the family to do which of the following? (Select all that apply).

Correct Answer: B,D,E

Rationale: Motion and sound detectors (
B), a Medical Alert bracelet (
D), and door alarms with high locks (E) enhance safety by preventing or alerting to wandering, a common Alzheimer's behavior.

Question 3 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 4 of 5

The client is to be discharged from the hospital after a safe, medically supervised withdrawal from alcohol. Which of the following outcomes indicate client readiness for an outpatient alcohol treatment program? Select all that apply.

Correct Answer: B, C, D

Rationale: Outcomes indicating readiness include: Verbalizing the damaging effects of alcohol (
B), showing awareness of harm; planning to attend AA meetings (
C), indicating commitment to support; and taking naltrexone daily (
D), adhering to treatment. Options A and E suggest denial or lack of insight.

Question 5 of 5

The nurse is conducting a quality improvement audit on the psychiatric unit. Which of the following findings indicates a need for corrective action?

Correct Answer: C

Rationale: Allowing a client with depression to keep a razor in their room poses a safety risk, indicating a need for corrective action.

Similar Questions

As hospital-based care has become more oriented to crisis intervention, criteria for admission to the hospital have also changed. Which clients have priority for admission to an acute care facility? Select all that apply.
Before his hospitalization, a client needed increasingly larger doses of barbiturates to achieve the same effect. The nurse interprets this information to indicate the client has developed which of the following conditions?
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.
A client who is depressed states, 'I'm an awful person. Everything about me is bad. I can't do anything right.' Which of the following responses by the nurse is most therapeutic?
A nurse working in an alcohol rehabilitation program is teaching staff how to give clients constructive feedback. Which of the following statements is an example of constructive feedback?

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