NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
A client who is pacing and wringing his hands states, 'I just need to walk' when questioned by the nurse about what he is feeling. Which of the following responses by the nurse is most therapeutic?
Correct Answer: B
Rationale: Asking 'Are you feeling anxious?' is therapeutic, as it directly addresses the client's observable signs of anxiety, encouraging verbalization and engagement.
Question 2 of 5
A 15-year-old client diagnosed with PTSD is admitted to the unit after slicing both arms with a razor blade. He says, 'Maybe my mother will listen to me now. She tells me I'm just crazy when I say I'm screwed up because my step dad had sex with me for years.' The nurse should do the following in which order of priority first to last?
Order the Items
Source Container
Correct Answer: C, B, D, A
Rationale: The order is: 1) Sign a No Harm Contract for safety (
C). 2) Clarify 'screwed up' to understand trauma (
B). 3) Discuss ways to express anger to promote coping (
D). 4) Ask about other abuse to protect others (
A). Safety is the priority, followed by understanding and coping.
Question 3 of 5
When caring for a client who has overdosed on phencyclidine (PCP), the nurse should be especially cautious about which of the following client behaviors?
Correct Answer: B
Rationale: Violent behavior is the primary concern, as PCP overdose can cause aggression and unpredictability, posing a safety risk to the client and others.
Question 4 of 5
A client with alcohol dependency is prescribed a B-complex vitamin. The client states, 'Why do I need a vitamin? My appetite is just fine.' Which of the following responses by the nurse is most appropriate?
Correct Answer: C
Rationale: Saying 'The vitamin is a nutritional supplement important to your health' is most appropriate, as it explains the need for B-complex vitamins to address deficiencies common in alcohol dependency.
Question 5 of 5
A client with paranoid schizophrenia believes food is contaminated. Which intervention is most effective?
Correct Answer: A
Rationale: Serving food in sealed containers addresses the delusion practically, increasing the likelihood of eating.