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NCLEX-RN Mental Health Questions

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Question 1 of 5

A client with acute mania fails to respond to a nurse's interventions to decrease his agitation. The nurse has attempted to defuse the client's anger, but the client refuses to participate in interventions that would lower anxiety. Which action should the nurse take next?

Correct Answer: C

Rationale: Administering PRN medication is the least restrictive intervention to reduce agitation.

Question 2 of 5

When teaching a nursing assistant new to the unit about the principles for the care of a client diagnosed with a personality disorder, the nurse should explain that:

Correct Answer: B

Rationale: Explaining that clients need limits on their behavior is key, as it addresses the need for structure and boundaries to manage maladaptive behaviors effectively.

Question 3 of 5

During the third session with the nurse, a client who is being abused states, 'I don't know what to do anymore. He doesn't want me to go anywhere while he's at work, not even to visit my friends.' Which nursing diagnosis should the nurse formulate regarding this information?

Correct Answer: C

Rationale: The client's statement reflects a lack of control over her actions due to her husband's restrictions, which aligns with the nursing diagnosis of powerlessness.

Question 4 of 5

A 45-year-old client has been rehospitalized with a severe exacerbation of lupus that affects her central nervous system. After visiting with the client, her husband approaches the nurse. He says, 'My wife is scaring me. She says she does not want to live with this illness anymore. Our kids are grown and she feels useless as a mother and a wife.' Which of the following statements are the most important responses to the husband? Select all that apply.

Correct Answer: A,C,E

Rationale: The nurse should assess for suicidality (
A) due to the wife's statements, acknowledge the husband's fear (
C) to build trust, and discuss supportive communication strategies (E) to empower him. Advising optimism (
B) may dismiss his feelings, and assuming she'll feel differently (
D) minimizes the current concern.

Question 5 of 5

A client with schizophrenia is prescribed quetiapine (Seroquel). Which teaching point is most important?

Correct Answer: A

Rationale: Avoiding alcohol is critical with quetiapine due to the risk of enhanced sedation, which could lead to dangerous side effects.

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