NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
A client with Alzheimer's disease becomes agitated during group activities. What should the nurse do first?
Correct Answer: B
Rationale: Removing the client to a quieter area reduces overstimulation, helping to de-escalate agitation effectively.
Question 2 of 5
A client with an Axis II diagnosis of antisocial personality disorder has a potential for violence and aggressive behavior. Which of the following client outcomes to be accomplished in the short term is most appropriate for the nurse to include in the plan of care?
Correct Answer: B
Rationale: Discussing feelings of anger with staff is the most appropriate short-term outcome, as it promotes safe expression of emotions and builds trust, reducing the risk of aggressive outbursts.
Question 3 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 4 of 5
A client has been admitted to the emergency department with alcohol withdrawal delirium. At 9 a.m. on 10/25, the nurse notes that the client is confused. His vital signs are T=99°F, P=50, R=10, and BP=100/60. The nurse compares these findings to the nurses' progress notes from admission 24 hours ago. What should the nurse do first?
Correct Answer: C
Rationale: Attempting to arouse the client is the first action, as it assesses the level of consciousness and responsiveness, critical in determining the severity of delirium and guiding further interventions.
Question 5 of 5
When the client is involuntarily committed to a hospital because he is assessed as being dangerous to himself or others, which of the following rights are lost?
Correct Answer: D
Rationale: Involuntary commitment results in the loss of the right to leave the hospital against medical advice, as the client is deemed a danger. Rights to refuse treatment, send/receive mail, and freedom from seclusion/restraints are generally retained unless specific conditions apply.