NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
A client with Alzheimer's disease is disoriented at night. Which intervention is most effective?
Correct Answer: B
Rationale: A nightlight and consistent routine reduce disorientation and promote safety without relying on medication or excessive restrictions.
Question 2 of 5
A nurse is planning care for an elderly client with cognitive impairment who is still living at home. Which action should the nurse identify as a priority for safety in planning care for this client?
Correct Answer: B
Rationale: Removing tripping hazards addresses the immediate risk of falls, a primary safety concern for elderly clients with cognitive impairment living at home.
Question 3 of 5
Despite education and role-play practice of restraint procedures, a staff member is injured when actually restraining a client. When helping the uninjured staff deal with the incident, the nurse should address which of the following about the injured member?
Correct Answer: A
Rationale: The nurse should address that the injured member's emotional responses may resemble those of crime victims, acknowledging potential trauma. Resignation is speculative, legal action is not the nurse's focus, and debriefing with the client is inappropriate and potentially harmful.
Question 4 of 5
While conducting a home visit for a client diagnosed with paranoid schizophrenia discharged 1 week ago, the client's mother tearfully states, 'I can hardly sleep because I'm so worried about my daughter. I'm afraid to leave her alone in the house. What if something should happen while I'm gone?' Which of the following problems related to the caregiver would be the most inclusive one for the nurse to incorporate into the client's plan of care?
Correct Answer: A
Rationale: Caregiver role strain encompasses the mother's anxiety, fear, and sleep disturbances, as it reflects the overall burden of caregiving, making it the most inclusive problem to address.
Question 5 of 5
For the client who has difficulty falling asleep at night because of withdrawal symptoms from alcohol, which are abating, which of the following nursing interventions is likely to be most effective?
Correct Answer: D
Rationale: Teaching relaxation exercises is most effective, as it addresses insomnia by reducing anxiety and promoting self-management, directly targeting withdrawal-related sleep issues.