NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 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 2 of 5
A client is being successfully treated with clozapine (Clozaril). Which of the following statements by the client reflects a need for further teaching about managing the drug's adverse effects?
Correct Answer: A
Rationale: Constipation is a side effect of clozapine, not fruit consumption, indicating a misunderstanding. The other statements correctly address nausea, orthostatic hypotension, and sedation as manageable side effects.
Question 3 of 5
When comparing the signs and symptoms of depression found in children with those found in adults, which of the following should the nurse expect?
Correct Answer: A
Rationale: Children with depression often present with somatic complaints and behavioral issues, unlike adults who show more overt sadness.
Question 4 of 5
When assessing a 17-year-old male client with depression for suicide risk, which of the following questions is best?
Correct Answer: D
Rationale: Directly asking about suicidal thoughts is the most effective way to assess immediate risk.
Question 5 of 5
The client with an Axis I diagnosis of schizophrenia, undifferentiated type, is acutely psychotic and exhibits religious delusions and hallucinations, loose associations, and concrete thinking. When the nurse offers the client her medication, the client states, 'I don't need that. God will heal me.' The nurse should respond to the client by saying:
Correct Answer: D
Rationale: Explaining that the medication will help clear thoughts and reduce anxiety directly addresses the client's symptoms in a concrete way, encouraging adherence without challenging her religious beliefs.