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NCLEX-RN Mental Health Questions

Extract:


Question 1 of 5

A client with dementia is disoriented to time. Which intervention should the nurse implement?

Correct Answer: B

Rationale: A large clock and calendar provide visual cues to help orient the client, reducing confusion.

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

What statement indicates the need for further assessment of the client's body image?

Correct Answer: D

Rationale: The client expressing doubts about his wife's response to his amputation as well as possible doubt on his part is still struggling with body image issues. Looking forward to participating in walk-a-thons and helping others indicate plans for the future that show an acceptance of his amputee status. Remembering that his friend died in the accident that caused his amputation indicates that the client is aware that there was a worse end result to the accident than his amputation.

Question 4 of 5

A client with schizophrenia refuses to take prescribed antipsychotic medication, stating, 'It makes me feel like a zombie.' Which of the following responses by the nurse is most appropriate?

Correct Answer: B

Rationale: Discussing side effects with the doctor encourages collaboration and addresses the client's concerns.

Question 5 of 5

A nurse is assessing a 16-year-old client with suspected bulimia nervosa. Which of the following findings should the nurse expect? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Bulimia is characterized by normal weight, tooth enamel erosion from vomiting, calluses on knuckles from purging, and often excessive exercise to control weight. Fasting is more typical of anorexia.

Similar Questions

A female client with acute mania brings six suitcases and three shopping bags of personal belongings on admission to the unit. When informed that some of the suitcases and bags need to be returned home with her husband because of a lack of storage space, the client begins to use profanity against the nurse. Which of the following responses by the nurse is most therapeutic?
A client reports having blurred vision after 4 days of taking haloperidol (Haldol) 1 mg BID, and benztropine (Cogentin) 2 mg BID. The nurse contacts the physician to explain the situation, background, and the patient's disease, which information reported to the physician is the assessment of the situation?
When comparing the signs and symptoms of depression found in children with those found in adults, which of the following should the nurse expect?
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?
A client who was diagnosed with undifferentiated schizophrenia 8 years ago is admitted to a unit because of increasingly severe mood swings. His diagnosis is changed to schizoaffective disorder. He asks the nurse, 'So now what? My friend is the 'I have to be the...' What is the best response by the nurse?

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