NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
A client with dementia is resistant to dressing. Which approach should the nurse use?
Correct Answer: B
Rationale: Offering a choice between two outfits empowers the client and reduces resistance, making the task more manageable.
Question 2 of 5
The husband of a client to be discharged from the hospital after an episode of major depression and a suicide attempt asks, 'What can I do if she tries to kill herself again?' Which of the following responses is most appropriate?
Correct Answer: C
Rationale: Immediate professional intervention (doctor or E
D) is critical if suicidal behavior recurs.
Question 3 of 5
Which of the following client statements indicates that he has gained insight into his use of the defense mechanism of displacement?
Correct Answer: C
Rationale: The statement 'Now when I'm mad at my wife, I talk to her instead of taking it out on the kids' shows insight into displacement, as the client recognizes and corrects redirecting anger. The other statements reflect denial, compensation, and repression, not displacement.
Question 4 of 5
The client with bipolar disorder, manic phase, states, 'You're looking good. I'm taking you out to dinner.' Which of the following replies by the nurse is most therapeutic?
Correct Answer: D
Rationale: Reintroducing professional boundaries calmly redirects the client's inappropriate advance.
Question 5 of 5
When planning care for a client diagnosed with schizotypal personality disorder, which of the following helps the client become involved with others?
Correct Answer: B
Rationale: One-to-one activities are most appropriate for a client with schizotypal personality disorder, as they reduce social overload and allow for gradual, comfortable interaction, aligning with their preference for limited social engagement.