NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
A client with dementia who prefers to stay in his room has been brought to the dayroom. After 10 minutes, the client becomes agitated and retreats to his room again. The nurse decides to assess the conditions in the dayroom. Which is the most likely occurrence that is disturbing to this client?
Correct Answer: C
Rationale: Conflicting stimuli, such as a relaxation tape and a crime show on TV, can overwhelm a client with dementia, causing agitation due to difficulty processing multiple inputs.
Question 2 of 5
A 75-year-old woman was brought to the crisis center by her husband. The husband reports that his wife has been in shock and anxious since her purse was stolen outside of their home. The woman blames herself for being robbed, is worried about her stolen wallet and credit cards, and is afraid to go home. The nurse should do which of the following? Select all that apply.
Correct Answer: B,C,D
Rationale: The nurse should encourage talking about the robbery (
B) to process emotions, discuss safety changes at home (
C) to address her fear, and investigate injuries (
D) to ensure physical health. Lorazepam (
A) may be premature without assessment, and asking about prevention (E) may reinforce self-blame.
Question 3 of 5
A client admitted for violent behavior toward a family member expresses remorse and asks how to prevent future incidents. Which of the following should the nurse include in the teaching plan?
Correct Answer: B
Rationale: Attending anger management classes provides the client with tools to manage emotions and prevent violence, addressing the root cause. Avoiding family is impractical, sedatives are a temporary measure, and an apology letter does not teach coping skills.
Question 4 of 5
A nurse is assessing a client who is being abused. The nurse should assess the client for which characteristic? Select all that apply.
Correct Answer: B,D,E
Rationale: Clients experiencing abuse often exhibit self-blame, suicidal thoughts, and guilt due to the psychological impact of abuse. Assertiveness is unlikely, and alcohol abuse is not a universal characteristic.
Question 5 of 5
A client diagnosed with pain disorder is talking with the nurse about fishing when he suddenly reverts to talking about the pain in his arm. Which of the following should the nurse do next?
Correct Answer: D
Rationale: Redirecting back to fishing is appropriate, as it reinforces positive engagement and discourages focus on pain, a common strategy in managing pain disorder.