NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
A client with paranoid schizophrenia is isolative. Which intervention is most effective?
Correct Answer: B
Rationale: One-on-one activities build trust gradually, encouraging engagement without overwhelming the client.
Question 2 of 5
A client who is depressed states, 'I'm an awful person. Everything about me is bad. I can't do anything right.' Which of the following responses by the nurse is most therapeutic?
Correct Answer: C
Rationale: Discussing specific accomplishments challenges negative self-perceptions and promotes cognitive restructuring.
Question 3 of 5
As hospital-based care has become more oriented to crisis intervention, criteria for admission to the hospital have also changed. Which clients have priority for admission to an acute care facility? Select all that apply.
Correct Answer: B,C,D
Rationale: Acutely psychotic clients (
B), acutely depressed clients (
C), and those dangerous to self or others (
D) require urgent stabilization, prioritizing them for admission to manage acute symptoms and ensure safety.
Question 4 of 5
Before his hospitalization, a client needed increasingly larger doses of barbiturates to achieve the same effect. The nurse interprets this information to indicate the client has developed which of the following conditions?
Correct Answer: B
Rationale: Needing larger doses indicates tolerance, where the body adapts to barbiturates, requiring more to achieve the same effect, a hallmark of substance misuse.
Question 5 of 5
A client with a history of angry outbursts is learning to identify triggers. Which activity should the nurse recommend?
Correct Answer: A
Rationale: Keeping a journal helps the client identify specific triggers for anger, enabling targeted interventions. Yoga and walking are helpful but less focused on trigger identification, and avoiding stress is unrealistic.