NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
A client with paranoid schizophrenia is suspicious of medications. Which approach should the nurse use?
Correct Answer: B
Rationale: Explaining benefits simply builds trust and encourages adherence without coercion.
Question 2 of 5
A nurse is counseling a client who has experienced domestic abuse for several years. The client expresses fear of leaving the abuser due to financial dependence. What is the nurse's priority intervention?
Correct Answer: B
Rationale: Providing information about shelters and resources addresses the client's immediate safety and financial concerns, which is the priority in cases of domestic abuse.
Question 3 of 5
A family member of a client with Alzheimer's disease asks, 'Why does she keep repeating herself?' What is the nurse's best response?
Correct Answer: B
Rationale: Explaining that repetition is a common symptom of memory loss in Alzheimer's educates the family and promotes understanding.
Question 4 of 5
The client sees no connection between her liver disorder and her alcohol intake. She believes that she drinks very little and that her family is making something out of nothing. The nurse interprets these behaviors as indicative of which of the following defense mechanisms?
Correct Answer: A
Rationale: The client's behavior indicates denial, as she refuses to acknowledge the link between her alcohol use and liver disorder, minimizing the problem.
Question 5 of 5
A client diagnosed with schizophrenia is brought to the hospital from a group home where he became agitated, threw a chair at another client, and has been refusing medication for 8 weeks. The client exhibits a flat affect, is not caring for his hygiene, and has become increasingly withdrawn and asocial. The physician orders treatment with risperidone (Risperdal) to improve the client's negative and positive symptoms of schizophrenia. When evaluating the drug's effectiveness on the client's negative symptoms, the nurse should expect improvement in which of the following?
Correct Answer: A
Rationale: Risperidone, an atypical antipsychotic, is effective for negative symptoms like apathy, lack of motivation, and asocial behavior, which are evident in the client's presentation.