NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
A client with paranoid schizophrenia states, 'The TV is sending me secret messages.' Which response by the nurse is most therapeutic?
Correct Answer: A
Rationale: Inviting the client to share more about the delusion validates their experience without reinforcing it, promoting therapeutic communication.
Question 2 of 5
A 45-year-old client has been rehospitalized with a severe exacerbation of lupus that affects her central nervous system. After visiting with the client, her husband approaches the nurse. He says, 'My wife is scaring me. She says she does not want to live with this illness anymore. Our kids are grown and she feels useless as a mother and a wife.' Which of the following statements are the most important responses to the husband? Select all that apply.
Correct Answer: A,C,E
Rationale: The nurse should assess for suicidality (
A) due to the wife's statements, acknowledge the husband's fear (
C) to build trust, and discuss supportive communication strategies (E) to empower him. Advising optimism (
B) may dismiss his feelings, and assuming she'll feel differently (
D) minimizes the current concern.
Question 3 of 5
When a client is about to lose control, the extra staff commonly stay at a distance from the client unless asked to move closer by the nurse who is talking to the client. Which of the following best explains the primary rationale for staying at a distance initially?
Correct Answer: C
Rationale: Staying at a distance prevents the client from feeling threatened, as they may perceive others as closer in a heightened state of agitation, reducing the risk of escalation. The other options are less directly related to the client's perception of threat.
Question 4 of 5
After months of counseling, a client abused by her husband tells the nurse that she has decided to stop treatment. There has been no abuse during this issue, and she feels better the nurse. In the needs of her husband and children. In discussing this decision with the client, the nurse should:
Correct Answer: B
Rationale: Exploring the client's rationale respects her autonomy and helps the nurse understand her decision-making process, which is essential for providing client-centered care.
Question 5 of 5
A client with dementia is anxious during transitions. Which strategy should the nurse use?
Correct Answer: B
Rationale: Clear, simple explanations reduce confusion and anxiety during transitions, supporting the client's comfort.