NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
A client with schizophrenia comes to the outpatient mental health clinic 5 days after being discharged from the hospital. The client was given a 1-week supply of clozapine (Clozaril). The client tells the nurse that she has too much saliva and frequently needs to spit. The nurse interprets the client's statement as indicating which of the following?
Correct Answer: C
Rationale: Excessive salivation (sialorrhea) is a common side effect of clozapine, and the nurse should recognize it as an expected adverse effect rather than a delusion or symptom.
Question 2 of 5
A family, including an 8-year-old boy and a 13-year-old girl, have been long-time members of a cult split off from a conservative religious group. The girl ran away from the group's compound to her aunt's house. The aunt brought the girl to the emergency... [incomplete]. She is admitted to the unit because of many trauma-related symptoms. The nurse should take which of the following actions? Select all that apply.
Correct Answer: B,C,D,E,F
Rationale: The nurse should teach emotion management (
B), assess for injuries and health risks (
C), teach control of self-destructive behaviors (
D), obtain a drug screen and urinalysis (E), and help process emotions (F) to address her trauma comprehensively. A teen discussion group (
A) may be premature and potentially distressing without initial stabilization.
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
A client is being discharged after 3 days of hospitalization for a suicide attempt that followed the loss of a job. Which of the following should be the nurse's priority action before discharge?
Correct Answer: C
Rationale: Ensuring a follow-up appointment with a mental health provider is the priority to maintain continuity of care and monitor the client's suicide risk post-discharge. Increasing medication requires a physician's order and careful evaluation, community support groups are secondary, and avoiding work activities is unrealistic and not directly tied to immediate safety.
Question 5 of 5
The client is feeling better as the symptoms of alcohol withdrawal abate. She refuses information about alcohol rehabilitation and states, 'I don't have a problem. I'll never drink like that again. I learned my lesson this time. I guess I'll just have to switch to beer or wine.' The nurse should respond by:
Correct Answer: C
Rationale: Urging her to attend Alcoholics Anonymous meetings is most appropriate, as it encourages ongoing support and addresses her denial, promoting long-term recovery.