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NCLEX-RN

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NCLEX-RN Mental Health Questions

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Question 1 of 5

A client with schizophrenia has command hallucinations to harm others. What should the nurse do first?

Correct Answer: C

Rationale: Assessing the content of command hallucinations determines the risk level, guiding immediate safety interventions.

Question 2 of 5

The school nurse assesses a 10-year-old girl who excessively cleans and categorizes. Her parents report that she has always been orderly, but since her brother died of cancer 6 months ago, her cleaning and categorizing have escalated. In school, she reads instead of playing with other children. These behaviors are now interfering with homework and leisure activities. To bolster her self-esteem, the nurse should encourage the child to:

Correct Answer: C

Rationale: Group projects promote social interaction and collaboration, helping to build self-esteem in a structured setting.

Question 3 of 5

A client states, 'I'm so tired of living and just want to end it all.' Which of the following responses is most therapeutic?

Correct Answer: C

Rationale: Acknowledging the client's pain and offering support is therapeutic and validating.

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

As the nurse is turning off the television, a client with bipolar disorder, manic phase, says, 'I want the television on so I can watch the late show. I'm not tired and you can't tell me what to do. I want it on!' The nurse should tell the client:

Correct Answer: C

Rationale: Clearly stating the unit's rules reinforces structure and boundaries for the manic client.

Similar Questions

A client with an Axis II diagnosis of antisocial personality disorder has a potential for violence and aggressive behavior. Which of the following client outcomes to be accomplished in the short term is most appropriate for the nurse to include in the plan of care?
When the client is involuntarily committed to a hospital because he is assessed as being dangerous to himself or others, which of the following rights are lost?
During the third session with the nurse, a client who is being abused states, 'I don't know what to do anymore. He doesn't want me to go anywhere while he's at work, not even to visit my friends.' Which nursing diagnosis should the nurse formulate regarding this information?
A client with schizophrenia has command hallucinations to harm others. What should the nurse do first?
The nurse is speaking to a sixth grade class about drugs. A student states, 'I know someone who smokes marijuana and he says it's safe.' The nurse should tell the student:

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