NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
A client with schizophrenia has poor hygiene. Which intervention is most effective?
Correct Answer: B
Rationale: Assisting step-by-step encourages hygiene while accommodating cognitive deficits, promoting independence.
Question 2 of 5
Which of the following client statements indicates that he has gained insight into his use of the defense mechanism of displacement?
Correct Answer: C
Rationale: The statement 'Now when I'm mad at my wife, I talk to her instead of taking it out on the kids' shows insight into displacement, as the client recognizes and corrects redirecting anger. The other statements reflect denial, compensation, and repression, not displacement.
Question 3 of 5
When preparing a teaching plan for a client about imipramine (Tofranil), which of the following substances should the nurse tell the client to avoid while taking the medication?
Correct Answer: C
Rationale: Alcohol can enhance the sedative effects of imipramine and increase the risk of adverse effects.
Question 4 of 5
While admitting a client to the alcohol treatment program, the nurse asks the client how long she's been drinking, how much she's been drinking, and when she had her last drink. The client replies that she has been drinking about a liter of vodka a day for the past week and her last drink was about an hour ago. This information helps the nurse to determine which of the following?
Correct Answer: B
Rationale: This information helps determine the severity of withdrawal symptoms, as the quantity, duration, and recency of alcohol use predict the intensity and timing of withdrawal, guiding treatment.
Question 5 of 5
Despite education and role-play practice of restraint procedures, a staff member is injured when actually restraining a client. When helping the uninjured staff deal with the incident, the nurse should address which of the following about the injured member?
Correct Answer: A
Rationale: The nurse should address that the injured member's emotional responses may resemble those of crime victims, acknowledging potential trauma. Resignation is speculative, legal action is not the nurse's focus, and debriefing with the client is inappropriate and potentially harmful.