NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
A client with schizophrenia is admitted with catatonic stupor. Which of the following interventions should the nurse prioritize?
Correct Answer: B
Rationale: Monitoring nutrition and hydration is critical in catatonic stupor, as immobility can lead to dehydration or malnutrition.
Question 2 of 5
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?
Correct Answer: C
Rationale: The client's statement reflects a loss of control over her actions due to her husband's restrictions, making powerlessness the most appropriate nursing diagnosis.
Question 3 of 5
After administering naloxone (Narcan), an opioid antagonist, the nurse should monitor the client carefully for which of the following?
Correct Answer: D
Rationale: Naloxone can precipitate withdrawal, and its effects may wear off, leading to recurrent respiratory depression, which requires close monitoring.
Question 4 of 5
A psychiatric unit reports increased client aggression. Which intervention should the nurse manager implement first?
Correct Answer: B
Rationale: Training staff on de-escalation techniques addresses the root cause by equipping them to manage aggression proactively, reducing incidents. Security, policy revisions, or cameras are secondary without improving staff skills.
Question 5 of 5
The client is to be discharged from the hospital after a safe, medically supervised withdrawal from alcohol. Which of the following outcomes indicate client readiness for an outpatient alcohol treatment program? Select all that apply.
Correct Answer: B, C, D
Rationale: Outcomes indicating readiness include: Verbalizing the damaging effects of alcohol (
B), showing awareness of harm; planning to attend AA meetings (
C), indicating commitment to support; and taking naltrexone daily (
D), adhering to treatment. Options A and E suggest denial or lack of insight.