NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
A client with schizophrenia is prescribed haloperidol (Haldol). Which side effect requires immediate action?
Correct Answer: C
Rationale: Fever with rigidity may indicate neuroleptic malignant syndrome, a life-threatening condition requiring immediate intervention.
Question 2 of 5
While coaching a youth soccer team, the nurse has observed one of the teammates bingeing and purging on multiple occasions. The nurse asks the girl's mother to stay after practice and talk privately. Which of the following ways is best for the nurse to begin the conversation?
Correct Answer: C
Rationale: Starting with the nurse's professional observation is direct yet sensitive, opening the conversation about the concerning behavior.
Question 3 of 5
The client approaches various staff with numerous requests and needs to the point of disrupting the staff's work with other clients. The nurse meets with the staff to decide on a consistent, therapeutic approach for this client. Which of the following approaches will be most effective?
Correct Answer: D
Rationale: Having the client address needs to the assigned staff person ensures consistency, reduces manipulation, and maintains therapeutic boundaries, effectively managing the client's disruptive behavior.
Question 4 of 5
A client admitted for violent behavior toward a family member expresses remorse and asks how to prevent future incidents. Which of the following should the nurse include in the teaching plan?
Correct Answer: B
Rationale: Attending anger management classes provides the client with tools to manage emotions and prevent violence, addressing the root cause. Avoiding family is impractical, sedatives are a temporary measure, and an apology letter does not teach coping skills.
Question 5 of 5
When a client who exhibits feelings of inferiority is asked to attend group activities, she gets more anxious. Within 10 minutes, she begins ridiculing others in the group and receives negative attention. Which of the following statements best reflects the nurse's interpretation of the client's behavior? Select all that apply.
Correct Answer: A,B,C
Rationale: Increased anxiety can lead to defensive behaviors like ridiculing others (
A). Negative attention can reinforce such behaviors (
B), and for some clients, any attention is preferable to none (
C). Excluding the client (
D) or assuming medication is needed (E) does not address the underlying behavior dynamics.