NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
A client with schizophrenia is prescribed quetiapine (Seroquel). Which teaching point is most important?
Correct Answer: A
Rationale: Avoiding alcohol is critical with quetiapine due to the risk of enhanced sedation, which could lead to dangerous side effects.
Question 2 of 5
When obtaining a nursing history from parents who are suspected of abusing their child, which of the following characteristics about the parents should the nurse particularly assess?
Correct Answer: D
Rationale: Difficulty controlling aggression is a key risk factor for abuse and should be carefully assessed.
Question 3 of 5
A client refuses medication, stating, 'It makes me feel worse.' Which is the nurse's best response?
Correct Answer: B
Rationale: Asking about the client's experience encourages dialogue, identifies side effects, and informs the care plan. Forcing compliance, reporting refusal, or changing timing without understanding the issue is less therapeutic.
Question 4 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.
Question 5 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 lack of control over her actions due to her husband's restrictions, which aligns with the nursing diagnosis of powerlessness.