NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
A client with schizophrenia refuses to take prescribed antipsychotic medication, stating, 'It makes me feel like a zombie.' Which of the following responses by the nurse is most appropriate?
Correct Answer: B
Rationale: Discussing side effects with the doctor encourages collaboration and addresses the client's concerns.
Question 2 of 5
A client ashamedly tells the nurse that he hit his wife while intoxicated and asks the nurse if his wife will ever forgive him. The nurse should reply to the client by saying:
Correct Answer: B
Rationale: Saying 'That's something you can explore in family therapy' is most therapeutic, as it encourages addressing the issue constructively in a supported setting, promoting accountability and healing.
Question 3 of 5
During the initial interview, a client with a compulsive eating disorder remarks, 'I can't stand myself and the way I look.' Which of the following statements by the nurse is most therapeutic?
Correct Answer: D
Rationale: Encouraging the client to express feelings promotes self-awareness and therapeutic exploration of body image issues.
Question 4 of 5
A client diagnosed with major depression has sleep and appetite disturbances, a flat affect and is withdrawn. The client has been taking fluvoxamine (Luvox) 50 mg twice daily for 5 days. Which client behavior is most important to report to the next shift?
Correct Answer: B
Rationale: Interacting with a visitor is a positive change, indicating potential improvement, and should be reported.
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.