NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
A client with suspected abuse describes her husband as a good man who works hard and provides well for his family. She does not work outside the home and states that she is proud to be a wife and mother will be taken to the client. The nurse interprets the family pattern described by the client as best illustrating which of the following as characteristic of abusive families?
Correct Answer: C
Rationale: The client's description of rigid gender roles (husband as provider, wife as homemaker) suggests role stereotyping, which is common in abusive families where traditional roles may reinforce power imbalances.
Question 2 of 5
A client who is depressed states, 'I'm an awful person. Everything about me is bad. I can't do anything right.' Which of the following responses by the nurse is most therapeutic?
Correct Answer: C
Rationale: Discussing specific accomplishments challenges negative self-perceptions and promotes cognitive restructuring.
Question 3 of 5
Before his hospitalization, a client needed increasingly larger doses of barbiturates to achieve the same effect. The nurse interprets this information to indicate the client has developed which of the following conditions?
Correct Answer: B
Rationale: Needing larger doses indicates tolerance, where the body adapts to barbiturates, requiring more to achieve the same effect, a hallmark of substance misuse.
Question 4 of 5
When conducting a mental status examination with a newly admitted client who has an Axis I diagnosis of paranoid schizophrenia, the client states, 'I'm being followed; it's not safe. They're monitoring my every move.' In which of the following areas of the mental status examination should be the mental status examined.
Correct Answer: A
Rationale: The client's statement reflects paranoid delusions, which are assessed under thought content in a mental status examination, as this area evaluates the presence of delusions or hallucinations.
Question 5 of 5
A client with paranoid schizophrenia is suspicious of medications. Which approach should the nurse use?
Correct Answer: B
Rationale: Explaining benefits simply builds trust and encourages adherence without coercion.