NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
A client yells at the nurse after a medication delay. Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: Acknowledging the client's feelings and inviting discussion de-escalates the situation and promotes understanding. Promising immediate action, criticizing behavior, or threatening escalation may worsen the client's anger.
Question 2 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 3 of 5
A client diagnosed with Major Depression and Substance Dependence is being admitted to the Dual Diagnosis Unit. In explaining the focus of this program, the nurse should tell the client:
Correct Answer: C
Rationale: The focus is simultaneous treatment of addiction and depression, as dual diagnosis programs address both conditions concurrently to improve outcomes.
Question 4 of 5
In addition to teaching assertiveness and problem-solving skills when helping the client cope effectively with stress and anxiety, the nurse should also address the client's ability to:
Correct Answer: D
Rationale: Conflict resolution skills are essential for managing stress and anxiety in interpersonal situations, complementing assertiveness and problem-solving skills. Suppressing anger is not constructive, balancing a checkbook is unrelated to stress management, and following directions is too narrow a skill for this context.
Question 5 of 5
While conducting a home visit for a client diagnosed with paranoid schizophrenia discharged 1 week ago, the client's mother tearfully states, 'I can hardly sleep because I'm so worried about my daughter. I'm afraid to leave her alone in the house. What if something should happen while I'm gone?' Which of the following problems related to the caregiver would be the most inclusive one for the nurse to incorporate into the client's plan of care?
Correct Answer: A
Rationale: Caregiver role strain encompasses the mother's anxiety, fear, and sleep disturbances, as it reflects the overall burden of caregiving, making it the most inclusive problem to address.