NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
A family, including an 8-year-old boy and a 13-year-old girl, have been long-time members of a cult split off from a conservative religious group. The girl ran away from the group's compound to her aunt's house. The aunt brought the girl to the emergency... [incomplete]. She is admitted to the unit because of many trauma-related symptoms. The nurse should take which of the following actions? Select all that apply.
Correct Answer: B,C,D,E,F
Rationale: The nurse should teach emotion management (
B), assess for injuries and health risks (
C), teach control of self-destructive behaviors (
D), obtain a drug screen and urinalysis (E), and help process emotions (F) to address her trauma comprehensively. A teen discussion group (
A) may be premature and potentially distressing without initial stabilization.
Question 2 of 5
A client with acute mania exhibits euphoria, pressured speech, and flight of ideas. The client has been talking to the nurse non-stop for 5 minutes. Which of the following should the nurse do next?
Correct Answer: A
Rationale: Redirecting to a structured activity like lunch helps manage flight of ideas and reduces stimulation.
Question 3 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 4 of 5
A client newly diagnosed with bulimia is attending the nurse-led group at the mental health center. She tells the group that she came only because her husband said he would divorce her if she didn't get help. Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: Encouraging the client to elaborate on her feelings fosters therapeutic communication and engagement in treatment.
Question 5 of 5
The client is feeling better as the symptoms of alcohol withdrawal abate. She refuses information about alcohol rehabilitation and states, 'I don't have a problem. I'll never drink like that again. I learned my lesson this time. I guess I'll just have to switch to beer or wine.' The nurse should respond by:
Correct Answer: C
Rationale: Urging her to attend Alcoholics Anonymous meetings is most appropriate, as it encourages ongoing support and addresses her denial, promoting long-term recovery.