NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
A female client with acute mania brings six suitcases and three shopping bags of personal belongings on admission to the unit. When informed that some of the suitcases and bags need to be returned home with her husband because of a lack of storage space, the client begins to use profanity against the nurse. Which of the following responses by the nurse is most therapeutic?
Correct Answer: C
Rationale: Clearly stating that profanity is unacceptable sets boundaries without escalating the situation.
Question 2 of 5
A client in the emergency department tells the nurse that he 'sees sounds and hears colors' as a result of using lysergic acid diethylamide (LSD). He also has been used to which of the following? Select all that apply.
Correct Answer: B,D,E,F
Rationale: LSD overdose requires reducing stimuli, monitoring vital signs, talking reassuringly, and possibly administering lorazepam for anxiety. Vomiting is not induced, and restraints are avoided unless necessary.
Question 3 of 5
A client with dementia is anxious during transitions. Which strategy should the nurse use?
Correct Answer: B
Rationale: Clear, simple explanations reduce confusion and anxiety during transitions, supporting the client's comfort.
Question 4 of 5
A client is sitting in the corner of the dayroom cocking his head to one side as if he hears something, but no one is nearby. The nurse suspects he is having auditory hallucinations. Which of the following questions should the nurse ask first?
Correct Answer: B
Rationale: Directly asking about what the client is hearing addresses the suspected auditory hallucinations, allowing the nurse to assess the content and severity of the symptom.
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.