NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
A male client who is very depressed exhibits psychomotor retardation, a flat affect, and apathy. The nurse observes the client to be in need of grooming and hygiene. Which of the following nursing actions is most appropriate?
Correct Answer: B
Rationale: Asking if the client is ready respects autonomy while gently encouraging hygiene, aligning with their energy level.
Question 2 of 5
An unconscious client in the emergency department is given I.V. naloxone (Narcan) due to an overdose of heroin. Which of the following would indicate a therapeutic response to the Narcan? Select all that apply.
Correct Answer: C, E
Rationale: Therapeutic responses to naloxone include dilated pupils (
C) and consciousness (E), as it reverses opioid-induced respiratory depression and sedation.
Question 3 of 5
A client with schizophrenia refuses medication, stating, 'It makes me feel like a zombie.' What is the nurse's best response?
Correct Answer: A
Rationale: Discussing the medication's benefits encourages adherence while addressing the client's concerns, fostering collaboration.
Question 4 of 5
A hospitalized adolescent diagnosed with anorexia nervosa refuses to comply with her daily before-breakfast weigh-in. She states that she just drank a glass of water, which she feels will unfairly increase her weight. What is the nurse's best response to the client?
Correct Answer: C
Rationale: This response reinforces the protocol's consistency, which is essential for treatment adherence.
Question 5 of 5
A nurse observes a male client who is hyperactive and intrusive sitting very close to a female client with his arm around her shoulders. The nurse hears the male client tell a sexually explicit joke. The nurse approaches the client and asks him to walk down the hallway. Which of the following statements by the nurse should benefit the client?
Correct Answer: B
Rationale: Setting clear boundaries about inappropriate behavior promotes a safe environment.