NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
A married female client has been referred to the mental health center because she is depressed. The nurse notices bruises on her upper arms and asks about them. After denying any problems, the client starts to cry and says, 'He didn't really mean to hurt me, but I hate for the kids to see this. I'm so worried about them.' Which of the following is the most crucial information for the nurse to determine?
Correct Answer: B
Rationale: The priority in cases of suspected abuse is to assess for immediate safety risks to the client and her children, as this determines the urgency and type of intervention needed.
Question 2 of 5
The client approaches various staff with numerous requests and needs to the point of disrupting the staff's work with other clients. The nurse meets with the staff to decide on a consistent, therapeutic approach for this client. Which of the following approaches will be most effective?
Correct Answer: D
Rationale: Having the client address needs to the assigned staff person ensures consistency, reduces manipulation, and maintains therapeutic boundaries, effectively managing the client's disruptive behavior.
Question 3 of 5
A client with paranoid schizophrenia threatens staff. Which documentation is most appropriate?
Correct Answer: B
Rationale: Quoting the client's threat and describing behavior provides objective, specific documentation for safety planning.
Question 4 of 5
A client is taking diazepam (Valium) for generalized anxiety disorder. Which instruction should the nurse give to this client? Select all that apply.
Correct Answer: A, D, E
Rationale: Instructions include: Consult provider before stopping (
A) to avoid withdrawal, avoid alcohol (
D) to prevent CNS depression, and stop if allergic reactions occur (E). Cheese (
B) is irrelevant, and empty stomach (
C) is not required.
Question 5 of 5
A nurse is assessing a client who is being abused. The nurse should assess the client for which characteristic? Select all that apply.
Correct Answer: B,D,E
Rationale: Clients experiencing abuse often exhibit self-blame, suicidal thoughts, and guilt due to the psychological impact of abuse. Assertiveness is unlikely, and alcohol abuse is not a universal characteristic.