NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
A nurse is planning care for an elderly client with cognitive impairment who is still living at home. Which action should the nurse identify as a priority for safety in planning care for this client?
Correct Answer: B
Rationale: Removing tripping hazards addresses the immediate risk of falls, a primary safety concern for elderly clients with cognitive impairment living at home.
Question 2 of 5
A soldier is stationed in Iraq on his second tour of duty. His division was notified of the date they will be deployed to Afghanistan. As this date approaches, he is showing signs of excess anxiety and irritability and inability to sleep at night because of nightmares of IED (improvised explosive devices) tragedies, all leading to poor work performance. He is admitted to the base hospital for an evaluation. The admitting nurse should take the following actions in order of priority from first to last?
Order the Items
Source Container
Correct Answer: C, A, D, B
Rationale: The order is: 1) Remove weapons for safety (
C). 2) Remind him feelings are typical to normalize symptoms (
A). 3) Acknowledge injustices and offer empathy to build rapport (
D). 4) Ask about experiences to explore trauma (
B). Safety is the priority, followed by support and exploration.
Question 3 of 5
A young client diagnosed with paranoid schizophrenia is talking with the nurse. 'You know, when I thought everyone was out to get me, I was staying in my apartment all the time. Now, I'd like to get out and do things again.' What is the best initial response by the nurse?
Correct Answer: C
Rationale: Focusing on the client's interests encourages engagement and supports their desire to reintegrate socially, aligning with their expressed goal of wanting to 'do things again.'
Question 4 of 5
When developing the plan of care for a client with Alzheimer's disease who is experiencing moderate impairment, which of the following types of care should the nurse expect to include?
Correct Answer: A
Rationale: In moderate Alzheimer's, clients need prompting and guidance for activities of daily living due to memory and executive function deficits, but not yet total care.
Question 5 of 5
A 77-year-old client is brought to the emergency department by her son. The client is complaining to assess the number of the questions, 'I'm so worried about everything.' Her son says that she has heart failure and chronic schizophrenia. 'In addition to all of her heart medicines, she is on aripiprazole (Abilify), which was increased to 30 mg by her family doctor 3 days ago.' In addition to documenting all of the client's medications and exact dosages, the nurse should particularly investigate which of the following? Select all that apply.
Correct Answer: B,C,D
Rationale: Investigating schizophrenia symptoms (
B) assesses the need for aripiprazole; checking the dose (
C) is critical, as 30 mg is high for an elderly patient; and evaluating heart failure symptoms (
D) ensures medical stability, as aripiprazole can affect cardiac function.