NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
A true crisis state, involving a period of severe disorganization, is difficult to endure emotionally and physically. The nurse recognizes that a client will only be able to tolerate being in crisis for which of the following lengths of time?
Correct Answer: B
Rationale: A true crisis state is typically short-lived, lasting 4 to 6 weeks, as it is emotionally and physically unsustainable beyond this period. Shorter or longer durations do not align with the typical crisis resolution timeline.
Question 2 of 5
A client is being successfully treated with clozapine (Clozaril). Which of the following statements by the client reflects a need for further teaching about managing the drug's adverse effects?
Correct Answer: A
Rationale: Constipation is a side effect of clozapine, not fruit consumption, indicating a misunderstanding. The other statements correctly address nausea, orthostatic hypotension, and sedation as manageable side effects.
Question 3 of 5
In addition to teaching assertiveness and problem-solving skills when helping the client cope effectively with stress and anxiety, the nurse should also address the client's ability to:
Correct Answer: D
Rationale: Conflict resolution skills are essential for managing stress and anxiety in interpersonal situations, complementing assertiveness and problem-solving skills. Suppressing anger is not constructive, balancing a checkbook is unrelated to stress management, and following directions is too narrow a skill for this context.
Question 4 of 5
As the nurse is turning off the television, a client with bipolar disorder, manic phase, says, 'I want the television on so I can watch the late show. I'm not tired and you can't tell me what to do. I want it on!' The nurse should tell the client:
Correct Answer: C
Rationale: Clearly stating the unit's rules reinforces structure and boundaries for the manic client.
Question 5 of 5
A family, including an 8-year-old boy and a 13-year-old girl, have been long-time members of a cult. The girl ran away to her aunt's house and is admitted to the psychiatric unit with trauma-related symptoms. Which of the following is the nurse's priority nursing diagnosis?
Correct Answer: A
Rationale: Post-trauma syndrome is the priority diagnosis due to the girl's trauma-related symptoms, which pose immediate psychological and safety concerns. Impaired parenting, deficient knowledge, and social isolation are relevant but secondary to addressing her acute trauma.