NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
After a client reveals a history of childhood sexual abuse, the nurse should ask which of the following questions first?
Correct Answer: D
Rationale: Asking about the abuser's current access to children prioritizes safety and potential ongoing risk to others.
Question 2 of 5
A client with Alzheimer's disease is disoriented at night. Which intervention is most effective?
Correct Answer: B
Rationale: A nightlight and consistent routine reduce disorientation and promote safety without relying on medication or excessive restrictions.
Question 3 of 5
The physician orders determination of the serum lithium level tomorrow for a client with bipolar disorder, manic phase, who has been receiving lithium 300 mg P.O. three times daily for the past 5 days. At which of the following times should the nurse plan to have the blood specimen obtained?
Correct Answer: C
Rationale: Lithium levels are drawn in the morning, 12 hours after the last dose, for accurate trough levels.
Question 4 of 5
A client diagnosed with schizophrenia for the last two years tells the nurse who has brought the morning medications 'That is not my pill! My pill is blue, not red.' The client refuses to take it. The best response by the nurse is:
Correct Answer: C
Rationale: Verifying the medication's appearance ensures safety and builds trust with the client.
Question 5 of 5
While admitting a client to the alcohol treatment program, the nurse asks the client how long she's been drinking, how much she's been drinking, and when she had her last drink. The client replies that she has been drinking about a liter of vodka a day for the past week and her last drink was about an hour ago. This information helps the nurse to determine which of the following?
Correct Answer: B
Rationale: This information helps determine the severity of withdrawal symptoms, as the quantity, duration, and recency of alcohol use predict the intensity and timing of withdrawal, guiding treatment.