NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
After a few minutes of conversation, a female client who is depressed wearily asks the nurse, 'Why pick me to talk to? Go talk to someone else.' Which of the following replies by the nurse is best?
Correct Answer: D
Rationale: Expressing genuine interest validates the client's worth and fosters a therapeutic relationship.
Question 2 of 5
Which of the following questions should the nurse ask to best determine the seriousness of a client's suicidal ideation?
Correct Answer: A
Rationale: Asking about a specific plan assesses the immediacy and lethality of the suicidal ideation.
Question 3 of 5
A client in crisis after losing their home to foreclosure is tearful and withdrawn. Which nursing diagnosis is the priority?
Correct Answer: A
Rationale: Hopelessness is the priority due to the client's tearful and withdrawn behavior, indicating a significant emotional impact from the loss. Ineffective coping, anxiety, and social interaction risks are relevant but secondary to addressing hopelessness.
Question 4 of 5
The client with bipolar disorder, manic phase, states, 'You're looking good. I'm taking you out to dinner.' Which of the following replies by the nurse is most therapeutic?
Correct Answer: D
Rationale: Reintroducing professional boundaries calmly redirects the client's inappropriate advance.
Question 5 of 5
A client with schizophrenia has poor hygiene. Which intervention is most effective?
Correct Answer: B
Rationale: Assisting step-by-step encourages hygiene while accommodating cognitive deficits, promoting independence.