NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
After the nurse teaches a client with bipolar disorder about lithium therapy, which of the following client statements indicates the need for additional teaching?
Correct Answer: B
Rationale: Doubling a missed lithium dose is dangerous and can lead to toxicity; additional teaching is needed.
Question 2 of 5
A client is admitted after the police found he had been sleeping in his car for three nights. The client says, 'My wife kicked me out and is divorcing me. It wasn't my fault I was fired from work. My wife and boss are plotting against me because I am smarter than they are.' He then pounds the table and says, 'I'm not staying here, and you can't stop me.' Which of the following should be included in the client's plan of care? Select all that apply.
Correct Answer: B,C,E,F
Rationale: The client's plan should include anxiety and anger management (
B) to address his emotional outbursts, appropriate housing (
C) to resolve his homelessness, assault and escape precautions (E) due to his aggressive behavior and intent to leave, and suspiciousness and grandiosity issues (F) to address his paranoid and grandiose thoughts. Collateral information (
A) may be useful but is less immediate, and divorce counseling (
D) is premature without stabilizing his mental state.
Question 3 of 5
A 45-year-old client has been rehospitalized with a severe exacerbation of lupus that affects her central nervous system. After visiting with the client, her husband approaches the nurse. He says, 'My wife is scaring me. She says she does not want to live with this illness anymore. Our kids are grown and she feels useless as a mother and a wife.' Which of the following statements are the most important responses to the husband? Select all that apply.
Correct Answer: A,C,E
Rationale: The nurse should assess for suicidality (
A) due to the wife's statements, acknowledge the husband's fear (
C) to build trust, and discuss supportive communication strategies (E) to empower him. Advising optimism (
B) may dismiss his feelings, and assuming she'll feel differently (
D) minimizes the current concern.
Question 4 of 5
While conducting a home visit for a client diagnosed with paranoid schizophrenia discharged 1 week ago, the client's mother tearfully states, 'I can hardly sleep because I'm so worried about my daughter. I'm afraid to leave her alone in the house. What if something should happen while I'm gone?' Which of the following problems related to the caregiver would be the most inclusive one for the nurse to incorporate into the client's plan of care?
Correct Answer: A
Rationale: Caregiver role strain encompasses the mother's anxiety, fear, and sleep disturbances, as it reflects the overall burden of caregiving, making it the most inclusive problem to address.
Question 5 of 5
When developing the teaching plan for the family of a client with severe depression who is to receive electroconvulsive therapy (ECT), which of the following information should the nurse include?
Correct Answer: A
Rationale: Temporary confusion and disorientation are common post-ECT effects, and families should be prepared.