NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
An outpatient client who has a history of paranoid schizophrenia and chronic alcohol dependency has been taking risperidone (Risperdal) for several months. She reports that she stopped drinking 4 days ago, the client is a very satisfied by the tactile hallucinations of bugs crawling under her skin. Which of the following factors should the nurse incorporate into the plan of care when explaining the tactile hallucinations?
Correct Answer: C
Rationale: Tactile hallucinations, such as feeling bugs crawling under the skin, are commonly associated with alcohol withdrawal, especially 4 days after cessation, and should be addressed in the care plan.
Question 2 of 5
The client's friend reports that the client has been taking about eight 'reds' (800 mg of secobarbital [Seconal]) daily, besides drinking more alcohol than usual. The client's friend asks anxiously, 'Do you think she will live?' Which of the following responses by the nurse is most appropriate?
Correct Answer: D
Rationale: Saying 'Her condition is serious. You sound very worried about her' is appropriate, as it acknowledges the gravity of the situation and validates the friend's concern therapeutically.
Question 3 of 5
A male client who is very depressed exhibits psychomotor retardation, a flat affect, and apathy. The nurse observes the client to be in need of grooming and hygiene. Which of the following nursing actions is most appropriate?
Correct Answer: B
Rationale: Asking if the client is ready respects autonomy while gently encouraging hygiene, aligning with their energy level.
Question 4 of 5
The client approaches various staff with numerous requests and needs to the point of disrupting the staff's work with other clients. The nurse meets with the staff to decide on a consistent, therapeutic approach for this client. Which of the following approaches will be most effective?
Correct Answer: D
Rationale: Having the client address needs to the assigned staff person ensures consistency, reduces manipulation, and maintains therapeutic boundaries, effectively managing the client's disruptive behavior.
Question 5 of 5
A hospitalized adolescent diagnosed with anorexia nervosa refuses to comply with her daily before-breakfast weigh-in. She states that she just drank a glass of water, which she feels will unfairly increase her weight. What is the nurse's best response to the client?
Correct Answer: C
Rationale: This response reinforces the protocol's consistency, which is essential for treatment adherence.