NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
As hospital-based care has become more oriented to crisis intervention, criteria for admission to the hospital have also changed. Which clients have priority for admission to an acute care facility? Select all that apply.
Correct Answer: B,C,D
Rationale: Acutely psychotic clients (
B), acutely depressed clients (
C), and those dangerous to self or others (
D) require urgent stabilization, prioritizing them for admission to manage acute symptoms and ensure safety.
Question 2 of 5
A newly admitted 20-year-old client, diagnosed with Post Traumatic Stress Disorder (PTSD), reluctantly reveals that she escaped from a satanic cult 2 years ago. The mother has been in the cult since the client was 3 years old and refused to leave with the client. The client says, 'Nobody will ever believe the horrible things the men did to me and my mother never stopped them.' Which of the following responses is appropriate for the nurse to make?
Correct Answer: D
Rationale: Saying 'It must be difficult to talk about what happened. I'm willing to listen' is appropriate, as it validates the client's struggle, offers support, and encourages sharing without judgment.
Question 3 of 5
A client commonly jumps when spoken to and reports feeling uneasy. The client says, 'It's as though something bad is going to happen.' In which order from first to last should the following nursing actions be done?
Order the Items
Source Container
Correct Answer: D,B,C,A
Rationale: First reduce stimuli, then use deep breathing, discuss feelings, and finally teach problem-solving to manage anxiety.
Question 4 of 5
A client with suspected abuse describes her husband as a good man who works hard and provides well for his family. She does not work outside the home and states that she is proud to be a wife and mother will be taken to the client. The nurse interprets the family pattern described by the client as best illustrating which of the following as characteristic of abusive families?
Correct Answer: C
Rationale: The client's description of rigid gender roles (husband as provider, wife as homemaker) suggests role stereotyping, which is common in abusive families where traditional roles may reinforce power imbalances.
Question 5 of 5
A client with a new diagnosis of hypertension expresses anxiety about lifestyle changes. Which nursing intervention is most effective in reducing the client's anxiety?
Correct Answer: B
Rationale: Teaching relaxation techniques directly addresses the client's anxiety by providing tools to manage stress, which can also help control hypertension. A pamphlet is informative but less immediate, a nutritionist referral is secondary, and false reassurance about medication dismisses the client's concerns.