NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
Despite education and role-play practice of restraint procedures, a staff member is injured when actually restraining a client. When helping the uninjured staff deal with the incident, the nurse should address which of the following about the injured member?
Correct Answer: A
Rationale: The nurse should address that the injured member's emotional responses may resemble those of crime victims, acknowledging potential trauma. Resignation is speculative, legal action is not the nurse's focus, and debriefing with the client is inappropriate and potentially harmful.
Question 2 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.
Question 3 of 5
A young client diagnosed with paranoid schizophrenia is talking with the nurse. 'You know, when I thought everyone was out to get me, I was staying in my apartment all the time. Now, I'd like to get out and do things again.' What is the best initial response by the nurse?
Correct Answer: C
Rationale: Focusing on the client's interests encourages engagement and supports their desire to reintegrate socially, aligning with their expressed goal of wanting to 'do things again.'
Question 4 of 5
A 20-year-old client diagnosed with paranoid schizophrenia is recovering from a psychotic break. Before discharge from the hospital, the client becomes depressed and states, 'I don't want this illness. I'm about to begin my junior year in college.' Which of the following issues would be most important for the nurses to address at this time?
Correct Answer: D
Rationale: Medication non-compliance is critical to address to prevent relapse, especially given the client's distress.
Question 5 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.