NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
During the initial interview, a client with a compulsive eating disorder remarks, 'I can't stand myself and the way I look.' Which of the following statements by the nurse is most therapeutic?
Correct Answer: D
Rationale: Encouraging the client to express feelings promotes self-awareness and therapeutic exploration of body image issues.
Question 2 of 5
A client has been in the critical care unit for 3 days following a severe myocardial infarction. Although he is medically stable, he has begun to have fluctuating episodes of consciousness, illogical thinking, and anxiety. He is picking at the air to 'catch these baby angels flying around my head.' While waiting for medical and psychiatric results, the nurse must intervene with the client's needs. Which of the following needs have the highest priority? Select all that apply.
Correct Answer: A,B,D
Rationale: Reducing stimuli (
A) minimizes confusion, avoiding challenges to hallucinations (
B) prevents agitation, and gently presenting reality (
D) supports orientation without confrontation. Assuming dementia (E) is premature, and orienting to medical condition (
C) may overwhelm the client.
Question 3 of 5
A nurse is assessing a 16-year-old client with suspected bulimia nervosa. Which of the following findings should the nurse expect? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Bulimia is characterized by normal weight, tooth enamel erosion from vomiting, calluses on knuckles from purging, and often excessive exercise to control weight. Fasting is more typical of anorexia.
Question 4 of 5
What statement indicates the need for further assessment of the client's body image?
Correct Answer: D
Rationale: The client expressing doubts about his wife's response to his amputation as well as possible doubt on his part is still struggling with body image issues. Looking forward to participating in walk-a-thons and helping others indicate plans for the future that show an acceptance of his amputee status. Remembering that his friend died in the accident that caused his amputation indicates that the client is aware that there was a worse end result to the accident than his amputation.
Question 5 of 5
When obtaining a nursing history from parents who are suspected of abusing their child, which of the following characteristics about the parents should the nurse particularly assess?
Correct Answer: D
Rationale: Difficulty controlling aggression is a key risk factor for abuse and should be carefully assessed.