NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
During the third session with the nurse, a client who is being abused states, 'I don't know what to do anymore. He doesn't want me to go anywhere while he's at work, not even to visit my friends.' Which nursing diagnosis should the nurse formulate regarding this information?
Correct Answer: C
Rationale: The client's statement reflects a loss of control over her actions due to her husband's restrictions, making powerlessness the most appropriate nursing diagnosis.
Question 2 of 5
Which of the following should the nurse expect to include as a priority in the plan of care for a client with delirium based on the nurse's understanding about the disturbances in orientation associated with this disorder?
Correct Answer: A
Rationale: Identifying self and ensuring the client's attention helps reorient the client and establishes a connection, addressing the disorientation common in delirium.
Question 3 of 5
A client with acute mania exhibits euphoria, pressured speech, and flight of ideas. The client has been talking to the nurse non-stop for 5 minutes. Which of the following should the nurse do next?
Correct Answer: A
Rationale: Redirecting to a structured activity like lunch helps manage flight of ideas and reduces stimulation.
Question 4 of 5
The client with diagnosed borderline personality disorder tells the nurse, 'You're the best nurse here. I can talk to you and you listen. You're the only one here that can help me.' Which of the following responses by the nurse is most therapeutic?
Correct Answer: B
Rationale: Saying 'All of the nurses here provide good care' is therapeutic as it gently counters the client's idealization, promotes a realistic view of the care team, and maintains professional boundaries.
Question 5 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.