Questions 73

NCLEX-RN

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NCLEX-RN Mental Health Questions

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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 lack of control over her actions due to her husband's restrictions, which aligns with the nursing diagnosis of powerlessness.

Question 2 of 5

A family, including an 8-year-old boy and a 13-year-old girl, have been long-time members of a cult. The girl ran away to her aunt's house and is admitted to the psychiatric unit with trauma-related symptoms. Which of the following is the nurse's priority nursing diagnosis?

Correct Answer: A

Rationale: Post-trauma syndrome is the priority diagnosis due to the girl's trauma-related symptoms, which pose immediate psychological and safety concerns. Impaired parenting, deficient knowledge, and social isolation are relevant but secondary to addressing her acute trauma.

Question 3 of 5

A client with acute mania fails to respond to a nurse's interventions to decrease his agitation. The nurse has attempted to defuse the client's anger, but the client refuses to participate in interventions that would lower anxiety. Which action should the nurse take next?

Correct Answer: C

Rationale: Administering PRN medication is the least restrictive intervention to reduce agitation.

Question 4 of 5

A client with panic disorder is taking alprazolam (Xanax) 1 mg P.O. three times daily. The nurse understands that this medication is effective in blocking the symptoms of panic because of its specific action on which of the following neurotransmitters?

Correct Answer: A

Rationale: Alprazolam enhances GABA, reducing panic symptoms.

Question 5 of 5

A client states, 'I'm so tired of living and just want to end it all.' Which of the following responses is most therapeutic?

Correct Answer: C

Rationale: Acknowledging the client's pain and offering support is therapeutic and validating.

Similar Questions

A client with paranoid schizophrenia refuses to eat, stating, 'The food is laced with poison.' Which nursing intervention is most appropriate initially?
A client reports having blurred vision after 4 days of taking haloperidol (Haldol) 1 mg BID, and benztropine (Cogentin) 2 mg BID. The nurse contacts the physician to explain the situation, background, and the patient's disease, which information reported to the physician is the assessment of the situation?
The wife of a client diagnosed with paranoid schizophrenia visits 2 days after her husband's admission and states to the nurse, 'Why isn't he eating? He's still talking about his food being poisoned.' Which of the following appraisals by the nurse is most accurate?
After the nurse teaches a client with bipolar disorder about lithium therapy, which of the following client statements indicates the need for additional teaching?
When caring for a client who has overdosed on phencyclidine (PCP), the nurse should be especially cautious about which of the following client behaviors?

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