NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
For the client who has difficulty falling asleep at night because of withdrawal symptoms from alcohol, which are abating, which of the following nursing interventions is likely to be most effective?
Correct Answer: D
Rationale: Teaching relaxation exercises is most effective, as it addresses insomnia by reducing anxiety and promoting self-management, directly targeting withdrawal-related sleep issues.
Question 2 of 5
The nurse meets with the mother of a child diagnosed with attention deficit hyperactivity disorder. The mother states, 'I feel so guilty that he has this disease, like I did something wrong. I feel like I need to be with him constantly in order for him to get better. But still sometimes I feel like I'm going to lose control and hurt him.' The nurse should suggest which of the following to the mother?
Correct Answer: A
Rationale: Respite care provides the mother with breaks, reducing stress and the risk of losing control, while supporting her ability to care for her child.
Question 3 of 5
A client diagnosed with Undifferentiated Schizophrenia gained 50 lb in 6 months while taking olanzapine (Zyprexa). After seeing her psychiatrist who changed the medication to ziprasidone (Geodon), the client tells the nurse, 'I don't want to take this Geodon either. I can't gain any more weight.' Which response by the nurse is most appropriate for this client?
Correct Answer: A
Rationale: Addressing the client's concern about weight gain by noting that ziprasidone is associated with less weight gain than olanzapine provides reassurance and encourages adherence.
Question 4 of 5
While conducting a home visit for a client diagnosed with paranoid schizophrenia discharged 1 week ago, the client's mother tearfully states, 'I can hardly sleep because I'm so worried about my daughter. I'm afraid to leave her alone in the house. What if something should happen while I'm gone?' Which of the following problems related to the caregiver would be the most inclusive one for the nurse to incorporate into the client's plan of care?
Correct Answer: A
Rationale: Caregiver role strain encompasses the mother's anxiety, fear, and sleep disturbances, as it reflects the overall burden of caregiving, making it the most inclusive problem to address.
Question 5 of 5
A client is to be discharged from an alcohol rehabilitation program. Which of the following should the nurse emphasize in the discharge plan as a priority?
Correct Answer: D
Rationale: Follow-up care is the priority, as it ensures ongoing support, monitoring, and resources to maintain sobriety and prevent relapse post-discharge.