Questions 74

NCLEX-RN

NCLEX-RN Test Bank

Mental Health RN NCLEX Questions Questions

Extract:


Question 1 of 5

In a family education group for those who have relatives with paranoid schizophrenia, which of the following statements by a family member indicates a need for further teaching about symptom management?

Correct Answer: B

Rationale: Pushing clients to socialize may increase stress and exacerbate symptoms like hallucinations, indicating a misunderstanding of symptom management. The other statements reflect appropriate strategies for managing overwhelm, negative symptoms, and hallucinations.

Question 2 of 5

A client with suspected abuse describes her husband as a good man who works hard and provides well for his family. She does not work outside the home and states that she is proud to be a wife and mother will be taken to the client. The nurse interprets the family pattern described by the client as best illustrating which of the following as characteristic of abusive families?

Correct Answer: C

Rationale: The client's description of rigid gender roles (husband as provider, wife as homemaker) suggests role stereotyping, which is common in abusive families where traditional roles may reinforce power imbalances.

Question 3 of 5

When preparing the teaching plan for a client who is to start clozapine (Clozaril), which of the following is crucial to include?

Correct Answer: D

Rationale: Clozapine carries a risk of agranulocytosis, requiring weekly blood tests to monitor white blood cell counts, making this the most critical teaching point for client safety.

Question 4 of 5

In which of the following situations can a client's confidentiality be breached legally?

Correct Answer: C

Rationale: Confidentiality can be breached legally when there is a duty to warn, such as when a client threatens harm to others, as this prioritizes public safety. Sharing with a spouse, in a student paper, or with an employer violates confidentiality unless specific consent is given.

Question 5 of 5

After administering naloxone (Narcan), an opioid antagonist, the nurse should monitor the client carefully for which of the following?

Correct Answer: D

Rationale: Naloxone can precipitate withdrawal, and its effects may wear off, leading to recurrent respiratory depression, which requires close monitoring.

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