NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
In addition to teaching assertiveness and problem-solving skills when helping the client cope effectively with stress and anxiety, the nurse should also address the client's ability to:
Correct Answer: D
Rationale: Conflict resolution skills are essential for managing stress and anxiety in interpersonal situations, complementing assertiveness and problem-solving skills. Suppressing anger is not constructive, balancing a checkbook is unrelated to stress management, and following directions is too narrow a skill for this context.
Question 2 of 5
A client has been admitted to the emergency department with alcohol withdrawal delirium. At 9 a.m. on 10/25, the nurse notes that the client is confused. His vital signs are T=99°F, P=50, R=10, and BP=100/60. The nurse compares these findings to the nurses' progress notes from admission 24 hours ago. What should the nurse do first?
Correct Answer: C
Rationale: Attempting to arouse the client is the first action, as it assesses the level of consciousness and responsiveness, critical in determining the severity of delirium and guiding further interventions.
Question 3 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.
Question 4 of 5
A client who is pacing and wringing his hands states, 'I just need to walk' when questioned by the nurse about what he is feeling. Which of the following responses by the nurse is most therapeutic?
Correct Answer: B
Rationale: Asking 'Are you feeling anxious?' is therapeutic, as it directly addresses the client's observable signs of anxiety, encouraging verbalization and engagement.
Question 5 of 5
After months of counseling, a client abused by her husband tells the nurse that she has decided to stop treatment. There has been no abuse during this issue, and she feels better the nurse. In the needs of her husband and children. In discussing this decision with the client, the nurse should:
Correct Answer: B
Rationale: Exploring the client's rationale respects her autonomy and helps the nurse understand her decision-making process, which is essential for providing client-centered care.