NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 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 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 split off from a conservative religious group. The girl ran away from the group's compound to her aunt's house. The aunt brought the girl to the emergency... [incomplete]. She is admitted to the unit because of many trauma-related symptoms. The nurse should take which of the following actions? Select all that apply.
Correct Answer: B,C,D,E,F
Rationale: The nurse should teach emotion management (
B), assess for injuries and health risks (
C), teach control of self-destructive behaviors (
D), obtain a drug screen and urinalysis (E), and help process emotions (F) to address her trauma comprehensively. A teen discussion group (
A) may be premature and potentially distressing without initial stabilization.
Question 3 of 5
A client is complaining to other clients about not being allowed by staff to keep food in her room. The nurse should:
Correct Answer: B
Rationale: Setting limits on the behavior is appropriate, as it addresses the client's disruptive actions while maintaining a therapeutic environment. It encourages adherence to unit rules without escalating conflict.
Question 4 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 5 of 5
Which of the following statements indicates to the nurse that the client is progressing toward recovery from a somatoform disorder?
Correct Answer: A
Rationale: Saying 'Pain feels worse when worried about my divorce' indicates progress, as it shows insight into the link between emotional stress and physical symptoms.