Questions 74

NCLEX-RN

Home > NCLEX-RN > RN Mental Health > NCLEX RN Mental Health Questions
NCLEX-RN Test Bank

NCLEX RN Mental Health Questions Questions

Extract:


Question 1 of 5

Nursing interventions with an anxious client change as the anxiety level increases. At a low level of anxiety, the primary focus of interventions is on which of the following?

Correct Answer: B

Rationale: At a low level of anxiety, the client is capable of learning and problem solving, and interventions should focus on enhancing these abilities to manage anxiety effectively. Taking control is more appropriate for higher anxiety levels, reducing stimuli is for moderate to severe anxiety, and tension reduction activities are for managing physical symptoms rather than cognitive focus.

Question 2 of 5

A client reports that men in blue clothes keep looking in her window and talking about her. Which of the following responses by the nurse is most uncommitted?

Correct Answer: C

Rationale: Suggesting a distraction like playing cards is a neutral, non-confrontational response that avoids challenging or reinforcing the delusion, making it the most uncommitted approach.

Question 3 of 5

After a client reveals a history of childhood sexual abuse, the nurse should ask which of the following questions first?

Correct Answer: D

Rationale: Asking about the abuser's current access to children prioritizes safety and potential ongoing risk to others.

Question 4 of 5

Three months after the death of her husband in an automobile accident, a client is admitted to the hospital after attempting to overdose on her antidepressant. She states, 'I can't live without him. It's no use.' Which of the following nursing diagnoses is the priority in the client's plan of care?

Correct Answer: D

Rationale: Risk for self-directed violence is the priority due to the recent suicide attempt and expressed desire to die, posing an immediate safety concern. Complicated grieving, powerlessness, and hopelessness are relevant but secondary to ensuring safety.

Question 5 of 5

A client is brought to the emergency department (ED) by a friend who states that the client recently ran out of his phenytoin (Dilantin) and has been having a grand mal seizure for the last 10 minutes. The nurse observes that the client is still seizing. The nurse should do the following in order of priority from first to last?

Order the Items

Source Container

Monitor the client's safety and place seizure pads on the cart rails.
Record the time, duration and nature of the seizures.
Page the ED physician and prepare to give diazepam (Valium) intravenously.
Ask the friend about the client's medical history and current medications.

Correct Answer: A,C,B,D

Rationale: First ensure safety with seizure pads, then prepare diazepam, record seizure details, and gather history.

Similar Questions

A client is taking diazepam (Valium) for generalized anxiety disorder. Which instruction should the nurse give to this client? Select all that apply.
A client diagnosed with pain disorder is talking with the nurse about fishing when he suddenly reverts to talking about the pain in his arm. Which of the following should the nurse do next?
A client has been taking increased amounts of alprazolam (Xanax) for about 6 months for anxiety. She asks the nurse how she can 'get off the Xanax.' The most accurate answer by the nurse is which of the following?
A client diagnosed with schizophrenia for the last two years tells the nurse who has brought the morning medications 'That is not my pill! My pill is blue, not red.' The client refuses to take it. The best response by the nurse is:
A client is taking diazepam (Valium) for generalized anxiety disorder. Which instruction should the nurse give to this client? Select all that apply.

Access More Questions!

NCLEX RN Basic

$89/ 30 days

 

NCLEX RN Premium

$150/ 90 days