NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
The client approaches various staff with numerous requests and needs to the point of disrupting the staff's work with other clients. The nurse meets with the staff to decide on a consistent, therapeutic approach for this client. Which of the following approaches will be most effective?
Correct Answer: D
Rationale: Having the client address needs to the assigned staff person ensures consistency, reduces manipulation, and maintains therapeutic boundaries, effectively managing the client's disruptive behavior.
Question 2 of 5
Which of the following is a realistic short-term goal to be accomplished in 2 to 3 days for a client with delirium?
Correct Answer: C
Rationale: Regaining orientation to time and place within 2 to 3 days is a realistic goal for delirium, as treating the underlying cause can lead to rapid improvement in cognitive function.
Question 3 of 5
A married female client has been referred to the mental health center because she is depressed. The nurse notices bruises on her upper arms and asks about them. After denying any problems, the client starts to cry and says, 'He didn't really mean to hurt me, but I hate for the kids to see this. I'm so worried about them.' Which of the following is the most crucial information for the nurse to determine?
Correct Answer: B
Rationale: The priority in cases of suspected abuse is to assess for immediate safety risks to the client and her children, as this determines the urgency and type of intervention needed.
Question 4 of 5
The nurse is with the parents of a 16-year-old boy who recently attempted suicide. The nurse cautions the parents to be especially alert for which of the following?
Correct Answer: C
Rationale: Giving away valued items is a warning sign of suicidal intent, requiring immediate attention.
Question 5 of 5
The nurse identifies a nursing diagnosis of Dressing or grooming self-care deficit related to apathy, as evidenced by an inability to shower and dress herself for a female client diagnosed with schizophrenia. When planning care for this client, which of the following outcomes should the nurse expect the client to meet in a specified number of days?
Correct Answer: D
Rationale: The outcome of performing showering and dressing addresses the self-care deficit directly, focusing on functional improvement, which is the goal of the nursing diagnosis.