NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
The client hospitalized for diagnosis and treatment of atrial fibrillation states to the nurse, 'Please hand me the telephone. I need to check on my stocks and bonds.' Which of the following responses by the nurse is most therapeutic?
Correct Answer: B
Rationale: Asking to discuss what the call means is therapeutic, as it explores the client's priorities and feelings without judgment, promoting understanding. The other responses are confrontational or dismissive, potentially escalating anxiety or shutting down communication.
Question 2 of 5
After a few minutes of conversation, a female client who is depressed wearily asks the nurse, 'Why pick me to talk to? Go talk to someone else.' Which of the following replies by the nurse is best?
Correct Answer: D
Rationale: Expressing genuine interest validates the client's worth and fosters a therapeutic relationship.
Question 3 of 5
A young client diagnosed with paranoid schizophrenia is talking with the nurse. 'You know, when I thought everyone was out to get me, I was staying in my apartment all the time. Now, I'd like to get out and do things again.' What is the best initial response by the nurse?
Correct Answer: C
Rationale: Focusing on the client's interests encourages engagement and supports their desire to reintegrate socially, aligning with their expressed goal of wanting to 'do things again.'
Question 4 of 5
A client with Alzheimer's disease is disoriented at night. Which intervention is most effective?
Correct Answer: B
Rationale: A nightlight and consistent routine reduce disorientation and promote safety without relying on medication or excessive restrictions.
Question 5 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.