NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
The client in the early stage of Alzheimer's disease and his adult son attend an appointment at the community mental health center. While conversing with the nurse, the son states, 'I'm tired of hearing about how things were 30 years ago. Why does Dad always talk about the past?' The nurse should tell the son:
Correct Answer: A
Rationale: In early Alzheimer's, short-term memory is impaired, but long-term memory remains intact, explaining the client's focus on past events.
Question 2 of 5
A client with acute mania exhibits euphoria, pressured speech, and flight of ideas. The client has been talking to the nurse non-stop for 5 minutes. Which of the following should the nurse do next?
Correct Answer: A
Rationale: Redirecting to a structured activity like lunch helps manage flight of ideas and reduces stimulation.
Question 3 of 5
A nurse is conducting a psychoeducational group for family members of clients hospitalized with depression. Which family member's statement indicates a need for additional teaching?
Correct Answer: C
Rationale: Depression requires ongoing outpatient care to prevent relapse, not just when symptoms reappear.
Question 4 of 5
A client known to have alcohol dependence is admitted to the emergency department with a temperature of 99°F, a pulse of 110, respirations of 26, and blood pressure of 150/98. The blood alcohol level is 0.25%, three times the legal limit. Now the client is becoming belligerent and uncooperative. In which order from first to last should the following nursing and medical orders be implemented?
Order the Items
Source Container
Correct Answer: D, A, C, B
Rationale: The order is: 1) Place the client in a quiet room to reduce stimulation and agitation (
D). 2) Administer lorazepam to manage belligerence and withdrawal symptoms (
A). 3) Take vital signs every 15 minutes to monitor stability (
C). 4) Draw blood for magnesium level to assess electrolyte status (
B). This prioritizes de-escalation, symptom management, monitoring, and diagnostics.
Question 5 of 5
As hospital-based care has become more oriented to crisis intervention, criteria for admission to the hospital have also changed. Which clients have priority for admission to an acute care facility? Select all that apply.
Correct Answer: B,C,D
Rationale: Acutely psychotic clients (
B), acutely depressed clients (
C), and those dangerous to self or others (
D) require urgent stabilization, prioritizing them for admission to manage acute symptoms and ensure safety.