NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
The client sees no connection between her liver disorder and her alcohol intake. She believes that she drinks very little and that her family is making something out of nothing. The nurse interprets these behaviors as indicative of which of the following defense mechanisms?
Correct Answer: A
Rationale: The client's behavior indicates denial, as she refuses to acknowledge the link between her alcohol use and liver disorder, minimizing the problem.
Question 2 of 5
One evening the client takes the nurse aside and whispers, 'Don't tell anybody, but I'm going to call in a bomb threat to this hospital tonight.' Which of the following actions is the priority?
Correct Answer: D
Rationale: Explaining that the information must be shared immediately prioritizes safety, as the threat poses a serious risk to the hospital, requiring prompt reporting to ensure protection.
Question 3 of 5
A client with paranoid schizophrenia is isolative. Which intervention is most effective?
Correct Answer: B
Rationale: One-on-one activities build trust gradually, encouraging engagement without overwhelming the client.
Question 4 of 5
The client with depression has been consistent with taking 12.5 mg of paroxetine (Paxil) extended release daily. The nurse judges the client to be benefiting from this drug therapy when the client demonstrates which of the following behaviors? Select all that apply.
Correct Answer: B, C, D
Rationale: Completing tasks, reduced agitation (pacing), and expressing feelings indicate improved depression symptoms.
Question 5 of 5
When conducting a mental status examination with a newly admitted client who has an Axis I diagnosis of paranoid schizophrenia, the client states, 'I'm being followed; it's not safe. They're monitoring my every move.' In which of the following areas of the mental status examination should be the mental status examined.
Correct Answer: A
Rationale: The client's statement reflects paranoid delusions, which are assessed under thought content in a mental status examination, as this area evaluates the presence of delusions or hallucinations.