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Psychiatric Mental Health Nursing NCLEX RN Questions Questions

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Question 1 of 5

The client with Alzheimer's disease may have delusions about being harmed by staff and others. When the client expresses fear of being killed by staff, which of the following responses is most appropriate?

Correct Answer: C

Rationale: Reorienting the client to the hospital setting and the nurse's role as helpers gently counters the delusion without confrontation, promoting trust and safety.

Question 2 of 5

A client with Alzheimer's disease is hoarding objects. What should the nurse do?

Correct Answer: B

Rationale: Allowing a few safe items satisfies the client's need to hoard while ensuring safety, reducing distress.

Question 3 of 5

A client is diagnosed with Generalized Anxiety Disorder (GAD) and given a prescription for venlafaxine (Effexor). Which of the following information should be included in the teaching plan for this client? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Include anxiety reduction strategies, Effexor's benefits/mechanisms, side effect management, and adaptive coping. Effexor doesn't eliminate anxiety completely, and effects take weeks.

Question 4 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.

Question 5 of 5

The client with mania is irritable and insulting to a nursing assistant. The nursing assistant states, 'I can't believe Mark is so rude. Shouldn't he be overly happy?' Which of the following responses by the nurse should help the nursing assistant understand the client's behavior?

Correct Answer: D

Rationale: Explaining irritability as a symptom of mania helps the assistant understand and respond appropriately.

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