NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
The client with bipolar disorder, manic phase, states, 'You're looking good. I'm taking you out to dinner.' Which of the following replies by the nurse is most therapeutic?
Correct Answer: D
Rationale: Reintroducing professional boundaries calmly redirects the client's inappropriate advance.
Question 2 of 5
The client is laughing and telling jokes to a group of clients. Suddenly, the client is crying and talking about a death in the family. A moment later, the client is laughing and joking again. The nurse should:
Correct Answer: D
Rationale: Redirecting to a quiet area allows assessment of labile mood and de-escalation.
Question 3 of 5
The nurse meets with the mother of a child diagnosed with attention deficit hyperactivity disorder. The mother states, 'I feel so guilty that he has this disease, like I did something wrong. I feel like I need to be with him constantly in order for him to get better. But still sometimes I feel like I'm going to lose control and hurt him.' The nurse should suggest which of the following to the mother?
Correct Answer: A
Rationale: Respite care provides the mother with breaks, reducing stress and the risk of losing control, while supporting her ability to care for her child.
Question 4 of 5
A client in crisis after losing their home to foreclosure is tearful and withdrawn. Which nursing diagnosis is the priority?
Correct Answer: A
Rationale: Hopelessness is the priority due to the client's tearful and withdrawn behavior, indicating a significant emotional impact from the loss. Ineffective coping, anxiety, and social interaction risks are relevant but secondary to addressing hopelessness.
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.