NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
The client with diagnosed borderline personality disorder tells the nurse, 'You're the best nurse here. I can talk to you and you listen. You're the only one here that can help me.' Which of the following responses by the nurse is most therapeutic?
Correct Answer: B
Rationale: Saying 'All of the nurses here provide good care' is therapeutic as it gently counters the client's idealization, promotes a realistic view of the care team, and maintains professional boundaries.
Question 2 of 5
A client with a history of angry outbursts is learning to identify triggers. Which activity should the nurse recommend?
Correct Answer: A
Rationale: Keeping a journal helps the client identify specific triggers for anger, enabling targeted interventions. Yoga and walking are helpful but less focused on trigger identification, and avoiding stress is unrealistic.
Question 3 of 5
The friend of a client with depression and suicidal ideation asks the nurse, 'How should I act around her?' Which of the following responses by the nurse is best?
Correct Answer: B
Rationale: Being caring and genuine fosters trust and supports the client's emotional needs.
Question 4 of 5
A client states to a nurse, 'Hey sweetie, you're looking good today.' Which of the following responses by the nurse is best?
Correct Answer: C
Rationale: Politely but firmly addressing inappropriate comments sets professional boundaries.
Question 5 of 5
A family, including an 8-year-old boy and a 13-year-old girl, have been long-time members of a cult split off from a conservative religious group. The girl ran away from the group's compound to her aunt's house. The aunt brought the girl to the emergency... [incomplete]. She is admitted to the unit because of many trauma-related symptoms. The nurse should take which of the following actions? Select all that apply.
Correct Answer: B,C,D,E,F
Rationale: The nurse should teach emotion management (
B), assess for injuries and health risks (
C), teach control of self-destructive behaviors (
D), obtain a drug screen and urinalysis (E), and help process emotions (F) to address her trauma comprehensively. A teen discussion group (
A) may be premature and potentially distressing without initial stabilization.