NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 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 2 of 5
A client with a long history of paranoid schizophrenia is readmitted voluntarily after missing his last two injections of haloperidol decanoate (Haldol Decanoate). He reports, 'I'm not sleeping much and my friend says I smell from not showering. God is telling me to protect myself from others. My parents are sick and tired of me and my illness. They wish I were dead.' Which of the following admission notes by the nurse contains assumptions and potentially false accusations? Select all that apply.
Correct Answer: A,C,E
Rationale: The notes in A, C, and E make assumptions: A assumes noncompliance caused all symptoms and misinterprets the parents' intentions; C assumes a strained relationship and parental wishes without evidence; E falsely states medication was missed for 2 days and assumes parental abuse without substantiation.
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 is being discharged after 3 days of hospitalization for a suicide attempt that followed the loss of a job. Which of the following should be the nurse's priority action before discharge?
Correct Answer: C
Rationale: Ensuring a follow-up appointment with a mental health provider is the priority to maintain continuity of care and monitor the client's suicide risk post-discharge. Increasing medication requires a physician's order and careful evaluation, community support groups are secondary, and avoiding work activities is unrealistic and not directly tied to immediate safety.
Question 5 of 5
The family of a client, diagnosed with Alzheimer's disease, wants to keep the client at home. They say that they have the most difficulty in managing his wandering. The nurse should suggest the family to do which of the following? (Select all that apply).
Correct Answer: B,D,E
Rationale: Motion and sound detectors (
B), a Medical Alert bracelet (
D), and door alarms with high locks (E) enhance safety by preventing or alerting to wandering, a common Alzheimer's behavior.