NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
The husband of a client to be discharged from the hospital after an episode of major depression and a suicide attempt asks, 'What can I do if she tries to kill herself again?' Which of the following responses is most appropriate?
Correct Answer: C
Rationale: Immediate professional intervention (doctor or E
D) is critical if suicidal behavior recurs.
Question 2 of 5
Nursing interventions with an anxious client change as the anxiety level increases. At a low level of anxiety, the primary focus of interventions is on which of the following?
Correct Answer: B
Rationale: At a low level of anxiety, the client is capable of learning and problem solving, and interventions should focus on enhancing these abilities to manage anxiety effectively. Taking control is more appropriate for higher anxiety levels, reducing stimuli is for moderate to severe anxiety, and tension reduction activities are for managing physical symptoms rather than cognitive focus.
Question 3 of 5
A 20-year-old client diagnosed with paranoid schizophrenia is recovering from a psychotic break. Before discharge from the hospital, the client becomes depressed and states, 'I don't want this illness. I'm about to begin my junior year in college.' Which of the following issues would be most important for the nurses to address at this time?
Correct Answer: D
Rationale: Medication non-compliance is critical to address to prevent relapse, especially given the client's distress.
Question 4 of 5
Despite education and role-play practice of restraint procedures, a staff member is injured when actually restraining a client. When helping the uninjured staff deal with the incident, the nurse should address which of the following about the injured member?
Correct Answer: A
Rationale: The nurse should address that the injured member's emotional responses may resemble those of crime victims, acknowledging potential trauma. Resignation is speculative, legal action is not the nurse's focus, and debriefing with the client is inappropriate and potentially harmful.
Question 5 of 5
A client has been taking increased amounts of alprazolam (Xanax) for about 6 months for anxiety. She asks the nurse how she can 'get off the Xanax.' The most accurate answer by the nurse is which of the following?
Correct Answer: C
Rationale: Tapering Xanax over 48 hours is accurate, as gradual reduction prevents withdrawal symptoms, given the client's prolonged use.