NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse discovers that an adolescent client with anorexia nervosa is taking diet pills rather than complying with the diet. What should the nurse do first?
Correct Answer: B
Rationale: Listening to the client's fears addresses the underlying emotional issues driving the behavior, which is the priority.
Question 2 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.
Question 3 of 5
Which parental characteristic is least likely to be a risk factor for child abuse?
Correct Answer: D
Rationale: Being a member of a large family is not a direct risk factor for abuse, unlike the other characteristics, which are associated with increased risk.
Question 4 of 5
As hospital-based care has become more oriented to crisis intervention, criteria for admission to the hospital have also changed. Which clients have priority for admission to an acute care facility? Select all that apply.
Correct Answer: B,C,D
Rationale: Acutely psychotic clients (
B), acutely depressed clients (
C), and those dangerous to self or others (
D) require urgent stabilization, prioritizing them for admission to manage acute symptoms and ensure safety.
Question 5 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.