NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 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.
Question 2 of 5
A client with dementia who prefers to stay in his room has been brought to the dayroom. After 10 minutes, the client becomes agitated and retreats to his room again. The nurse decides to assess the conditions in the dayroom. Which is the most likely occurrence that is disturbing to this client?
Correct Answer: C
Rationale: Conflicting stimuli, such as a relaxation tape and a crime show on TV, can overwhelm a client with dementia, causing agitation due to difficulty processing multiple inputs.
Question 3 of 5
When planning care for a client diagnosed with schizotypal personality disorder, which of the following helps the client become involved with others?
Correct Answer: B
Rationale: One-to-one activities are most appropriate for a client with schizotypal personality disorder, as they reduce social overload and allow for gradual, comfortable interaction, aligning with their preference for limited social engagement.
Question 4 of 5
The client approaches various staff with numerous requests and needs to the point of disrupting the staff's work with other clients. The nurse meets with the staff to decide on a consistent, therapeutic approach for this client. Which of the following approaches will be most effective?
Correct Answer: D
Rationale: Having the client address needs to the assigned staff person ensures consistency, reduces manipulation, and maintains therapeutic boundaries, effectively managing the client's disruptive behavior.
Question 5 of 5
Which of the following behaviors indicates to the nurse that the client diagnosed with avoidant personality disorder is improving?
Correct Answer: A
Rationale: Playing cards with peers indicates improvement, as it shows the client is engaging socially, overcoming fears of rejection, and participating in group interactions.