NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is conducting a quality improvement audit on the psychiatric unit. Which of the following findings indicates a need for corrective action?
Correct Answer: C
Rationale: Allowing a client with depression to keep a razor in their room poses a safety risk, indicating a need for corrective action.
Question 2 of 5
A client with schizophrenia is admitted with catatonic stupor. Which of the following interventions should the nurse prioritize?
Correct Answer: B
Rationale: Monitoring nutrition and hydration is critical in catatonic stupor, as immobility can lead to dehydration or malnutrition.
Question 3 of 5
A client is becoming agitated during a discussion: 'The client is the same, “I know that the nurse.' She leaves the group and goes to her room. Which action by the nurse is most therapeutic for the client?
Correct Answer: A
Rationale: Approaching the client individually after the group allows her to process her agitation in a safe, private setting, reducing potential embarrassment and fostering trust.
Question 4 of 5
When conducting a mental status examination with a newly admitted client who has an Axis I diagnosis of paranoid schizophrenia, the client states, 'I'm being followed; it's not safe. They're monitoring my every move.' In which of the following areas of the mental status examination should be the mental status examined.
Correct Answer: A
Rationale: The client's statement reflects paranoid delusions, which are assessed under thought content in a mental status examination, as this area evaluates the presence of delusions or hallucinations.
Question 5 of 5
When preparing the teaching plan for a client who is to start clozapine (Clozaril), which of the following is crucial to include?
Correct Answer: D
Rationale: Clozapine carries a risk of agranulocytosis, requiring weekly blood tests to monitor white blood cell counts, making this the most critical teaching point for client safety.