Questions 74

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NCLEX RN Mental Health Questions Questions

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Question 1 of 5

The nurse is planning care with a Mexican American client who is diagnosed with depression. The client believes in 'mal ojo' (the evil eye), and uses treatment by a root healer. The nurse should do which of the following?

Correct Answer: D

Rationale: Involving the root healer respects the client's cultural beliefs and facilitates a collaborative approach, enhancing trust and adherence to the treatment plan.

Question 2 of 5

A client diagnosed with pain disorder is talking with the nurse about fishing when he suddenly reverts to talking about the pain in his arm. Which of the following should the nurse do next?

Correct Answer: D

Rationale: Redirecting back to fishing is appropriate, as it reinforces positive engagement and discourages focus on pain, a common strategy in managing pain disorder.

Question 3 of 5

The client is laughing and telling jokes to a group of clients. Suddenly, the client is crying and talking about a death in the family. A moment later, the client is laughing and joking again. The nurse should:

Correct Answer: D

Rationale: Redirecting to a quiet area allows assessment of labile mood and de-escalation.

Question 4 of 5

When a client who exhibits feelings of inferiority is asked to attend group activities, she gets more anxious. Within 10 minutes, she begins ridiculing others in the group and receives negative attention. Which of the following statements best reflects the nurse's interpretation of the client's behavior? Select all that apply.

Correct Answer: A,B,C

Rationale: Increased anxiety can lead to defensive behaviors like ridiculing others (
A). Negative attention can reinforce such behaviors (
B), and for some clients, any attention is preferable to none (
C). Excluding the client (
D) or assuming medication is needed (E) does not address the underlying behavior dynamics.

Question 5 of 5

A client with schizophrenia refuses medication, stating, 'It makes me feel like a zombie.' What is the nurse's best response?

Correct Answer: A

Rationale: Discussing the medication's benefits encourages adherence while addressing the client's concerns, fostering collaboration.

Similar Questions

The nurse meets with the mother of a child diagnosed with attention deficit hyperactivity disorder. The mother states, 'I feel so guilty that he has this disease, like I did something wrong. I feel like I need to be with him constantly in order for him to get better. But still sometimes I feel like I'm going to lose control and hurt him.' The nurse should suggest which of the following to the mother?
A client diagnosed with Undifferentiated Schizophrenia gained 50 lb in 6 months while taking olanzapine (Zyprexa). After seeing her psychiatrist who changed the medication to ziprasidone (Geodon), the client tells the nurse, 'I don't want to take this Geodon either. I can't gain any more weight.' Which response by the nurse is most appropriate for this client?
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?
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?
The nurse is with the parents of a 16-year-old boy who recently attempted suicide. The nurse cautions the parents to be especially alert for which of the following?

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