NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
The nurse is speaking to a sixth grade class about drugs. A student states, 'I know someone who smokes marijuana and he says it's safe.' The nurse should tell the student:
Correct Answer: A
Rationale: Saying 'Marijuana isn't safe and it is illegal' is accurate, addressing the student's misconception directly and emphasizing legal and health risks.
Question 2 of 5
A client refuses medication, stating, 'It makes me feel worse.' Which is the nurse's best response?
Correct Answer: B
Rationale: Asking about the client's experience encourages dialogue, identifies side effects, and informs the care plan. Forcing compliance, reporting refusal, or changing timing without understanding the issue is less therapeutic.
Question 3 of 5
A client in the emergency department tells the nurse that he 'sees sounds and hears colors' as a result of using lysergic acid diethylamide (LSD). He also has been used to which of the following? Select all that apply.
Correct Answer: B,D,E,F
Rationale: LSD overdose requires reducing stimuli, monitoring vital signs, talking reassuringly, and possibly administering lorazepam for anxiety. Vomiting is not induced, and restraints are avoided unless necessary.
Question 4 of 5
When teaching a nursing assistant new to the unit about the principles for the care of a client diagnosed with a personality disorder, the nurse should explain that:
Correct Answer: B
Rationale: Explaining that clients need limits on their behavior is key, as it addresses the need for structure and boundaries to manage maladaptive behaviors effectively.
Question 5 of 5
A week ago, a tornado destroyed the client's home and seriously injured her husband. The client has been walking around the hospital in a daze without any outward display of emotions. She tells the nurse that she feels like she's going crazy. Which of the following actions should the nurse use first?
Correct Answer: B
Rationale: Reassuring that her feelings are typical reactions to trauma is first, as it normalizes her experience, reduces fear, and builds trust.