Questions 74

NCLEX-RN

NCLEX-RN Test Bank

Mental Health RN NCLEX Questions Questions

Extract:


Question 1 of 5

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 the nurse's support.

Correct Answer: C

Rationale: Giving away valued items is a warning sign of suicidal intent, indicating the need for immediate intervention.

Question 2 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 3 of 5

One evening the client takes the nurse aside and whispers, 'Don't tell anybody, but I'm going to call in a bomb threat to this hospital tonight.' Which of the following actions is the priority?

Correct Answer: D

Rationale: Explaining that the information must be shared immediately prioritizes safety, as the threat poses a serious risk to the hospital, requiring prompt reporting to ensure protection.

Question 4 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 5 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.

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