Questions 74

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NCLEX RN Mental Health Questions Questions

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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?

Correct Answer: C

Rationale: Giving away valued items is a warning sign of suicidal intent, requiring immediate attention.

Question 2 of 5

Nursing interventions with an anxious client change as the anxiety level increases. At a low level of anxiety, the primary focus of interventions is on which of the following?

Correct Answer: B

Rationale: At a low level of anxiety, the client is capable of learning and problem solving, and interventions should focus on enhancing these abilities to manage anxiety effectively. Taking control is more appropriate for higher anxiety levels, reducing stimuli is for moderate to severe anxiety, and tension reduction activities are for managing physical symptoms rather than cognitive focus.

Question 3 of 5

A client with dementia is resistant to dressing. Which approach should the nurse use?

Correct Answer: B

Rationale: Offering a choice between two outfits empowers the client and reduces resistance, making the task more manageable.

Question 4 of 5

A married female client has been referred to the mental health center because she is depressed. The nurse notices bruises on her upper arms and asks about them. After denying any problems, the client starts to cry and says, 'He didn't really mean to hurt me, but I hate for the kids to see this. I'm so worried about them.' Which of the following is the most crucial information for the nurse to determine?

Correct Answer: B

Rationale: The priority in cases of suspected abuse is to assess for immediate safety risks to the client and her children, as this determines the urgency and type of intervention needed.

Question 5 of 5

A client diagnosed with schizophrenia for the last two years tells the nurse who has brought the morning medications 'That is not my pill! My pill is blue, not red.' The client refuses to take it. The best response by the nurse is:

Correct Answer: C

Rationale: Verifying the medication's appearance ensures safety and builds trust with the client.

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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.
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