NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
What statement indicates the need for further assessment of the client's body image?
Correct Answer: D
Rationale: The client expressing doubts about his wife's response to his amputation as well as possible doubt on his part is still struggling with body image issues. Looking forward to participating in walk-a-thons and helping others indicate plans for the future that show an acceptance of his amputee status. Remembering that his friend died in the accident that caused his amputation indicates that the client is aware that there was a worse end result to the accident than his amputation.
Question 2 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 3 of 5
A client with an Axis II diagnosis of antisocial personality disorder has a potential for violence and aggressive behavior. Which of the following client outcomes to be accomplished in the short term is most appropriate for the nurse to include in the plan of care?
Correct Answer: B
Rationale: Discussing feelings of anger with staff is the most appropriate short-term outcome, as it promotes safe expression of emotions and builds trust, reducing the risk of aggressive outbursts.
Question 4 of 5
A client states, 'I'm so tired of living and just want to end it all.' Which of the following responses is most therapeutic?
Correct Answer: C
Rationale: Acknowledging the client's pain and offering support is therapeutic and validating.
Question 5 of 5
A client has been in the critical care unit for 3 days following a severe myocardial infarction. Although he is medically stable, he has begun to have fluctuating episodes of consciousness, illogical thinking, and anxiety. He is picking at the air to 'catch these baby angels flying around my head.' While waiting for medical and psychiatric results, the nurse must intervene with the client's needs. Which of the following needs have the highest priority? Select all that apply.
Correct Answer: A,B,D
Rationale: Reducing stimuli (
A) minimizes confusion, avoiding challenges to hallucinations (
B) prevents agitation, and gently presenting reality (
D) supports orientation without confrontation. Assuming dementia (E) is premature, and orienting to medical condition (
C) may overwhelm the client.