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NCLEX-RN Mental Health Questions

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Question 1 of 5

When a client is about to lose control, the extra staff commonly stay at a distance from the client unless asked to move closer by the nurse who is talking to the client. Which of the following best explains the primary rationale for staying at a distance initially?

Correct Answer: C

Rationale: Staying at a distance prevents the client from feeling threatened, as they may perceive others as closer in a heightened state of agitation, reducing the risk of escalation. The other options are less directly related to the client's perception of threat.

Question 2 of 5

The school nurse assesses a 10-year-old girl who excessively cleans and categorizes. Her parents report that she has always been orderly, but since her brother died of cancer 6 months ago, her cleaning and categorizing have escalated. In school, she reads instead of playing with other children. These behaviors are now interfering with homework and leisure activities. To bolster her self-esteem, the nurse should encourage the child to:

Correct Answer: C

Rationale: Group projects promote social interaction and collaboration, helping to build self-esteem in a structured setting.

Question 3 of 5

A client yells at the nurse after a medication delay. Which response by the nurse is most appropriate?

Correct Answer: B

Rationale: Acknowledging the client's feelings and inviting discussion de-escalates the situation and promotes understanding. Promising immediate action, criticizing behavior, or threatening escalation may worsen the client's anger.

Question 4 of 5

A nurse is assessing a 16-year-old client with suspected bulimia nervosa. Which of the following findings should the nurse expect? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Bulimia is characterized by normal weight, tooth enamel erosion from vomiting, calluses on knuckles from purging, and often excessive exercise to control weight. Fasting is more typical of anorexia.

Question 5 of 5

A client with acute mania fails to respond to a nurse's interventions to decrease his agitation. The nurse has attempted to defuse the client's anger, but the client refuses to participate in interventions that would lower anxiety. Which action should the nurse take next?

Correct Answer: C

Rationale: Administering PRN medication is the least restrictive intervention to reduce agitation.

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