NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
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.
Correct Answer: A,B,C
Rationale: Increased anxiety can lead to defensive behaviors like ridiculing others (
A). Negative attention can reinforce such behaviors (
B), and for some clients, any attention is preferable to none (
C). Excluding the client (
D) or assuming medication is needed (E) does not address the underlying behavior dynamics.
Question 2 of 5
A client diagnosed with Undifferentiated Schizophrenia gained 50 lb in 6 months while taking olanzapine (Zyprexa). After seeing her psychiatrist who changed the medication to ziprasidone (Geodon), the client tells the nurse, 'I don't want to take this Geodon either. I can't gain any more weight.' Which response by the nurse is most appropriate for this client?
Correct Answer: A
Rationale: Addressing the client's concern about weight gain by noting that ziprasidone is associated with less weight gain than olanzapine provides reassurance and encourages adherence.
Question 3 of 5
A 77-year-old client is brought to the emergency department by her son. The client is complaining to assess the number of the questions, 'I'm so worried about everything.' Her son says that she has heart failure and chronic schizophrenia. 'In addition to all of her heart medicines, she is on aripiprazole (Abilify), which was increased to 30 mg by her family doctor 3 days ago.' In addition to documenting all of the client's medications and exact dosages, the nurse should particularly investigate which of the following? Select all that apply.
Correct Answer: B,C,D
Rationale: Investigating schizophrenia symptoms (
B) assesses the need for aripiprazole; checking the dose (
C) is critical, as 30 mg is high for an elderly patient; and evaluating heart failure symptoms (
D) ensures medical stability, as aripiprazole can affect cardiac function.
Question 4 of 5
Which of the following is a realistic short-term goal to be accomplished in 2 to 3 days for a client with delirium?
Correct Answer: C
Rationale: Regaining orientation to time and place within 2 to 3 days is a realistic goal for delirium, as treating the underlying cause can lead to rapid improvement in cognitive function.
Question 5 of 5
When developing the plan of care for a client with Alzheimer's disease who is experiencing moderate impairment, which of the following types of care should the nurse expect to include?
Correct Answer: A
Rationale: In moderate Alzheimer's, clients need prompting and guidance for activities of daily living due to memory and executive function deficits, but not yet total care.