NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
When comparing the signs and symptoms of depression found in children with those found in adults, which of the following should the nurse expect?
Correct Answer: A
Rationale: Children with depression often present with somatic complaints and behavioral issues, unlike adults who show more overt sadness.
Question 2 of 5
A female client with acute mania brings six suitcases and three shopping bags of personal belongings on admission to the unit. When informed that some of the suitcases and bags need to be returned home with her husband because of a lack of storage space, the client begins to use profanity against the nurse. Which of the following responses by the nurse is most therapeutic?
Correct Answer: C
Rationale: Clearly stating that profanity is unacceptable sets boundaries without escalating the situation.
Question 3 of 5
A client states, 'I'm so stressed about my job, I can't sleep.' Which question should the nurse ask to assess the client's coping mechanisms?
Correct Answer: B
Rationale: Asking what the client does when stressed directly assesses their current coping mechanisms, guiding the nurse's plan. Medication use, work hours, or conflicts are relevant but less focused on coping strategies.
Question 4 of 5
When teaching a group of adolescents about anorexia nervosa, the nurse should describe this disorder as being characterized by which of the following?
Correct Answer: D
Rationale: Anorexia nervosa is characterized by an intense fear of obesity, significant weight loss (emaciation), and a distorted body image.
Question 5 of 5
A client has been admitted to the emergency department with alcohol withdrawal delirium. At 9 a.m. on 10/25, the nurse notes that the client is confused. His vital signs are T=99°F, P=50, R=10, and BP=100/60. The nurse compares these findings to the nurses' progress notes from admission 24 hours ago. What should the nurse do first?
Correct Answer: C
Rationale: Attempting to arouse the client is the first action, as it assesses the level of consciousness and responsiveness, critical in determining the severity of delirium and guiding further interventions.