NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
When conducting a mental status examination with a newly admitted client who has an Axis I diagnosis of paranoid schizophrenia, the client states, 'I'm being followed; it's not safe. They're monitoring my every move.' In which of the following areas of the mental status examination should be the mental status examined.
Correct Answer: A
Rationale: The client's statement reflects paranoid delusions, which are assessed under thought content in a mental status examination, as this area evaluates the presence of delusions or hallucinations.
Question 2 of 5
A nurse working in an alcohol rehabilitation program is teaching staff how to give clients constructive feedback. Which of the following statements is an example of constructive feedback?
Correct Answer: C
Rationale: Saying 'You interrupted Terry twice in 4 minutes' is constructive, as it is specific, factual, and focuses on observable behavior, promoting awareness without judgment.
Question 3 of 5
A member of a nurse-led group for depressed adolescents tells the group that she is not coming back because she is taking medication and no longer needs to talk about her problems. Which of the following responses by the nurse is most appropriate?
Correct Answer: C
Rationale: This response reinforces the group's purpose, encouraging continued participation for support.
Question 4 of 5
A client is being discharged after 3 days of hospitalization for a suicide attempt that followed the loss of a job. Which of the following should be the nurse's priority action before discharge?
Correct Answer: C
Rationale: Ensuring a follow-up appointment with a mental health provider is the priority to maintain continuity of care and monitor the client's suicide risk post-discharge. Increasing medication requires a physician's order and careful evaluation, community support groups are secondary, and avoiding work activities is unrealistic and not directly tied to immediate safety.
Question 5 of 5
A client with a long history of paranoid schizophrenia is readmitted voluntarily after missing his last two injections of haloperidol decanoate (Haldol Decanoate). He reports, 'I'm not sleeping much and my friend says I smell from not showering. God is telling me to protect myself from others. My parents are sick and tired of me and my illness. They wish I were dead.' Which of the following admission notes by the nurse contains assumptions and potentially false accusations? Select all that apply.
Correct Answer: A,C,E
Rationale: The notes in A, C, and E make assumptions: A assumes noncompliance caused all symptoms and misinterprets the parents' intentions; C assumes a strained relationship and parental wishes without evidence; E falsely states medication was missed for 2 days and assumes parental abuse without substantiation.