NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
When coping becomes dysfunctional enough to require the client to be admitted to the hospital, the nurse should assess the client for the ability to demonstrate which of the following?
Correct Answer: D
Rationale: When coping is dysfunctional enough for hospitalization, the client is likely demonstrating minimal functioning with new problems developing, indicating a need for comprehensive assessment and intervention. Objective problem solving is unlikely in this state, tension reduction may be a goal but not the primary assessment focus, and anger management is too specific for the broad assessment needed.
Question 2 of 5
A client on a stretcher in the emergency department begins to thrash around, slap the sheets and yells, 'Get these bugs off of me.' She is disoriented and has a blood pressure of 189/75 and a pulse of 96. The friend who is with her says, 'She was drinking a lot 3 days ago and asked me for money to get more vodka, but I didn't have any.' The nurse should do the following in which order from first to last?
Order the Items
Source Container
Correct Answer: B,E,D,A,F
Rationale: First implement observation, orient the client, monitor vital signs, administer medications, consider restraints if needed, and chart responses.
Question 3 of 5
A client with a history of angry outbursts is learning to identify triggers. Which activity should the nurse recommend?
Correct Answer: A
Rationale: Keeping a journal helps the client identify specific triggers for anger, enabling targeted interventions. Yoga and walking are helpful but less focused on trigger identification, and avoiding stress is unrealistic.
Question 4 of 5
The client sees no connection between her liver disorder and her alcohol intake. She believes that she drinks very little and that her family is making something out of nothing. The nurse interprets these behaviors as indicative of which of the following defense mechanisms?
Correct Answer: A
Rationale: The client's behavior indicates denial, as she refuses to acknowledge the link between her alcohol use and liver disorder, minimizing the problem.
Question 5 of 5
A client will be discharged on lithium carbonate 600 mg three times daily. When teaching the client and his family about lithium therapy, the nurse determines that teaching has been effective if the client and family state that they will notify the prescribing health care provider immediately if which of the following occur? Select all that apply.
Correct Answer: B, C, E, F
Rationale: Muscle weakness, vertigo, vomiting, and anorexia are signs of lithium toxicity, requiring immediate notification.