NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
When planning care for a client diagnosed with schizotypal personality disorder, which of the following helps the client become involved with others?
Correct Answer: B
Rationale: One-to-one activities are most appropriate for a client with schizotypal personality disorder, as they reduce social overload and allow for gradual, comfortable interaction, aligning with their preference for limited social engagement.
Question 2 of 5
A client has been taking increased amounts of alprazolam (Xanax) for about 6 months for anxiety. She asks the nurse how she can 'get off the Xanax.' The most accurate answer by the nurse is which of the following?
Correct Answer: C
Rationale: Tapering Xanax over 48 hours is accurate, as gradual reduction prevents withdrawal symptoms, given the client's prolonged use.
Question 3 of 5
A hospitalized adolescent diagnosed with anorexia nervosa refuses to comply with her daily before-breakfast weigh-in. She states that she just drank a glass of water, which she feels will unfairly increase her weight. What is the nurse's best response to the client?
Correct Answer: C
Rationale: This response reinforces the protocol's consistency, which is essential for treatment adherence.
Question 4 of 5
While admitting a client to the alcohol treatment program, the nurse asks the client how long she's been drinking, how much she's been drinking, and when she had her last drink. The client replies that she has been drinking about a liter of vodka a day for the past week and her last drink was about an hour ago. This information helps the nurse to determine which of the following?
Correct Answer: B
Rationale: This information helps determine the severity of withdrawal symptoms, as the quantity, duration, and recency of alcohol use predict the intensity and timing of withdrawal, guiding treatment.
Question 5 of 5
The physician orders determination of the serum lithium level tomorrow for a client with bipolar disorder, manic phase, who has been receiving lithium 300 mg P.O. three times daily for the past 5 days. At which of the following times should the nurse plan to have the blood specimen obtained?
Correct Answer: C
Rationale: Lithium levels are drawn in the morning, 12 hours after the last dose, for accurate trough levels.