NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
When teaching a nursing assistant new to the unit about the principles for the care of a client diagnosed with a personality disorder, the nurse should explain that:
Correct Answer: B
Rationale: Explaining that clients need limits on their behavior is key, as it addresses the need for structure and boundaries to manage maladaptive behaviors effectively.
Question 2 of 5
A client is brought to the emergency department (ED) by a friend who states that the client recently ran out of his phenytoin (Dilantin) and has been having a grand mal seizure for the last 10 minutes. The nurse observes that the client is still seizing. The nurse should do the following in which order of priority from first to last?
Order the Items
Source Container
Correct Answer: A, C, B, D
Rationale: The order is: 1) Monitor safety with seizure pads (
A). 2) Page physician and prepare diazepam (
C). 3) Record seizure details (
B). 4) Ask about medical history (
D). Safety and treatment are prioritized, followed by documentation and history.
Question 3 of 5
A client with schizophrenia has command hallucinations to harm others. What should the nurse do first?
Correct Answer: C
Rationale: Assessing the content of command hallucinations determines the risk level, guiding immediate safety interventions.
Question 4 of 5
A client has been in the critical care unit for 3 days following a severe myocardial infarction. Although he is medically stable, he has begun to have fluctuating episodes of consciousness, illogical thinking, and anxiety. He is picking at the air to 'catch these baby angels flying around my head.' While waiting for medical and psychiatric results, the nurse must intervene with the client's needs. Which of the following needs have the highest priority? Select all that apply.
Correct Answer: A,B,D
Rationale: Reducing stimuli (
A) minimizes confusion, avoiding challenges to hallucinations (
B) prevents agitation, and gently presenting reality (
D) supports orientation without confrontation. Assuming dementia (E) is premature, and orienting to medical condition (
C) may overwhelm the client.
Question 5 of 5
Which of the following is a priority to include in the plan of care for a client with Alzheimer's disease who is experiencing difficulty processing and completing complex tasks?
Correct Answer: B
Rationale: Breaking tasks into single steps simplifies instructions for clients with Alzheimer's, accommodating their impaired ability to process complex tasks.