NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
When the client is involuntarily committed to a hospital because he is assessed as being dangerous to himself or others, which of the following rights are lost?
Correct Answer: D
Rationale: Involuntary commitment results in the loss of the right to leave the hospital against medical advice, as the client is deemed a danger. Rights to refuse treatment, send/receive mail, and freedom from seclusion/restraints are generally retained unless specific conditions apply.
Question 2 of 5
The client diagnosed with borderline personality disorder is admitted to the unit after having attempted to cut her wrists with a pair of scissors. The client has several scars on both arms from self-mutilation and suicide gestures. A staff member states to the nurse, 'It's just attention that she wants, she's not going to kill herself.' The nurse should respond to the staff member by saying:
Correct Answer: D
Rationale: Saying 'Any attempt at self-harm is serious, and safety is a priority' corrects the staff's minimization, emphasizes the importance of safety, and reinforces a professional, non-judgmental approach.
Question 3 of 5
A client diagnosed with Major Depression and Substance Dependence is being admitted to the Dual Diagnosis Unit. In explaining the focus of this program, the nurse should tell the client:
Correct Answer: C
Rationale: The focus is simultaneous treatment of addiction and depression, as dual diagnosis programs address both conditions concurrently to improve outcomes.
Question 4 of 5
A client is scheduled for the first electroconvulsive therapy (ECT) treatment in the morning. The client has been unable to sleep, but at 10 p.m. The client is still unable to sleep at 11:15 p.m. In what order should the nurse do the following?
Order the Items
Source Container
Correct Answer: D, C, A, B
Rationale: The nurse should first discuss specific concerns to identify anxiety sources od to assess the client's needs, then offer relaxing music to promote relaxation, sit quietly to provide a calming presence, and finally encourage Restoril if prescribed, ensuring safe administration.
Question 5 of 5
A client in the emergency department tells the nurse that he 'sees sounds and hears colors' as a result of using lysergic acid diethylamide (LSD). He also has been used to which of the following? Select all that apply.
Correct Answer: B,D,E,F
Rationale: LSD overdose requires reducing stimuli, monitoring vital signs, talking reassuringly, and possibly administering lorazepam for anxiety. Vomiting is not induced, and restraints are avoided unless necessary.