NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
Which of the following activities should the nurse recommend to the client on an inpatient unit when thoughts of suicide occur?
Correct Answer: C
Rationale: Talking with the nurse allows direct assessment and intervention for suicidal thoughts.
Question 2 of 5
A client with an Axis II diagnosis of antisocial personality disorder has a potential for violence and aggressive behavior. Which of the following client outcomes to be accomplished in the short term is most appropriate for the nurse to include in the plan of care?
Correct Answer: B
Rationale: Discussing feelings of anger with staff is the most appropriate short-term outcome, as it promotes safe expression of emotions and builds trust, reducing the risk of aggressive outbursts.
Question 3 of 5
After administering naloxone (Narcan), an opioid antagonist, the nurse should monitor the client carefully for which of the following?
Correct Answer: D
Rationale: Monitoring for respiratory depression is critical, as naloxone's effects may wear off before the opioid, potentially causing a recurrence of life-threatening respiratory issues.
Question 4 of 5
A female client with acute mania brings six suitcases and three shopping bags of personal belongings on admission to the unit. When informed that some of the suitcases and bags need to be returned home with her husband because of a lack of storage space, the client begins to use profanity against the nurse. Which of the following responses by the nurse is most therapeutic?
Correct Answer: C
Rationale: Clearly stating that profanity is unacceptable sets boundaries without escalating the situation.
Question 5 of 5
A client with paranoid schizophrenia refuses to eat, stating, 'The food is laced with poison.' Which nursing intervention is most appropriate initially?
Correct Answer: A
Rationale: Offering a sealed beverage addresses the client's delusion in a non-confrontational way, increasing the likelihood of acceptance while ensuring hydration.