NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
Which of the following client statements indicates an understanding of the signs of alcohol relapse?
Correct Answer: B
Rationale: Saying 'Stopping AA and not expressing feelings can lead to relapse' shows understanding, as it identifies specific behaviors linked to relapse risk, reflecting self-awareness.
Question 2 of 5
A 75-year-old woman was brought to the crisis center by her husband. The husband reports that his wife has been in shock and anxious since her purse was stolen outside of their home. The woman blames herself for being robbed, is worried about her stolen wallet and credit cards, and is afraid to go home. The nurse should do which of the following? Select all that apply.
Correct Answer: B,C,D
Rationale: The nurse should encourage talking about the robbery (
B) to process emotions, discuss safety changes at home (
C) to address her fear, and investigate injuries (
D) to ensure physical health. Lorazepam (
A) may be premature without assessment, and asking about prevention (E) may reinforce self-blame.
Question 3 of 5
A client with dementia who prefers to stay in his room has been brought to the dayroom. After 10 minutes, the client becomes agitated and retreats to his room again. The nurse decides to assess the conditions in the dayroom. Which is the most likely occurrence that is disturbing to this client?
Correct Answer: C
Rationale: Conflicting stimuli, such as a relaxation tape and a crime show on TV, can overwhelm a client with dementia, causing agitation due to difficulty processing multiple inputs.
Question 4 of 5
Which of the following client statements indicates that he has gained insight into his use of the defense mechanism of displacement?
Correct Answer: C
Rationale: The statement 'Now when I'm mad at my wife, I talk to her instead of taking it out on the kids' shows insight into displacement, as the client recognizes and corrects redirecting anger. The other statements reflect denial, compensation, and repression, not displacement.
Question 5 of 5
A client diagnosed with schizophrenia for the last two years tells the nurse who has brought the morning medications 'That is not my pill! My pill is blue, not red.' The client refuses to take it. The best response by the nurse is:
Correct Answer: C
Rationale: Verifying the medication's appearance ensures safety and builds trust with the client.