Questions 74

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NCLEX RN Mental Health Questions Questions

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Question 1 of 5

Which of the following is a realistic short-term goal to be accomplished in 2 to 3 days for a client with delirium?

Correct Answer: C

Rationale: Regaining orientation to time and place within 2 to 3 days is a realistic goal for delirium, as treating the underlying cause can lead to rapid improvement in cognitive function.

Question 2 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 3 of 5

A client with suicidal ideation is admitted to the psychiatric unit. Which of the following actions should the nurse prioritize upon admission?

Correct Answer: A

Rationale: Searching belongings for harmful items is the priority to ensure immediate safety for a client with suicidal ideation.

Question 4 of 5

While conducting a home visit for a client diagnosed with paranoid schizophrenia discharged 1 week ago, the client's mother tearfully states, 'I can hardly sleep because I'm so worried about my daughter. I'm afraid to leave her alone in the house. What if something should happen while I'm gone?' Which of the following problems related to the caregiver would be the most inclusive one for the nurse to incorporate into the client's plan of care?

Correct Answer: A

Rationale: Caregiver role strain encompasses the mother's anxiety, fear, and sleep disturbances, as it reflects the overall burden of caregiving, making it the most inclusive problem to address.

Question 5 of 5

A community health nurse working with a group of 5th grade girls is planning a primary prevention to help the girls avoid developing eating disorders during their teen years. The nurse should focus on which of the following?

Correct Answer: D

Rationale: Promoting body acceptance and self-esteem is a key primary prevention strategy for eating disorders.

Similar Questions

The nurse identifies a nursing diagnosis of Dressing or grooming self-care deficit related to apathy, as evidenced by an inability to shower and dress herself for a female client diagnosed with schizophrenia. When planning care for this client, which of the following outcomes should the nurse expect the client to meet in a specified number of days?
A client with dementia is resistant to dressing. Which approach should the nurse use?
A client diagnosed with Undifferentiated Schizophrenia gained 50 lb in 6 months while taking olanzapine (Zyprexa). After seeing her psychiatrist who changed the medication to ziprasidone (Geodon), the client tells the nurse, 'I don't want to take this Geodon either. I can't gain any more weight.' Which response by the nurse is most appropriate for this client?
The client approaches various staff with numerous requests and needs to the point of disrupting the staff's work with other clients. The nurse meets with the staff to decide on a consistent, therapeutic approach for this client. Which of the following approaches will be most effective?
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?

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