NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
Which of the following questions should the nurse ask to best determine the seriousness of a client's suicidal ideation?
Correct Answer: A
Rationale: Asking about a specific plan assesses the immediacy and lethality of the suicidal ideation.
Question 2 of 5
A nurse observes a male client who is hyperactive and intrusive sitting very close to a female client with his arm around her shoulders. The nurse hears the male client tell a sexually explicit joke. The nurse approaches the client and asks him to walk down the hallway. Which of the following statements by the nurse should benefit the client?
Correct Answer: B
Rationale: Setting clear boundaries about inappropriate behavior promotes a safe environment.
Question 3 of 5
An outpatient client who has a history of paranoid schizophrenia and chronic alcohol dependency has been taking risperidone (Risperdal) for several months. She reports that she stopped drinking 4 days ago, the client is a very satisfied by the tactile hallucinations of bugs crawling under her skin. Which of the following factors should the nurse incorporate into the plan of care when explaining the tactile hallucinations?
Correct Answer: C
Rationale: Tactile hallucinations, such as feeling bugs crawling under the skin, are commonly associated with alcohol withdrawal, especially 4 days after cessation, and should be addressed in the care plan.
Question 4 of 5
A client is taking diazepam (Valium) for generalized anxiety disorder. Which instruction should the nurse give to this client? Select all that apply.
Correct Answer: A, D, E
Rationale: Instructions include: Consult provider before stopping (
A) to avoid withdrawal, avoid alcohol (
D) to prevent CNS depression, and stop if allergic reactions occur (E). Cheese (
B) is irrelevant, and empty stomach (
C) is not required.
Question 5 of 5
A client with schizophrenia has poor hygiene. Which intervention is most effective?
Correct Answer: B
Rationale: Assisting step-by-step encourages hygiene while accommodating cognitive deficits, promoting independence.