NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
Which of the following should the nurse expect to include as a priority in the plan of care for a client with delirium based on the nurse's understanding about the disturbances in orientation associated with this disorder?
Correct Answer: A
Rationale: Identifying self and ensuring the client's attention helps reorient the client and establishes a connection, addressing the disorientation common in delirium.
Question 2 of 5
A client with paranoid schizophrenia is suspicious of medications. Which approach should the nurse use?
Correct Answer: B
Rationale: Explaining benefits simply builds trust and encourages adherence without coercion.
Question 3 of 5
A 17-year-old client who has been taking an antidepressant for 6 weeks has returned to the clinic for a medication check. When the nurse talks with the client and her mother, the mother reports that she has to remind the client to take her antidepressant every day. The client says, 'Yeah, I'm pretty bad about remembering to take my meds, but I never miss a dose because Mom always bugs me about taking it.' Which of the following responses would be effective for the nurse to make to the client?
Correct Answer: B
Rationale: This response highlights the importance of responsibility while opening a discussion about strategies for independence.
Question 4 of 5
When coping becomes dysfunctional enough to require the client to be admitted to the hospital, the nurse should assess the client for the ability to demonstrate which of the following?
Correct Answer: D
Rationale: When coping is dysfunctional enough for hospitalization, the client is likely demonstrating minimal functioning with new problems developing, indicating a need for comprehensive assessment and intervention. Objective problem solving is unlikely in this state, tension reduction may be a goal but not the primary assessment focus, and anger management is too specific for the broad assessment needed.
Question 5 of 5
A family, including an 8-year-old boy and a 13-year-old girl, have been long-time members of a cult split off from a conservative religious group. The girl ran away from the group's compound to her aunt's house. The aunt brought the girl to the emergency... [incomplete]. She is admitted to the unit because of many trauma-related symptoms. The nurse should take which of the following actions? Select all that apply.
Correct Answer: B,C,D,E,F
Rationale: The nurse should teach emotion management (
B), assess for injuries and health risks (
C), teach control of self-destructive behaviors (
D), obtain a drug screen and urinalysis (E), and help process emotions (F) to address her trauma comprehensively. A teen discussion group (
A) may be premature and potentially distressing without initial stabilization.