NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
While admitting a client to the alcohol treatment program, the nurse asks the client how long she's been drinking, how much she's been drinking, and when she had her last drink. The client replies that she has been drinking about a liter of vodka a day for the past week and her last drink was about an hour ago. This information helps the nurse to determine which of the following?
Correct Answer: B
Rationale: This information helps determine the severity of withdrawal symptoms, as the quantity, duration, and recency of alcohol use predict the intensity and timing of withdrawal, guiding treatment.
Question 2 of 5
A client with schizophrenia refuses medication, stating, 'It makes me feel like a zombie.' What is the nurse's best response?
Correct Answer: A
Rationale: Discussing the medication's benefits encourages adherence while addressing the client's concerns, fostering collaboration.
Question 3 of 5
The client with bipolar disorder, manic phase, states, 'You're looking good. I'm taking you out to dinner.' Which of the following replies by the nurse is most therapeutic?
Correct Answer: D
Rationale: Reintroducing professional boundaries calmly redirects the client's inappropriate advance.
Question 4 of 5
A 77-year-old client is brought to the emergency department by her son. The client is complaining to assess the number of the questions, 'I'm so worried about everything.' Her son says that she has heart failure and chronic schizophrenia. 'In addition to all of her heart medicines, she is on aripiprazole (Abilify), which was increased to 30 mg by her family doctor 3 days ago.' In addition to documenting all of the client's medications and exact dosages, the nurse should particularly investigate which of the following? Select all that apply.
Correct Answer: B,C,D
Rationale: Investigating schizophrenia symptoms (
B) assesses the need for aripiprazole; checking the dose (
C) is critical, as 30 mg is high for an elderly patient; and evaluating heart failure symptoms (
D) ensures medical stability, as aripiprazole can affect cardiac function.
Question 5 of 5
The nurse is planning care with a Mexican American client who is diagnosed with depression. The client believes in 'mal ojo' (the evil eye), and uses treatment by a root healer. The nurse should do which of the following?
Correct Answer: D
Rationale: Involving the root healer respects the client's cultural beliefs and facilitates a collaborative approach, enhancing trust and adherence to the treatment plan.