NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 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 2 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 3 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,F
Rationale: Diazepam requires consulting the provider before stopping, avoiding alcohol, and stopping if allergic reactions (e.g., swelling, breathing difficulty) occur. Tyramine avoidance and empty stomach are not relevant.
Question 4 of 5
The nurse is reviewing the laboratory report with the client's lithium level taken that morning prior to administering the 5 p.m. dose of lithium. The lithium level is 1.8 mEq/L. The nurse should:
Correct Answer: B
Rationale: A lithium level of 1.8 mEq/L is above the therapeutic range (0.6–1.2 mEq/L), indicating potential toxicity, so the dose should be held and the physician notified.
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.