NCLEX-PN
Mental Health NCLEX Questions Questions
Question 1 of 5
The client is placed in seclusion for exhibiting violent behavior. Which should be the nurse’s primary goal of this seclusion?
Correct Answer: B
Rationale: Safety of client and others (
B) is the primary seclusion goal by reducing stimuli. Self-control (
A) and unit control (
C) are outcomes and punishment (
D) is inappropriate.
Question 2 of 5
If the client frequently comes to meals with the residue of soap on the face or an unbuttoned shirt, which action by the nurse is most beneficial to the client's emotional state?
Correct Answer: C
Rationale: Scheduling hygiene after meals allows assistance without embarrassment, supporting the client's dignity and emotional well-being.
Question 3 of 5
Which information is most appropriate for the nurse to tell the client about taking alprazolam (Xanax)?
Correct Answer: A
Rationale: Alcohol potentiates alprazolam's sedative effects, increasing the risk of respiratory depression and overdose, making this a critical instruction.
Question 4 of 5
The nurse is caring for the client who was violently raped 3 months ago and has a diagnosis of rape-trauma syndrome. Which assessment findings associated with rape-trauma syndrome should the nurse anticipate? Select all that apply.
Correct Answer: A ,B, D
Rationale: Rape-trauma syndrome symptoms include physiological symptoms such as loss of appetite (
A) nightmares of the attack occurring again (
B) and fears and phobias (
D) due to feelings of vulnerability. Hypertension (
C) is not a recognized symptom and fear of sexual encounters not promiscuity (E) is typical.
Question 5 of 5
Which of the following instructions are appropriate to include in the teaching plan of a client who is just beginning treatment with imipramine hydrochloride (Tofranil)? Select all that apply.
Correct Answer: A,C,D
Rationale: Avoiding tyramine prevents hypertensive crisis, slow rising reduces orthostatic hypotension, and delayed effects set realistic expectations.