NCLEX Mental Health Questions

Question 1 of 5

The client is being admitted to the ICU with drug overdose that resulted in extreme hypertension and an unstable cardiac rhythm. The client suddenly becomes physically combative and is kicking shoving throwing items in the room and threatening staff. The charge nurse calls a behavioral situation code and 4-point restraints are applied by the team. Which intervention is most important for the nurse to implement next?

A. Have staff members who were harmed complete an incident report.B. Contact the health care provider to obtain an order for restraint use.C. Document the client’s behavior and action taken in the nurse’s notes.D. Check that the client’s wrist restraints are tightly secured to the HOB.

Correct Answer: B

Rationale: A physician or licensed independent practitioner must prescribe restraints and assess the client within 1 hour of restraint placement for client and staff safety. Incident reports (
A) follow treatment documentation (
C) follows HCP contact and securing restraints to the HOB (
D) risks circulation impairment.

Question 2 of 5

Which nursing action is most appropriate for determining whether domestic abuse is occurring?

A. Ask directly if domestic abuse is occurring.B. Arrange a second visit to validate suspicions.C. Assess the young children for signs of injury.D. Make inquiries among relatives or neighbors.

Correct Answer: A

Rationale: Directly asking about abuse in a safe, private setting encourages honest disclosure and is the most effective initial step to confirm suspicions.

Question 3 of 5

If the client has been taking an antidepressant for several weeks, which outcome would be the most desired therapeutic effect?

A. The client is feeling less depressed.B. The client is eating more nutritiously.C. The client is having fewer food binges.D. The client is feeling less suicidal.

Correct Answer: C

Rationale: Reducing binge episodes is the primary goal for bulimia treatment, as antidepressants target the compulsive behaviors associated with the disorder.

Question 4 of 5

The nurse is caring for the client who has methamphetamine toxicity. Which interventions should the nurse include in the client’s plan of care? Select all that apply.

A. Give olanzapine 10 mg IM q2h prn to treat agitation.B. Allow the client to sleep and eat as much as desired.C. Administer labetalol 20 mg IV to control hallucinations.D. Monitor 1:1 to protect client from harm to self and others.E. Encourage involvement in the therapeutic treatment milieu.

Correct Answer: A ,B ,D

Rationale: Olanzapine (
A) reduces agitation sleep/eating (
B) aids recovery 1:1 monitoring (
D) ensures safety. Labetalol (
C) is for BP not hallucinations; milieu (E) is premature.

Question 5 of 5

During a home visit, which assessment finding is most suggestive that the client is experiencing auditory hallucinations?

A. The client sings a song while walking around the room.B. The client quickly changes the topic of conversation.C. The client repeats a sentence over and over again.D. The client turns an ear as if listening to someone.

Correct Answer: D

Rationale: Turning an ear as if listening suggests the client is responding to auditory hallucinations, a common symptom in schizophrenia.

NCLEX Mental Health Questions | Nurselytic

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