NCLEX-RN
NCLEX-RN Mental Health Questions
Question 1 of 5
A client with schizophrenia refuses to take prescribed antipsychotic medication, stating, 'It makes me feel like a zombie.' Which of the following responses by the nurse is most appropriate?
Correct Answer: B
Rationale: Discussing side effects with the doctor encourages collaboration and addresses the client's concerns.
Question 2 of 5
A client diagnosed with Major Depression and Substance Dependence is being admitted to the Dual Diagnosis Unit. In explaining the focus of this program, the nurse should tell the client:
Correct Answer: C
Rationale: The focus is simultaneous treatment of addiction and depression, as dual diagnosis programs address both conditions concurrently to improve outcomes.
Question 3 of 5
When developing appropriate assignments for the staff, which of the following clients should the nurse manager judge to be at highest risk for suicide completion?
Correct Answer: A
Rationale: Elderly Caucasian men living alone after a loss have the highest suicide completion rates.
Question 4 of 5
A week ago, a tornado destroyed the client's home and seriously injured her husband. The client has been walking around the hospital in a daze without any outward display of emotions. She tells the nurse that she feels like she's going crazy. Which of the following actions should the nurse use first?
Correct Answer: B
Rationale: Reassuring that her feelings are typical reactions to trauma is first, as it normalizes her experience, reduces fear, and builds trust.
Extract:
The nurse in the intensive care unit (ICU) is caring for a 53-year-old male client.
Item 4 of 6
Nurses' Notes
Laboratory Results
1222: Client brought via ambulance to ED because of altered mental status and agitation. The client's wife reports that the client stopped drinking alcohol 'cold turkey' two days ago. This morning, the client was agitated, sweating, and altered. The client's wife reports that the client drinks 6-8 alcoholic beverages daily. On assessment, the client is alert and agitated. He recognizes that he is in the hospital but cannot recall the reasoning. Nystagmus was present. Skin is flushed and diaphoretic. Lung sounds are clear bilaterally. S1/S2 heart tones with mid-
systolic clicks. Peripheral pulses 1+. Abdomen is taut with normoactive bowel sounds. Vital signs: T 99.4°F (37.4°C), P 108. RR 18, BP 158/96, pulse oximetry 95% on room air. Medical history of hypertension, hyperlipidemia, and mitral valve prolapse. Home medications hydrochlorothiazide and multivitamin. EMS placed a 20-gauge peripheral vascular access device in the left antecubital space.
1239: Physician provided verbal order to obtain laboratory work (complete blood count, magnesium level, and basic metabolic panel). 1311: Laboratory results received and reviewed. The nurse updates the nurses' notes.
Question 5 of 5
For each potential order, click to specify whether the potential order is indicated or not indicated for the client.
| Potential Orders | Indicated | Not Indicated |
|---|---|---|
| P.R.N. soft wrist restraints | ||
| serum type and screen | ||
| administration of a parenteral benzodiazepine | ||
| intravenous hypotonic fluids | ||
| continuous cardiac monitoring | ||
| strict fall precautions |
Correct Answer: A: Not Indicated, B: Not Indicated, C: Indicated, D: Not Indicated, E: Indicated, F: Indicated, G: Indicated, H: Indicated, I: Indicated
Rationale: Benzodiazepines, cardiac monitoring, fall precautions, CIWA scale, thiamine, and psychiatric consultation are indicated for alcohol withdrawal management. Restraints, type and screen, and hypotonic fluids are not typically required.