NCLEX-RN
NCLEX RN Mental Health Questions Questions
Question 1 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.
Question 2 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 3 of 5
After a few minutes of conversation, a female client who is depressed wearily asks the nurse, 'Why pick me to talk to? Go talk to someone else.' Which of the following replies by the nurse is best?
Correct Answer: D
Rationale: Expressing genuine interest validates the client's worth and fosters a therapeutic relationship.
Question 4 of 5
A male client who is very depressed exhibits psychomotor retardation, a flat affect, and apathy. The nurse observes the client to be in need of grooming and hygiene. Which of the following nursing actions is most appropriate?
Correct Answer: B
Rationale: Asking if the client is ready respects autonomy while gently encouraging hygiene, aligning with their energy level.
Question 5 of 5
When preparing a teaching plan for a client about imipramine (Tofranil), which of the following substances should the nurse tell the client to avoid while taking the medication?
Correct Answer: C
Rationale: Alcohol can enhance the sedative effects of imipramine and increase the risk of adverse effects.