NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Question 1 of 5
A client who is newly diagnosed with paranoid schizophrenia tells the nurse, 'The aliens are telling me that I'm defective and need to be eliminated.' Which of the following responses by the nurse is most appropriate initially?
Correct Answer: A
Rationale: Acknowledging the reality of the voices for the client while gently stating the nurse's perspective builds trust without challenging the delusion, making it the most therapeutic initial response.
Question 2 of 5
The nurse is educating community members on the signs and symptoms of substance abuse intoxication. Which information should the nurse include? Select all that apply.
Correct Answer: B, D, E
Rationale: Inhalants (
B) cause slurred speech, motor incoordination, and nausea; alcohol (
D) causes drowsiness, slurred speech, and ataxia; marijuana (E) causes slowed reaction time and balance/memory issues. Cocaine (
A) causes high blood pressure, not low. Heroin (
C) causes sedation, miosis, and respiratory depression, not alertness or increased respirations.
Question 3 of 5
A client is brought to the emergency department by his brother. The client is perspiring profusely, breathing rapidly, and complaining of dizziness and palpitations. Problems of a cardiovascular nature are ruled out and the diagnosis is tentatively listed as a panic attack. After the symptoms pass, the client states, 'I thought I was going to die.' Which of the following responses by the nurse is best?
Correct Answer: A
Rationale: Saying 'It was very frightening for you' is best, as it validates the client's experience, builds rapport, and encourages further discussion of the panic attack.
Question 4 of 5
An intoxicated client is admitted to the hospital for alcohol withdrawal. Which of the following should the nurse do to help the client become sober?
Correct Answer: D
Rationale: Providing a quiet room to sleep in is most effective, as it minimizes stimulation, promotes rest, and supports the body's natural process of metabolizing alcohol.
Question 5 of 5
Which of the following amounts of medications is appropriate for a client who is being treated with imipramine (Tofranil) on an outpatient basis for recurring depression and suicidal ideation to have at one time?
Correct Answer: D
Rationale: A 7-day supply minimizes the risk of overdose in a suicidal client.