NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Question 1 of 5
The client is receiving 6 mg of selegiline transdermal system (Emsam) every 24 hours for major depression. The nurse should judge teaching about Emsam to be effective when the client makes which statement?
Correct Answer: A
Rationale: Avoiding heat sources like saunas is critical with Emsam to prevent hypertensive crisis due to MAOI effects.
Question 2 of 5
A 16-year-old client is prescribed 10 mg of paroxetine (Paxil) at bedtime for major depression. The nurse should instruct the client and parents to monitor the client closely for which adverse effect?
Correct Answer: D
Rationale: Paroxetine can increase agitation, especially in adolescents, and may heighten suicide risk, requiring close monitoring.
Question 3 of 5
Which of the following statements by a client taking trazodone (Desyrel) indicates to the nurse that further teaching about the medication is needed?
Correct Answer: C
Rationale: Antidepressants like trazodone typically take 2–4 weeks to alleviate depression, not 5–7 days.
Question 4 of 5
Which of the following comments indicates that a client understands the nurse's teaching about sertraline (Zoloft)?
Correct Answer: B
Rationale: Delayed ejaculation is a known side effect of sertraline, indicating correct understanding.
Question 5 of 5
A client with depression who is taking doxepin (Sinequan) 100 mg P.O. at bedtime has dizziness on arising. Which of the following suggestions is most appropriate?
Correct Answer: B
Rationale: Orthostatic hypotension is a side effect of doxepin; rising slowly minimizes dizziness and fall risk.