NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Part 2 Questions
Question 1 of 5
A client has been taking 30 mg of duloxetine hydrochloride (Cymbalta) twice daily for 2 months because of depression and vague aches and pains. While interacting with the nurse, the client discloses a pattern of drinking a 6-pack of beer daily for the past 10 years to help with sleep. What should the nurse do first?
Correct Answer: C
Rationale: Reporting alcohol use to the physician is critical due to potential interactions with Cymbalta, which can increase liver risks or exacerbate depression.
Question 2 of 5
The nurse is assessing the outcomes of care for a client who has an Axis I diagnosis of major depression. Following the initiation of treatment, arrange the symptoms in chronological order from the one that improves first to the one that improves last.
Order the Items
Source Container
Correct Answer: B, D, C, A
Rationale: Depression treatment typically improves sleep first, followed by appetite, energy level, and finally self-esteem, which takes longer to recover.
Question 3 of 5
A 62-year-old female client with severe depression and psychotic symptoms is scheduled for electroconvulsive therapy (ECT) tomorrow morning. The client's daughter asks the nurse, 'How painful will the treatment be for Mom?' The nurse should respond by saying which of the following?
Correct Answer: C
Rationale: ECT is performed under anesthesia, ensuring the client is unconscious and feels no pain during the procedure.
Question 4 of 5
The client with recurring depression will be discharged to the community in a few days. Which of the following is the best approach for the nurse to help the family prepare for the client's return home?
Correct Answer: C
Rationale: Involving the client in usual activities promotes normalcy and recovery, balancing rest and engagement.
Question 5 of 5
The physician orders mirtazapine (Remeron) 30 mg P.O. at bedtime for a client diagnosed with depression. The nurse should:
Correct Answer: A
Rationale: Mirtazapine 30 mg at bedtime is appropriate for depression and promotes sleep, a common dosing strategy.