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NCLEX-RN Mental Health Questions

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Question 1 of 5

A 79-year-old woman is brought to the outpatient clinic by her daughter for a routine medication evaluation. The daughter reports that her mother is quite stable and has no adverse effects from the risperidone (Risperdal) she is taking. Then the daughter says, 'I just think my mother could be even better if she was on a larger dosage. My son takes 1 mg of Risperdal every day and my mother is only on 0.5 mg.' What is the most helpful response by the nurse?

Correct Answer: C

Rationale: Explaining that older adults typically require lower doses due to slower metabolism and increased sensitivity to medications educates the daughter and addresses her concern appropriately.

Question 2 of 5

A client who is pacing and wringing his hands states, 'I just need to walk' when questioned by the nurse about what he is feeling. Which of the following responses by the nurse is most therapeutic?

Correct Answer: B

Rationale: Asking 'Are you feeling anxious?' is therapeutic, as it directly addresses the client's observable signs of anxiety, encouraging verbalization and engagement.

Question 3 of 5

After the nurse teaches a client with bipolar disorder about lithium therapy, which of the following client statements indicates the need for additional teaching?

Correct Answer: B

Rationale: Doubling a missed lithium dose is dangerous and can lead to toxicity; additional teaching is needed.

Question 4 of 5

A client ashamedly tells the nurse that he hit his wife while intoxicated and asks the nurse if his wife will ever forgive him. The nurse should reply to the client by saying:

Correct Answer: B

Rationale: Saying 'That's something you can explore in family therapy' is most therapeutic, as it encourages addressing the issue constructively in a supported setting, promoting accountability and healing.

Question 5 of 5

A client diagnosed with major depression has sleep and appetite disturbances, a flat affect and is withdrawn. The client has been taking fluvoxamine (Luvox) 50 mg twice daily for 5 days. Which client behavior is most important to report to the next shift?

Correct Answer: B

Rationale: Interacting with a visitor is a positive change, indicating potential improvement, and should be reported.

Similar Questions

A 45-year-old client has been rehospitalized with a severe exacerbation of lupus that affects her central nervous system. After visiting with the client, her husband approaches the nurse. He says, 'My wife is scaring me. She says she does not want to live with this illness anymore. Our kids are grown and she feels useless as a mother and a wife.' Which of the following statements are the most important responses to the husband? Select all that apply.
When assessing a client who is receiving tricyclic antidepressant therapy, which of the following should alert the nurse to the possibility that the client is experiencing anticholinergic effects?
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?
A client states, 'I'm so stressed about my job, I can't sleep.' Which question should the nurse ask to assess the client's coping mechanisms?
A client is sitting in the corner of the dayroom cocking his head to one side as if he hears something, but no one is nearby. The nurse suspects he is having auditory hallucinations. Which of the following questions should the nurse ask first?

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