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NCLEX-RN Mental Health Questions

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Question 1 of 5

A client diagnosed with Major Depression and Substance Dependence is being admitted to the Dual Diagnosis Unit. In explaining the focus of this program, the nurse should tell the client:

Correct Answer: C

Rationale: The focus is simultaneous treatment of addiction and depression, as dual diagnosis programs address both conditions concurrently to improve outcomes.

Question 2 of 5

When obtaining a nursing history from parents who are suspected of abusing their child, which of the following characteristics about the parents should the nurse particularly assess?

Correct Answer: D

Rationale: Difficulty controlling aggression is a key risk factor for abuse and should be carefully assessed.

Question 3 of 5

A client with major depression is prescribed escitalopram (Lexapro) 10 mg daily. The client asks the nurse, 'How long will it take for me to feel better?' Which of the following responses by the nurse is most appropriate?

Correct Answer: B

Rationale: Escitalopram, an SSRI, typically takes 2–4 weeks to show therapeutic effects, setting realistic expectations.

Question 4 of 5

A client is scheduled for the first electroconvulsive therapy (ECT) treatment in the morning. The client has been unable to sleep, but at 10 p.m. The client is still unable to sleep at 11:15 p.m. In what order should the nurse do the following?

Order the Items

Source Container

Sit quietly with the client.
Encourage the use of Restoril.
Offer use of MP3 player with relaxing music.
Discuss specific concerns.

Correct Answer: D, C, A, B

Rationale: The nurse should first discuss specific concerns to identify anxiety sources od to assess the client's needs, then offer relaxing music to promote relaxation, sit quietly to provide a calming presence, and finally encourage Restoril if prescribed, ensuring safe administration.

Question 5 of 5

A nurse is assessing a 16-year-old client with suspected bulimia nervosa. Which of the following findings should the nurse expect? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Bulimia is characterized by normal weight, tooth enamel erosion from vomiting, calluses on knuckles from purging, and often excessive exercise to control weight. Fasting is more typical of anorexia.

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