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NCLEX RN Mental Health Questions Questions

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Question 1 of 5

A client diagnosed with schizophrenia for the last two years tells the nurse who has brought the morning medications 'That is not my pill! My pill is blue, not red.' The client refuses to take it. The best response by the nurse is:

Correct Answer: C

Rationale: Verifying the medication's appearance ensures safety and builds trust with the client.

Question 2 of 5

When preparing a teaching plan for a client about imipramine (Tofranil), which of the following substances should the nurse tell the client to avoid while taking the medication?

Correct Answer: C

Rationale: Alcohol can enhance the sedative effects of imipramine and increase the risk of adverse effects.

Question 3 of 5

A soldier is stationed in Iraq on his second tour of duty. His division was notified of the date they will be deployed to Afghanistan. As this date approaches, he is showing signs of excess anxiety and irritability and inability to sleep at night because of nightmares of IED (improvised explosive devices) tragedies, all leading to poor work performance. He is admitted to the base hospital for an evaluation. The admitting nurse should take the following actions in order of priority from first to last?

Order the Items

Source Container

Remind him that any feelings and problems he is having are typical in his current situation.
Ask him to talk about his upsetting experiences in Iraq.
Remove any weapons and dangerous items he has in his possession.
Acknowledge any injustices/unfairness related to his experiences and offer empathy and support.

Correct Answer: C, A, D, B

Rationale: The order is: 1) Remove weapons for safety (
C). 2) Remind him feelings are typical to normalize symptoms (
A). 3) Acknowledge injustices and offer empathy to build rapport (
D). 4) Ask about experiences to explore trauma (
B). Safety is the priority, followed by support and exploration.

Question 4 of 5

A client diagnosed with pain disorder is talking with the nurse about fishing when he suddenly reverts to talking about the pain in his arm. Which of the following should the nurse do next?

Correct Answer: D

Rationale: Redirecting back to fishing is appropriate, as it reinforces positive engagement and discourages focus on pain, a common strategy in managing pain disorder.

Question 5 of 5

A client taking paroxetine (Paxil) 40 mg P.O. every morning tells the nurse that her mouth 'feels like cotton.' Which of the following statements by the client necessitates further assessment by the nurse?

Correct Answer: D

Rationale: Drinking 12 glasses of water daily may indicate overcompensation or another issue, requiring further assessment.

Similar Questions

The client's friend reports that the client has been taking about eight 'reds' (800 mg of secobarbital [Seconal]) daily, besides drinking more alcohol than usual. The client's friend asks anxiously, 'Do you think she will live?' Which of the following responses by the nurse is most appropriate?
A client has been taking increased amounts of alprazolam (Xanax) for about 6 months for anxiety. She asks the nurse how she can 'get off the Xanax.' The most accurate answer by the nurse is which of the following?
An outpatient client who has a history of paranoid schizophrenia and chronic alcohol dependency has been taking risperidone (Risperdal) for several months. She reports that she stopped drinking 4 days ago, the client is a very satisfied by the tactile hallucinations of bugs crawling under her skin. Which of the following factors should the nurse incorporate into the plan of care when explaining the tactile hallucinations?
A community health nurse working with a group of 5th grade girls is planning a primary prevention to help the girls avoid developing eating disorders during their teen years. The nurse should focus on which of the following?
The nurse meets with the mother of a child diagnosed with attention deficit hyperactivity disorder. The mother states, 'I feel so guilty that he has this disease, like I did something wrong. I feel like I need to be with him constantly in order for him to get better. But still sometimes I feel like I'm going to lose control and hurt him.' The nurse should suggest which of the following to the mother?

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