NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
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?
Correct Answer: C
Rationale: Tapering Xanax over 48 hours is accurate, as gradual reduction prevents withdrawal symptoms, given the client's prolonged use.
Question 2 of 5
When planning care for a client diagnosed with schizotypal personality disorder, which of the following helps the client become involved with others?
Correct Answer: B
Rationale: One-to-one activities are most appropriate for a client with schizotypal personality disorder, as they reduce social overload and allow for gradual, comfortable interaction, aligning with their preference for limited social engagement.
Question 3 of 5
A client is taking diazepam (Valium) for generalized anxiety disorder. Which instruction should the nurse give to this client? Select all that apply.
Correct Answer: A,D,E,F
Rationale: Diazepam requires consulting the provider before stopping, avoiding alcohol, and stopping if allergic reactions (e.g., swelling, breathing difficulty) occur. Tyramine avoidance and empty stomach are not relevant.
Question 4 of 5
A client is taking diazepam (Valium) for generalized anxiety disorder. Which instruction should the nurse give to this client? Select all that apply.
Correct Answer: A, D, E
Rationale: Instructions include: Consult provider before stopping (
A) to avoid withdrawal, avoid alcohol (
D) to prevent CNS depression, and stop if allergic reactions occur (E). Cheese (
B) is irrelevant, and empty stomach (
C) is not required.
Question 5 of 5
Three months after the death of her husband in an automobile accident, a client is admitted to the hospital after attempting to overdose on her antidepressant. She states, 'I can't live without him. It's no use.' Which of the following nursing diagnoses is the priority in the client's plan of care?
Correct Answer: D
Rationale: Risk for self-directed violence is the priority due to the recent suicide attempt and expressed desire to die, posing an immediate safety concern. Complicated grieving, powerlessness, and hopelessness are relevant but secondary to ensuring safety.