NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
A client in the emergency department tells the nurse that he 'sees sounds and hears colors' as a result of using lysergic acid diethylamide (LSD). He also has been used to which of the following? Select all that apply.
Correct Answer: B,D,E,F
Rationale: LSD overdose requires reducing stimuli, monitoring vital signs, talking reassuringly, and possibly administering lorazepam for anxiety. Vomiting is not induced, and restraints are avoided unless necessary.
Question 2 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 3 of 5
A client who is experiencing alcohol withdrawal exhibits tremors, diaphoresis, and hyperactivity. Blood pressure is 190/87 mm Hg and pulse is 92 bpm. Which of the following medications should the nurse expect to administer?
Correct Answer: B
Rationale: Lorazepam is expected, as it is a benzodiazepine used to manage alcohol withdrawal symptoms like tremors, diaphoresis, and hyperactivity, reducing the risk of seizures.
Question 4 of 5
A client has been admitted to the emergency department with alcohol withdrawal delirium. At 9 a.m. on 10/25, the nurse notes that the client is confused. His vital signs are T=99°F, P=50, R=10, and BP=100/60. The nurse compares these findings to the nurses' progress notes from admission 24 hours ago. What should the nurse do first?
Correct Answer: C
Rationale: Attempting to arouse the client is the first action, as it assesses the level of consciousness and responsiveness, critical in determining the severity of delirium and guiding further interventions.
Question 5 of 5
Which of the following is a priority to include in the plan of care for a client with Alzheimer's disease who is experiencing difficulty processing and completing complex tasks?
Correct Answer: B
Rationale: Breaking tasks into single steps simplifies instructions for clients with Alzheimer's, accommodating their impaired ability to process complex tasks.