Questions 74

NCLEX-RN

NCLEX-RN Test Bank

Mental Health RN NCLEX Questions Questions

Extract:


Question 1 of 5

A client is being discharged after 3 days of hospitalization for a suicide attempt that followed the loss of a job. Which of the following should be the nurse's priority action before discharge?

Correct Answer: C

Rationale: Ensuring a follow-up appointment with a mental health provider is the priority to maintain continuity of care and monitor the client's suicide risk post-discharge. Increasing medication requires a physician's order and careful evaluation, community support groups are secondary, and avoiding work activities is unrealistic and not directly tied to immediate safety.

Question 2 of 5

A client on a stretcher in the emergency department begins to thrash around, slap the sheets and yells, 'Get these bugs off of me.' She is disoriented and has a blood pressure of 189/75 and a pulse of 96. The friend who is with her says, 'She was drinking a lot 3 days ago and asked me for money to get more vodka, but I didn't have any.' The nurse should do the following in which order from first to last?

Order the Items

Source Container

Obtain an order to place the client in restraints, if needed.
Implement constant observation.
Monitor vital signs every 15 minutes.
Administer haloperidol (Haldol) and lorazepam (Ativan) I.M. as ordered.
Remind the client that she is in the hospital and the nurse is with her.
Chart the client's response to the interventions.

Correct Answer: B,E,D,A,F

Rationale: First implement observation, orient the client, monitor vital signs, administer medications, consider restraints if needed, and chart responses.

Question 3 of 5

Before his hospitalization, a client needed increasingly larger doses of barbiturates to achieve the same effect. The nurse interprets this information to indicate the client has developed which of the following conditions?

Correct Answer: B

Rationale: Needing larger doses indicates tolerance, where the body adapts to barbiturates, requiring more to achieve the same effect, a hallmark of substance misuse.

Question 4 of 5

A client who is depressed states, 'I'm an awful person. Everything about me is bad. I can't do anything right.' Which of the following responses by the nurse is most therapeutic?

Correct Answer: C

Rationale: Discussing specific accomplishments challenges negative self-perceptions and promotes cognitive restructuring.

Question 5 of 5

The client is to be discharged from the hospital after a safe, medically supervised withdrawal from alcohol. Which of the following outcomes indicate client readiness for an outpatient alcohol treatment program? Select all that apply.

Correct Answer: B, C, D

Rationale: Outcomes indicating readiness include: Verbalizing the damaging effects of alcohol (
B), showing awareness of harm; planning to attend AA meetings (
C), indicating commitment to support; and taking naltrexone daily (
D), adhering to treatment. Options A and E suggest denial or lack of insight.

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