NCLEX-RN
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
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.