NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
A client is receiving paroxetine (Paxil) 20 mg every morning. After taking the first three doses, the client tells the nurse that the medication upsets his stomach. Which of the following instructions should the nurse give to the client?
Correct Answer: B
Rationale: Taking paroxetine with food can reduce gastrointestinal side effects like nausea.
Question 2 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 3 of 5
The client with depression who is taking imipramine (Tofranil) states to the nurse, 'My doctor wants me to have an electrocardiogram (ECG) in 2 weeks, but my heart is fine.' Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: Imipramine can cause cardiac side effects, so periodic ECGs are standard to monitor heart function.
Question 4 of 5
The client with depression has been consistent with taking 12.5 mg of paroxetine (Paxil) extended release daily. The nurse judges the client to be benefiting from this drug therapy when the client demonstrates which of the following behaviors? Select all that apply.
Correct Answer: B, C, D
Rationale: Completing tasks, reduced agitation (pacing), and expressing feelings indicate improved depression symptoms.
Question 5 of 5
A client states to a nurse, 'Hey sweetie, you're looking good today.' Which of the following responses by the nurse is best?
Correct Answer: C
Rationale: Politely but firmly addressing inappropriate comments sets professional boundaries.