Questions 73

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NCLEX-RN Mental Health Questions

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Question 1 of 5

A client is scheduled for the first electroconvulsive therapy (ECT) treatment in the morning. The client has been unable to sleep, but at 10 p.m. The client is still unable to sleep at 11:15 p.m. In what order should the nurse do the following?

Correct Answer: D, C, A, B

Rationale: The nurse should first discuss specific concerns to identify anxiety sources od to assess the client's needs, then offer relaxing music to promote relaxation, sit quietly to provide a calming presence, and finally encourage Restoril if prescribed, ensuring safe administration.

Question 2 of 5

A client with dementia is disoriented to time. Which intervention should the nurse implement?

Correct Answer: B

Rationale: A large clock and calendar provide visual cues to help orient the client, reducing confusion.

Question 3 of 5

A week ago, a tornado destroyed the client's home and seriously injured her husband. The client has been walking around the hospital in a daze without any outward display of emotions. She tells the nurse that she feels like she's going crazy. Which of the following actions should the nurse use first?

Correct Answer: B

Rationale: Reassuring that her feelings are typical reactions to trauma is first, as it normalizes her experience, reduces fear, and builds trust.

Question 4 of 5

A client with depression and suicidal ideation voices feelings of self-doubt and powerlessness and is very dependent on the nurse for most aspects of her care. According to Erikson's stages of growth and development, the nurse determines the client to be manifesting problems in which of the following stages?

Correct Answer: B

Rationale: Self-doubt and dependence reflect struggles with autonomy versus shame/doubt.

Question 5 of 5

A client with schizophrenia is prescribed quetiapine (Seroquel). Which teaching point is most important?

Correct Answer: A

Rationale: Avoiding alcohol is critical with quetiapine due to the risk of enhanced sedation, which could lead to dangerous side effects.

Similar Questions

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?
A female client with acute mania brings six suitcases and three shopping bags of personal belongings on admission to the unit. When informed that some of the suitcases and bags need to be returned home with her husband because of a lack of storage space, the client begins to use profanity against the nurse. Which of the following responses by the nurse is most therapeutic?
When obtaining a nursing history from parents who are suspected of abusing their child, which of the following characteristics about the parents should the nurse particularly assess?
A client yells at the nurse after a medication delay. Which response by the nurse is most appropriate?
A client states, 'I'm so tired of living and just want to end it all.' Which of the following responses is most therapeutic?

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