NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
A client is taking diazepam (Valium) for generalized anxiety disorder. Which instruction should the nurse give to this client? Select all that apply.
Correct Answer: A,D,E,F
Rationale: Diazepam requires consulting the provider before stopping, avoiding alcohol, and stopping if allergic reactions (e.g., swelling, breathing difficulty) occur. Tyramine avoidance and empty stomach are not relevant.
Question 2 of 5
A client with dementia who prefers to stay in his room has been brought to the dayroom. After 10 minutes, the client becomes agitated and retreats to his room again. The nurse decides to assess the conditions in the dayroom. Which is the most likely occurrence that is disturbing to this client?
Correct Answer: C
Rationale: Conflicting stimuli, such as a relaxation tape and a crime show on TV, can overwhelm a client with dementia, causing agitation due to difficulty processing multiple inputs.
Question 3 of 5
A client with schizophrenia refuses medication, stating, 'It makes me feel like a zombie.' What is the nurse's best response?
Correct Answer: A
Rationale: Discussing the medication's benefits encourages adherence while addressing the client's concerns, fostering collaboration.
Question 4 of 5
The nurse is reviewing the laboratory report with the client's lithium level taken that morning prior to administering the 5 p.m. dose of lithium. The lithium level is 1.8 mEq/L. The nurse should:
Correct Answer: B
Rationale: A lithium level of 1.8 mEq/L is above the therapeutic range (0.6–1.2 mEq/L), indicating potential toxicity, so the dose should be held and the physician notified.
Question 5 of 5
Which of the following is a realistic short-term goal to be accomplished in 2 to 3 days for a client with delirium?
Correct Answer: C
Rationale: Regaining orientation to time and place within 2 to 3 days is a realistic goal for delirium, as treating the underlying cause can lead to rapid improvement in cognitive function.