NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
A client taking paroxetine (Paxil) 40 mg P.O. every morning tells the nurse that her mouth 'feels like cotton.' Which of the following statements by the client necessitates further assessment by the nurse?
Correct Answer: D
Rationale: Drinking 12 glasses of water daily may indicate overcompensation or another issue, requiring further assessment.
Question 2 of 5
A client has been taking increased amounts of alprazolam (Xanax) for about 6 months for anxiety. She asks the nurse how she can 'get off the Xanax.' The most accurate answer by the nurse is which of the following?
Correct Answer: C
Rationale: Tapering Xanax over 48 hours is accurate, as gradual reduction prevents withdrawal symptoms, given the client's prolonged use.
Question 3 of 5
A 77-year-old client is brought to the emergency department by her son. The client is complaining to assess the number of the questions, 'I'm so worried about everything.' Her son says that she has heart failure and chronic schizophrenia. 'In addition to all of her heart medicines, she is on aripiprazole (Abilify), which was increased to 30 mg by her family doctor 3 days ago.' In addition to documenting all of the client's medications and exact dosages, the nurse should particularly investigate which of the following? Select all that apply.
Correct Answer: B,C,D
Rationale: Investigating schizophrenia symptoms (
B) assesses the need for aripiprazole; checking the dose (
C) is critical, as 30 mg is high for an elderly patient; and evaluating heart failure symptoms (
D) ensures medical stability, as aripiprazole can affect cardiac function.
Question 4 of 5
The client with bipolar disorder, manic phase, states, 'You're looking good. I'm taking you out to dinner.' Which of the following replies by the nurse is most therapeutic?
Correct Answer: D
Rationale: Reintroducing professional boundaries calmly redirects the client's inappropriate advance.
Question 5 of 5
The nurse is with the parents of a 16-year-old boy who recently attempted suicide. The nurse cautions the parents to be especially alert for which of the following?
Correct Answer: C
Rationale: Giving away valued items is a warning sign of suicidal intent, requiring immediate attention.