NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client who chronically snorts cocaine is brought to the emergency department due to a cocaine overdose. The client is experiencing delusions, hallucinations, mild respiratory distress and mild tachycardia initially. The nurse should do which of the following? Select all that apply.
Correct Answer: B,C,D,E,F
Rationale: Cocaine overdose management includes seizure precautions, administering haloperidol for psychosis, monitoring for respiratory/metabolic acidosis, and encouraging deep breathing. Vomiting is not induced.
Question 2 of 5
Which of the following is a crucial goal of therapeutic communication when helping the client deal with the personal issues and painful feelings?
Correct Answer: B
Rationale: Conveying respect and acceptance, even if behaviors are not tolerated, fosters a therapeutic relationship that supports the client in addressing personal issues. Empathy through touch is situational, mutual sharing is inappropriate, and total confidentiality cannot be guaranteed due to legal exceptions.
Question 3 of 5
Which client statement indicates that the client has coped effectively with a relationship problem?
Correct Answer: D
Rationale: The statement 'We are really listening to each other about our different view on issues' indicates effective coping through mutual communication and understanding, key components of resolving relationship problems. The other statements suggest partial progress but do not fully demonstrate effective coping through active listening and collaboration.
Question 4 of 5
The client with kidney stones refuses to eat lunch and rudely tells the nurse to get out of his room. Which of the following responses by the nurse is appropriate?
Correct Answer: D
Rationale: Asking what is upsetting the client acknowledges his anger and invites him to express underlying concerns, promoting therapeutic communication. The other responses either dismiss his feelings, assume pain, or fail to engage with the emotional issue.
Question 5 of 5
A nurse on the Geropsychiatric unit receives a call from the son of a recently discharged client. He reports that his father just got a prescription for memantine (Namenda) to take 'on top of his donepezil (Aricept).' The son then asks, 'Why does he have to take extra medicines?' The nurse should tell the son:
Correct Answer: B
Rationale: Memantine and donepezil are often combined to target different aspects of dementia (cholinesterase inhibition and NMDA receptor regulation), slowing progression more effectively together.