NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
A client who is experiencing alcohol withdrawal exhibits tremors, diaphoresis, and hyperactivity. Blood pressure is 190/87 mm Hg and pulse is 92 bpm. Which of the following medications should the nurse expect to administer?
Correct Answer: B
Rationale: Lorazepam is expected, as it is a benzodiazepine used to manage alcohol withdrawal symptoms like tremors, diaphoresis, and hyperactivity, reducing the risk of seizures.
Question 2 of 5
When assessing a 17-year-old male client with depression for suicide risk, which of the following questions is best?
Correct Answer: D
Rationale: Directly asking about suicidal thoughts is the most effective way to assess immediate risk.
Question 3 of 5
A family, including an 8-year-old boy and a 13-year-old girl, have been long-time members of a cult. The girl ran away to her aunt's house and is admitted to the psychiatric unit with trauma-related symptoms. Which of the following is the nurse's priority nursing diagnosis?
Correct Answer: A
Rationale: Post-trauma syndrome is the priority diagnosis due to the girl's trauma-related symptoms, which pose immediate psychological and safety concerns. Impaired parenting, deficient knowledge, and social isolation are relevant but secondary to addressing her acute trauma.
Question 4 of 5
A client in the emergency department tells the nurse that he 'sees sounds and hears colors' as a result of using lysergic acid diethylamide (LSD). He also has been used to which of the following? Select all that apply.
Correct Answer: B,D,E,F
Rationale: LSD overdose requires reducing stimuli, monitoring vital signs, talking reassuringly, and possibly administering lorazepam for anxiety. Vomiting is not induced, and restraints are avoided unless necessary.
Question 5 of 5
A client diagnosed with Major Depression and Substance Dependence is being admitted to the Dual Diagnosis Unit. In explaining the focus of this program, the nurse should tell the client:
Correct Answer: C
Rationale: The focus is simultaneous treatment of addiction and depression, as dual diagnosis programs address both conditions concurrently to improve outcomes.