NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client who was recently discharged from the psychiatric unit telephones the unit to speak to the nurse. The client states that she took her children to the neighbors' house and has turned on the gas to kill herself. She is home alone and gives the nurse her address. Which of the following actions should the nurse do next?
Correct Answer: B
Rationale: Immediate police notification is critical to ensure the client's safety in an active suicide attempt.
Question 2 of 5
The client is receiving 6 mg of selegiline transdermal system (Emsam) every 24 hours for major depression. The nurse should judge teaching about Emsam to be effective when the client makes which statement?
Correct Answer: A
Rationale: Avoiding heat sources like saunas is critical with Emsam to prevent hypertensive crisis due to MAOI effects.
Question 3 of 5
A 33-year-old client named Becky, who is diagnosed with Dissociative Identity Disorder, is admitted to the unit after a suicide attempt. During a group therapy session the next morning, the topic of anger toward parents came up. Becky suddenly throws herself on the floor and starts screaming, 'Mommy, Mommy, help Annie girl, help Annie girl.' The nurse should take the following actions in which order of priority from first to last?
Order the Items
Source Container
Correct Answer: C, A, D, B
Rationale: The order is: 1) Protect Annie from injury (
C). 2) Ask other clients to leave (
A). 3) Ask Annie about the event (
D). 4) Ask Becky about the session (
B). Safety is first, followed by managing the environment and exploring the trigger.
Question 4 of 5
When preparing to use seclusion as an alternative to restraint for a client who has not yet lost control, the nurse expects to use a room with limited furniture and no access to dangerous articles. What should the nurse also consider as critical for the safety of the client?
Correct Answer: A
Rationale: A security window or camera is critical for monitoring the client's safety during seclusion without direct presence, which could escalate agitation. Dimming lights is less critical, a staff member in the room may increase agitation, and a doctor's order is procedural but not directly tied to immediate safety.
Question 5 of 5
A client with depression who is taking doxepin (Sinequan) 100 mg P.O. at bedtime has dizziness on arising. Which of the following suggestions is most appropriate?
Correct Answer: B
Rationale: Orthostatic hypotension is a side effect of doxepin; rising slowly minimizes dizziness and fall risk.