NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
A client will be discharged on lithium carbonate 600 mg three times daily. When teaching the client and his family about lithium therapy, the nurse determines that teaching has been effective if the client and family state that they will notify the prescribing health care provider immediately if which of the following occur? Select all that apply.
Correct Answer: B, C, E, F
Rationale: Muscle weakness, vertigo, vomiting, and anorexia are signs of lithium toxicity, requiring immediate notification.
Question 2 of 5
The friend of a client with depression and suicidal ideation asks the nurse, 'How should I act around her?' Which of the following responses by the nurse is best?
Correct Answer: B
Rationale: Being caring and genuine fosters trust and supports the client's emotional needs.
Question 3 of 5
In which of the following situations can a client's confidentiality be breached legally?
Correct Answer: C
Rationale: Confidentiality can be breached legally when there is a duty to warn, such as when a client threatens harm to others, as this prioritizes public safety. Sharing with a spouse, in a student paper, or with an employer violates confidentiality unless specific consent is given.
Question 4 of 5
The client with depression who is taking imipramine (Tofranil) states to the nurse, 'My doctor wants me to have an electrocardiogram (ECG) in 2 weeks, but my heart is fine.' Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: Imipramine can cause cardiac side effects, so periodic ECGs are standard to monitor heart function.
Question 5 of 5
A client with paranoid schizophrenia is isolative. Which intervention is most effective?
Correct Answer: B
Rationale: One-on-one activities build trust gradually, encouraging engagement without overwhelming the client.