NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
A client with a long history of paranoid schizophrenia is readmitted voluntarily after missing his last two injections of haloperidol decanoate (Haldol Decanoate). He reports, 'I'm not sleeping much and my friend says I smell from not showering. God is telling me to protect myself from others. My parents are sick and tired of me and my illness. They wish I were dead.' Which of the following admission notes by the nurse contains assumptions and potentially false accusations? Select all that apply.
Correct Answer: A,C,E
Rationale: The notes in A, C, and E make assumptions: A assumes noncompliance caused all symptoms and misinterprets the parents' intentions; C assumes a strained relationship and parental wishes without evidence; E falsely states medication was missed for 2 days and assumes parental abuse without substantiation.
Question 2 of 5
A 17-year-old client who has been taking an antidepressant for 6 weeks has returned to the clinic for a medication check. When the nurse talks with the client and her mother, the mother reports that she has to remind the client to take her antidepressant every day. The client says, 'Yeah, I'm pretty bad about remembering to take my meds, but I never miss a dose because Mom always bugs me about taking it.' Which of the following responses would be effective for the nurse to make to the client?
Correct Answer: B
Rationale: This response highlights the importance of responsibility while opening a discussion about strategies for independence.
Question 3 of 5
After the nurse administers haloperidol (Haldol) 5 mg P.O. to a client with acute mania, the client refuses to lie down on her bed, runs out on the unit, pushes clients in her vicinity out of the way, and screams threatening remarks to the staff. Which of the following should the nurse do next?
Correct Answer: C
Rationale: Seclusion and restraints may be necessary to ensure safety if the client poses a danger after medication.
Question 4 of 5
The client with depression has been consistent with taking 12.5 mg of paroxetine (Paxil) extended release daily. The nurse judges the client to be benefiting from this drug therapy when the client demonstrates which of the following behaviors? Select all that apply.
Correct Answer: B, C, D
Rationale: Completing tasks, reduced agitation (pacing), and expressing feelings indicate improved depression symptoms.
Question 5 of 5
In a family education group for those who have relatives with paranoid schizophrenia, which of the following statements by a family member indicates a need for further teaching about symptom management?
Correct Answer: B
Rationale: Pushing clients to socialize may increase stress and exacerbate symptoms like hallucinations, indicating a misunderstanding of symptom management. The other statements reflect appropriate strategies for managing overwhelm, negative symptoms, and hallucinations.