NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
A client with a new diagnosis of hypertension expresses anxiety about lifestyle changes. Which nursing intervention is most effective in reducing the client's anxiety?
Correct Answer: B
Rationale: Teaching relaxation techniques directly addresses the client's anxiety by providing tools to manage stress, which can also help control hypertension. A pamphlet is informative but less immediate, a nutritionist referral is secondary, and false reassurance about medication dismisses the client's concerns.
Question 2 of 5
Which of the following should the nurse expect to include as a priority in the plan of care for a client with delirium based on the nurse's understanding about the disturbances in orientation associated with this disorder?
Correct Answer: A
Rationale: Identifying self and ensuring the client's attention helps reorient the client and establishes a connection, addressing the disorientation common in delirium.
Question 3 of 5
The nurse is advising a client with schizophrenia about what to do when she begins to get agitated. The client has been compliant with taking her medications and has worked with clinic staff on dealing with her illness and recognizing when she is becoming agitated. Indicate the order from first to last the nurse should suggest the following actions be taken.
Order the Items
Source Container
Correct Answer: C,D,A,B
Rationale: The nurse should suggest: 1) Remove to a quiet environment to reduce stimuli (
C); 2) Tell trusted people to seek support (
D); 3) Take lorazepam for immediate anxiety relief (
A); 4) Take haloperidol for longer-term symptom control (
B). This order prioritizes non-pharmacological interventions first, followed by medications based on their onset of action.
Question 4 of 5
A client with schizophrenia is admitted with catatonic stupor. Which of the following interventions should the nurse prioritize?
Correct Answer: B
Rationale: Monitoring nutrition and hydration is critical in catatonic stupor, as immobility can lead to dehydration or malnutrition.
Question 5 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.