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Mental Health RN NCLEX Questions Questions

Extract:


Question 1 of 5

A client with acute mania exhibits euphoria, pressured speech, and flight of ideas. The client has been talking to the nurse non-stop for 5 minutes. Which of the following should the nurse do next?

Correct Answer: A

Rationale: Redirecting to a structured activity like lunch helps manage flight of ideas and reduces stimulation.

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

A client is being discharged after 3 days of hospitalization for a suicide attempt that followed the loss of a job. Which of the following should be the nurse's priority action before discharge?

Correct Answer: C

Rationale: Ensuring a follow-up appointment with a mental health provider is the priority to maintain continuity of care and monitor the client's suicide risk post-discharge. Increasing medication requires a physician's order and careful evaluation, community support groups are secondary, and avoiding work activities is unrealistic and not directly tied to immediate safety.

Question 4 of 5

A client known to have alcohol dependence is admitted to the emergency department with a temperature of 99°F, a pulse of 110, respirations of 26, and blood pressure of 150/98. The blood alcohol level is 0.25%, three times the legal limit. Now the client is becoming belligerent and uncooperative. In which order from first to last should the following nursing and medical orders be implemented?

Order the Items

Source Container

Administer lorazepam (Ativan) 2 mg I.M.
Draw blood for a magnesium level.
Take vital signs every 15 minutes.
Place client in a quiet room with dimmed lights.

Correct Answer: D, A, C, B

Rationale: The order is: 1) Place the client in a quiet room to reduce stimulation and agitation (
D). 2) Administer lorazepam to manage belligerence and withdrawal symptoms (
A). 3) Take vital signs every 15 minutes to monitor stability (
C). 4) Draw blood for magnesium level to assess electrolyte status (
B). This prioritizes de-escalation, symptom management, monitoring, and diagnostics.

Question 5 of 5

A client newly diagnosed with bulimia is attending the nurse-led group at the mental health center. She tells the group that she came only because her husband said he would divorce her if she didn't get help. Which of the following responses by the nurse is appropriate?

Correct Answer: C

Rationale: Encouraging the client to elaborate on her feelings fosters therapeutic communication and engagement in treatment.

Similar Questions

A newly admitted 20-year-old client, diagnosed with Post Traumatic Stress Disorder (PTSD), reluctantly reveals that she escaped from a satanic cult 2 years ago. The mother has been in the cult since the client was 3 years old and refused to leave with the client. The client says, 'Nobody will ever believe the horrible things the men did to me and my mother never stopped them.' Which of the following responses is appropriate for the nurse to make?
When conducting a mental status examination with a newly admitted client who has an Axis I diagnosis of paranoid schizophrenia, the client states, 'I'm being followed; it's not safe. They're monitoring my every move.' In which of the following areas of the mental status examination should be the mental status examined.
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.
During the third session with the nurse, a client who is being abused states, 'I don't know what to do anymore. He doesn't want me to go anywhere while he's at work, not even to visit my friends.' Which nursing diagnosis should the nurse formulate regarding this information?
A member of a nurse-led group for depressed adolescents tells the group that she is not coming back because she is taking medication and no longer needs to talk about her problems. Which of the following responses by the nurse is most appropriate?

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