NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
A client with dementia is anxious during transitions. Which strategy should the nurse use?
Correct Answer: B
Rationale: Clear, simple explanations reduce confusion and anxiety during transitions, supporting the client's comfort.
Question 2 of 5
The physician orders fluoxetine (Prozac) orally every morning for a 72-year-old client with depression. Which transient adverse effect of this drug requires immediate action by the nurse?
Correct Answer: B
Rationale: Dizziness in an elderly client increases fall risk, requiring immediate action to ensure safety.
Question 3 of 5
A client is being successfully treated with clozapine (Clozaril). Which of the following statements by the client reflects a need for further teaching about managing the drug's adverse effects?
Correct Answer: A
Rationale: Constipation is a side effect of clozapine, not fruit consumption, indicating a misunderstanding. The other statements correctly address nausea, orthostatic hypotension, and sedation as manageable side effects.
Question 4 of 5
While conducting a home visit for a client diagnosed with paranoid schizophrenia discharged 1 week ago, the client's mother tearfully states, 'I can hardly sleep because I'm so worried about my daughter. I'm afraid to leave her alone in the house. What if something should happen while I'm gone?' Which of the following problems related to the caregiver would be the most inclusive one for the nurse to incorporate into the client's plan of care?
Correct Answer: A
Rationale: Caregiver role strain encompasses the mother's anxiety, fear, and sleep disturbances, as it reflects the overall burden of caregiving, making it the most inclusive problem to address.
Question 5 of 5
A nurse is assessing a 16-year-old client with suspected bulimia nervosa. Which of the following findings should the nurse expect? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Bulimia is characterized by normal weight, tooth enamel erosion from vomiting, calluses on knuckles from purging, and often excessive exercise to control weight. Fasting is more typical of anorexia.