NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
A client with dementia refuses to take medication. What should the nurse do first?
Correct Answer: C
Rationale: Offering the medication in liquid form may be easier for the client to accept, addressing resistance non-invasively.
Question 2 of 5
A client is receiving paroxetine (Paxil) 20 mg every morning. After taking the first three doses, the client tells the nurse that the medication upsets his stomach. Which of the following instructions should the nurse give to the client?
Correct Answer: B
Rationale: Taking paroxetine with food can reduce gastrointestinal side effects like nausea.
Question 3 of 5
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?
Correct Answer: C
Rationale: The client's statement reflects a loss of control over her actions due to her husband's restrictions, making powerlessness the most appropriate nursing diagnosis.
Question 4 of 5
A client is complaining to other clients about not being allowed by staff to keep food in her room. The nurse should:
Correct Answer: B
Rationale: Setting limits on the behavior is appropriate, as it addresses the client's disruptive actions while maintaining a therapeutic environment. It encourages adherence to unit rules without escalating conflict.
Question 5 of 5
A client with schizophrenia comes to the outpatient mental health clinic 5 days after being discharged from the hospital. The client was given a 1-week supply of clozapine (Clozaril). The client tells the nurse that she has too much saliva and frequently needs to spit. The nurse interprets the client's statement as indicating which of the following?
Correct Answer: C
Rationale: Excessive salivation (sialorrhea) is a common side effect of clozapine, and the nurse should recognize it as an expected adverse effect rather than a delusion or symptom.