NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
A client with panic disorder is taking alprazolam (Xanax) 1 mg P.O. three times daily. The nurse understands that this medication is effective in blocking the symptoms of panic because of its specific action on which of the following neurotransmitters?
Correct Answer: A
Rationale: Alprazolam enhances GABA, reducing panic symptoms.
Question 2 of 5
When developing the teaching plan for the family of a client with severe depression who is to receive electroconvulsive therapy (ECT), which of the following information should the nurse include?
Correct Answer: A
Rationale: Temporary confusion and disorientation are common post-ECT effects, and families should be prepared.
Question 3 of 5
A client has been in the critical care unit for 3 days following a severe myocardial infarction. Although he is medically stable, he has begun to have fluctuating episodes of consciousness, illogical thinking, and anxiety. He is picking at the air to 'catch these baby angels flying around my head.' While waiting for medical and psychiatric results, the nurse must intervene with the client's needs. Which of the following needs have the highest priority? Select all that apply.
Correct Answer: A,B,D
Rationale: Reducing stimuli (
A) minimizes confusion, avoiding challenges to hallucinations (
B) prevents agitation, and gently presenting reality (
D) supports orientation without confrontation. Assuming dementia (E) is premature, and orienting to medical condition (
C) may overwhelm the client.
Question 4 of 5
A 79-year-old woman is brought to the outpatient clinic by her daughter for a routine medication evaluation. The daughter reports that her mother is quite stable and has no adverse effects from the risperidone (Risperdal) she is taking. Then the daughter says, 'I just think my mother could be even better if she was on a larger dosage. My son takes 1 mg of Risperdal every day and my mother is only on 0.5 mg.' What is the most helpful response by the nurse?
Correct Answer: C
Rationale: Explaining that older adults typically require lower doses due to slower metabolism and increased sensitivity to medications educates the daughter and addresses her concern appropriately.
Question 5 of 5
When caring for a client who has overdosed on phencyclidine (PCP), the nurse should be especially cautious about which of the following client behaviors?
Correct Answer: B
Rationale: Violent behavior is the primary concern, as PCP overdose can cause aggression and unpredictability, posing a safety risk to the client and others.