NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client with paranoid schizophrenia says, 'The voices tell me I'm worthless.' What is the nurse's best initial response?
Correct Answer: A
Rationale: Acknowledging the reality of the voices for the client while stating the nurse's perspective builds trust and opens communication without challenging the hallucination.
Question 2 of 5
A client who chronically snorts cocaine is brought to the emergency department due to a cocaine overdose. The client is experiencing delusions, hallucinations, mild respiratory distress and mild tachycardia initially. The nurse should do which of the following? Select all that apply.
Correct Answer: B,C,D,E,F
Rationale: Cocaine overdose management includes seizure precautions, administering haloperidol for psychosis, monitoring for respiratory/metabolic acidosis, and encouraging deep breathing. Vomiting is not induced.
Question 3 of 5
Which of the following amounts of medications is appropriate for a client who is being treated with imipramine (Tofranil) on an outpatient basis for recurring depression and suicidal ideation to have at one time?
Correct Answer: D
Rationale: A 7-day supply minimizes the risk of overdose in a suicidal client.
Question 4 of 5
The nurse assesses a client to be at risk for self-mutilation and implements a safety contract with the client. Which of the following client behaviors indicate that the contract is working?
Correct Answer: B
Rationale: Notifying staff when anxiety is increasing indicates the safety contract is working, as it shows the client is actively engaging in the plan to manage risk and seek help proactively.
Question 5 of 5
A client in an anger management group says, 'I get mad, but I don't want to hurt anyone.' Which goal should the nurse prioritize for this client?
Correct Answer: B
Rationale: Identifying early signs of anger escalation helps the client intervene before losing control, preventing harm. Exercise is a coping strategy, suppression is unhealthy, and leaving situations is less proactive than early intervention.