NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
A client with schizophrenia is started on aripiprazole (Abilify). Which side effect should the nurse monitor most closely?
Correct Answer: B
Rationale: Akathisia, a feeling of restlessness, is a common side effect of aripiprazole and requires close monitoring to ensure client comfort and adherence.
Question 2 of 5
The client with depression who is taking imipramine (Tofranil) states to the nurse, 'My doctor wants me to have an electrocardiogram (ECG) in 2 weeks, but my heart is fine.' Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: Imipramine can cause cardiac side effects, so periodic ECGs are standard to monitor heart function.
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
Which of the following statements indicates to the nurse that the client is progressing toward recovery from a somatoform disorder?
Correct Answer: A
Rationale: Saying 'Pain feels worse when worried about my divorce' indicates progress, as it shows insight into the link between emotional stress and physical symptoms.
Question 5 of 5
An adult client diagnosed with anxiety disorder becomes anxious when she touches fruits and vegetables. What should the nurse do?
Correct Answer: D
Rationale: Teaching cognitive behavioral approaches is appropriate, as it helps the client manage anxiety by addressing irrational thoughts and developing coping strategies.