NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
A client with schizophrenia is started on asenapine (Saphris). Which instruction is most important?
Correct Answer: A
Rationale: Asenapine is a sublingual tablet that must dissolve under the tongue for proper absorption, ensuring efficacy.
Question 2 of 5
A client newly diagnosed with bulimia is attending the nurse-led group at the mental health center. She tells the group that she came only because her husband said he would divorce her if she didn't get help. Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: Encouraging the client to elaborate on her feelings fosters therapeutic communication and engagement in treatment.
Question 3 of 5
The client with depression has been consistent with taking 12.5 mg of paroxetine (Paxil) extended release daily. The nurse judges the client to be benefiting from this drug therapy when the client demonstrates which of the following behaviors? Select all that apply.
Correct Answer: B, C, D
Rationale: Completing tasks, reduced agitation (pacing), and expressing feelings indicate improved depression symptoms.
Question 4 of 5
The friend of a client with depression and suicidal ideation asks the nurse, 'How should I act around her?' Which of the following responses by the nurse is best?
Correct Answer: B
Rationale: Being caring and genuine fosters trust and supports the client's emotional needs.
Question 5 of 5
A client known to have alcohol dependence is admitted to the emergency department with a temperature of 99°F, a pulse of 110, respirations of 26, and blood pressure of 150/98. The blood alcohol level is 0.25%, three times the legal limit. Now the client is becoming belligerent and uncooperative. In which order from first to last should the following nursing and medical orders be implemented?
Order the Items
Source Container
Correct Answer: D, A, C, B
Rationale: The order is: 1) Place the client in a quiet room to reduce stimulation and agitation (
D). 2) Administer lorazepam to manage belligerence and withdrawal symptoms (
A). 3) Take vital signs every 15 minutes to monitor stability (
C). 4) Draw blood for magnesium level to assess electrolyte status (
B). This prioritizes de-escalation, symptom management, monitoring, and diagnostics.