NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
A client with suicidal ideation is admitted to the psychiatric unit. Which of the following actions should the nurse prioritize upon admission?
Correct Answer: A
Rationale: Searching belongings for harmful items is the priority to ensure immediate safety for a client with suicidal ideation.
Question 2 of 5
A client has been taking increased amounts of alprazolam (Xanax) for about 6 months for anxiety. She asks the nurse how she can 'get off the Xanax.' The most accurate answer by the nurse is which of the following?
Correct Answer: C
Rationale: Tapering Xanax over 48 hours is accurate, as gradual reduction prevents withdrawal symptoms, given the client's prolonged use.
Question 3 of 5
An unconscious client in the emergency department is given I.V. naloxone (Narcan) due to an overdose of heroin. Which of the following would indicate a therapeutic response to the Narcan? Select all that apply.
Correct Answer: C,E
Rationale: Naloxone reverses opioid overdose, leading to dilated pupils and restored consciousness. Pulse rate may increase, respirations should improve, and skin changes are less specific.
Question 4 of 5
A client with dementia is resistant to dressing. Which approach should the nurse use?
Correct Answer: B
Rationale: Offering a choice between two outfits empowers the client and reduces resistance, making the task more manageable.
Question 5 of 5
Which of the following client statements indicates an understanding of the signs of alcohol relapse?
Correct Answer: B
Rationale: Saying 'Stopping AA and not expressing feelings can lead to relapse' shows understanding, as it identifies specific behaviors linked to relapse risk, reflecting self-awareness.