Questions 97

NCLEX-RN

NCLEX-RN Test Bank

Mental Health RN NCLEX Questions Questions

Extract:


Question 1 of 5

A newly admitted 20-year-old client, diagnosed with Post Traumatic Stress Disorder (PTSD), reluctantly reveals that she escaped from a satanic cult 2 years ago. The mother has been in the cult since the client was 3 years old and refused to leave with the client. The client says, 'Nobody will ever believe the horrible things the men did to me and my mother never stopped them.' Which of the following responses is appropriate for the nurse to make?

Correct Answer: D

Rationale: Saying 'It must be difficult to talk about what happened. I'm willing to listen' is appropriate, as it validates the client's struggle, offers support, and encourages sharing without judgment.

Question 2 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 3 of 5

After administering naloxone (Narcan), an opioid antagonist, the nurse should monitor the client carefully for which of the following?

Correct Answer: D

Rationale: Naloxone can precipitate withdrawal, and its effects may wear off, leading to recurrent respiratory depression, which requires close monitoring.

Question 4 of 5

A client commonly jumps when spoken to and reports feeling uneasy. The client says, 'It's as though something bad is going to happen.' In which order from first to last should the following nursing actions be done?

Order the Items

Source Container

Teach problem solving strategies.
Ask the client to deep breathe for 2 minutes.
Discuss the client's feelings in more depth.
Reduce environmental stimuli.

Correct Answer: D,B,C,A

Rationale: First reduce stimuli, then use deep breathing, discuss feelings, and finally teach problem-solving to manage anxiety.

Question 5 of 5

A client on a stretcher in the emergency department begins to thrash around, slap the sheets and yells, 'Get these bugs off of me.' She is disoriented and has a blood pressure of 189/75 and a pulse of 96. The friend who is with her says, 'She was drinking a lot 3 days ago and asked me for money to get more vodka, but I didn't have any.' The nurse should do the following in which order from first to last?

Order the Items

Source Container

Obtain an order to place the client in restraints, if needed.
Implement constant observation.
Monitor vital signs every 15 minutes.
Administer haloperidol (Haldol) and lorazepam (Ativan) I.M. as ordered.
Remind the client that she is in the hospital and the nurse is with her.
Chart the client's response to the interventions.

Correct Answer: B,E,D,A,F

Rationale: First implement observation, orient the client, monitor vital signs, administer medications, consider restraints if needed, and chart responses.

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