NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is being abused. The nurse should assess the client for which characteristic? Select all that apply.
Correct Answer: B,D,E
Rationale: Clients experiencing abuse often exhibit self-blame, suicidal thoughts, and guilt due to the psychological impact of abuse. Assertiveness is unlikely, and alcohol abuse is not a universal characteristic.
Question 2 of 5
A client is receiving haloperidol decanoate (Haldol decanoate). He begins to complain of stiff muscles, restlessness, and internal jumpiness. The client has all of the following medications ordered as needed. Which one would be most appropriate for the nurse to administer to decrease the client's symptoms?
Correct Answer: B
Rationale: The symptoms described (stiff muscles, restlessness, internal jumpiness) indicate extrapyramidal side effects (EPS) from haloperidol, which benztropine, an anticholinergic, effectively treats.
Question 3 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 4 of 5
As an angry client becomes more agitated while talking about his problems, the nurse decides to ask for staff assistance in taking control of the situation when the client demonstrates which of the following behaviors?
Correct Answer: B
Rationale: Picking up a pool cue stick and telling the nurse to get out indicates a potential for violence, necessitating immediate staff assistance to ensure safety. Swearing, pounding the table, or leaving time-out are concerning but less immediately threatening.
Question 5 of 5
A client with paranoid schizophrenia threatens staff. Which documentation is most appropriate?
Correct Answer: B
Rationale: Quoting the client's threat and describing behavior provides objective, specific documentation for safety planning.