NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
A nurse on the Geropsychiatric unit receives a call from the son of a recently discharged client. He reports that his father just got a prescription for memantine (Namenda) to take 'on top of his donepezil (Aricept).' The son then asks, 'Why does he have to take extra medicines?' The nurse should tell the son:
Correct Answer: B
Rationale: Memantine and donepezil are often combined to target different aspects of dementia (cholinesterase inhibition and NMDA receptor regulation), slowing progression more effectively together.
Question 2 of 5
Which of the following comments indicates that a client understands the nurse's teaching about sertraline (Zoloft)?
Correct Answer: B
Rationale: Delayed ejaculation is a known side effect of sertraline, indicating correct understanding.
Question 3 of 5
The nurse assesses a client to be at risk for self-mutilation and implements a safety contract with the client. Which of the following client behaviors indicate that the contract is working?
Correct Answer: B
Rationale: Notifying staff when anxiety is increasing indicates the safety contract is working, as it shows the client is actively engaging in the plan to manage risk and seek help proactively.
Question 4 of 5
A client with schizophrenia comes to the outpatient mental health clinic 5 days after being discharged from the hospital. The client was given a 1-week supply of clozapine (Clozaril). The client tells the nurse that she has too much saliva and frequently needs to spit. The nurse interprets the client's statement as indicating which of the following?
Correct Answer: C
Rationale: Excessive salivation (sialorrhea) is a common side effect of clozapine, and the nurse should recognize it as an expected adverse effect rather than a delusion or symptom.
Question 5 of 5
A client with schizophrenia completes a self-care task independently. Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: Praising the achievement and encouraging further tasks reinforces independence and builds confidence.