NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
A psychiatric unit reports increased client aggression. Which intervention should the nurse manager implement first?
Correct Answer: B
Rationale: Training staff on de-escalation techniques addresses the root cause by equipping them to manage aggression proactively, reducing incidents. Security, policy revisions, or cameras are secondary without improving staff skills.
Question 2 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 3 of 5
After a period of unsuccessful treatment with Elavil (amitriptyline), a woman diagnosed with depression is switched to Parnate (tranylcypromine). Which statement by the client indicates the client understands the side effects of Parnate?
Correct Answer: C
Rationale: Parnate is a monoamine oxidase inhibitor (MAOI), and clients must avoid tyramine-rich foods like aged cheese and yeast products to prevent hypertensive crisis.
Question 4 of 5
The nurse is advising a client with schizophrenia about what to do when she begins to get agitated. The client has been compliant with taking her medications and has worked with clinic staff on dealing with her illness and recognizing when she is becoming agitated. Indicate the order from first to last the nurse should suggest the following actions be taken.
Order the Items
Source Container
Correct Answer: C,D,A,B
Rationale: The nurse should suggest: 1) Remove to a quiet environment to reduce stimuli (
C); 2) Tell trusted people to seek support (
D); 3) Take lorazepam for immediate anxiety relief (
A); 4) Take haloperidol for longer-term symptom control (
B). This order prioritizes non-pharmacological interventions first, followed by medications based on their onset of action.
Question 5 of 5
A client who is depressed states, 'I'm an awful person. Everything about me is bad. I can't do anything right.' Which of the following responses by the nurse is most therapeutic?
Correct Answer: C
Rationale: Discussing specific accomplishments challenges negative self-perceptions and promotes cognitive restructuring.