NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
A week ago, a tornado destroyed the client's home and seriously injured her husband. The client has been walking around the hospital in a daze without any outward display of emotions. She tells the nurse that she feels like she's going crazy. Which of the following actions should the nurse use first?
Correct Answer: B
Rationale: Reassuring that her feelings are typical reactions to trauma is first, as it normalizes her experience, reduces fear, and builds trust.
Question 2 of 5
After the nurse teaches a client with bipolar disorder about lithium therapy, which of the following client statements indicates the need for additional teaching?
Correct Answer: B
Rationale: Doubling a missed lithium dose is dangerous and can lead to toxicity; additional teaching is needed.
Question 3 of 5
When developing appropriate assignments for the staff, which of the following clients should the nurse manager judge to be at highest risk for suicide completion?
Correct Answer: A
Rationale: Elderly Caucasian men living alone after a loss have the highest suicide completion rates.
Question 4 of 5
When assessing a client who is receiving tricyclic antidepressant therapy, which of the following should alert the nurse to the possibility that the client is experiencing anticholinergic effects?
Correct Answer: D
Rationale: Urine retention and blurred vision are classic anticholinergic effects of tricyclic antidepressants.
Question 5 of 5
A client with Alzheimer's disease becomes agitated during group activities. What should the nurse do first?
Correct Answer: B
Rationale: Removing the client to a quieter area reduces overstimulation, helping to de-escalate agitation effectively.