Questions 73

NCLEX-RN

NCLEX-RN Test Bank

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.

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