NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 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 2 of 5
A client with a history of angry outbursts is learning to identify triggers. Which activity should the nurse recommend?
Correct Answer: A
Rationale: Keeping a journal helps the client identify specific triggers for anger, enabling targeted interventions. Yoga and walking are helpful but less focused on trigger identification, and avoiding stress is unrealistic.
Question 3 of 5
The nursing assistant states to the nurse, 'My client talks about how awful and useless she is. Sometimes she sounds angry for no reason. I'm tired of listening to her.' Which of the following responses by the nurse is most appropriate?
Correct Answer: B
Rationale: Listening to the client's feelings is therapeutic and supports emotional expression.
Question 4 of 5
A client who took an overdose of Tylenol in a suicide attempt is transferred overnight to the psychiatric inpatient unit from the intensive care unit. The night shift nurse called the physician on call to obtain initial orders. The physician ordered the typical routine medications for clients on this unit: Milk of Magnesia, Maalox, and Tylenol as needed. Prior to administering the orders, the nurse should:
Correct Answer: B
Rationale: Tylenol is contraindicated due to the client's recent overdose; the order must be questioned.
Question 5 of 5
The client is feeling better as the symptoms of alcohol withdrawal abate. She refuses information about alcohol rehabilitation and states, 'I don't have a problem. I'll never drink like that again. I learned my lesson this time. I guess I'll just have to switch to beer or wine.' The nurse should respond by:
Correct Answer: C
Rationale: Urging her to attend Alcoholics Anonymous meetings is most appropriate, as it encourages ongoing support and addresses her denial, promoting long-term recovery.