NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
After being discharged from the hospital with acute stress disorder, a client is referred to the outpatient clinic for follow-up. Which of the following is most important for the client to use for continued alleviation of anxiety?
Correct Answer: C
Rationale: Using adaptive and palliative methods is most important, as they provide practical tools to manage anxiety, promoting long-term coping.
Question 2 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 3 of 5
A client who was recently discharged from the psychiatric unit telephones the unit to speak to the nurse. The client states that she took her children to the neighbors' house and has turned on the gas to kill herself. She is home alone and gives the nurse her address. Which of the following actions should the nurse do next?
Correct Answer: B
Rationale: Immediate police notification is critical to ensure the client's safety in an active suicide attempt.
Question 4 of 5
The nurse is talking with a client who has been diagnosed with antisocial personality disorder about how to socialize during activities without being seductive. The nurse should focus the discussion on which of the following areas?
Correct Answer: A
Rationale: Focusing on the negative reactions of others helps the client understand the impact of his seductive behavior, promoting awareness and encouraging more appropriate social interactions.
Question 5 of 5
A client is diagnosed with Generalized Anxiety Disorder (GAD) and given a prescription for venlafaxine (Effexor). Which of the following information should be included in the teaching plan for this client? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Include anxiety reduction strategies, Effexor's benefits/mechanisms, side effect management, and adaptive coping. Effexor doesn't eliminate anxiety completely, and effects take weeks.