NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
An unconscious client in the emergency department is given I.V. naloxone (Narcan) due to an overdose of heroin. Which of the following would indicate a therapeutic response to the Narcan? Select all that apply.
Correct Answer: C,E
Rationale: Naloxone reverses opioid overdose, leading to dilated pupils and restored consciousness. Pulse rate may increase, respirations should improve, and skin changes are less specific.
Question 2 of 5
When developing the plan of care for a client with Alzheimer's disease who is experiencing moderate impairment, which of the following types of care should the nurse expect to include?
Correct Answer: A
Rationale: In moderate Alzheimer's, clients need prompting and guidance for activities of daily living due to memory and executive function deficits, but not yet total care.
Question 3 of 5
A client with dementia who prefers to stay in his room has been brought to the dayroom. After 10 minutes, the client becomes agitated and retreats to his room again. The nurse decides to assess the conditions in the dayroom. Which is the most likely occurrence that is disturbing to this client?
Correct Answer: C
Rationale: Conflicting stimuli, such as a relaxation tape and a crime show on TV, can overwhelm a client with dementia, causing agitation due to difficulty processing multiple inputs.
Question 4 of 5
A young client diagnosed with paranoid schizophrenia is talking with the nurse. 'You know, when I thought everyone was out to get me, I was staying in my apartment all the time. Now, I'd like to get out and do things again.' What is the best initial response by the nurse?
Correct Answer: C
Rationale: Focusing on the client's interests encourages engagement and supports their desire to reintegrate socially, aligning with their expressed goal of wanting to 'do things again.'
Question 5 of 5
When planning care for a client diagnosed with schizotypal personality disorder, which of the following helps the client become involved with others?
Correct Answer: B
Rationale: One-to-one activities are most appropriate for a client with schizotypal personality disorder, as they reduce social overload and allow for gradual, comfortable interaction, aligning with their preference for limited social engagement.