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: Therapeutic responses to naloxone include dilated pupils (
C) and consciousness (E), as it reverses opioid-induced respiratory depression and sedation.
Question 2 of 5
While a client is taking alprazolam (Xanax), which of the following should the nurse instruct the client to avoid?
Correct Answer: C
Rationale: The client should avoid alcohol, as it increases CNS depression when combined with alprazolam, posing significant risks.
Question 3 of 5
Despite education and role-play practice of restraint procedures, a staff member is injured when actually restraining a client. When helping the uninjured staff deal with the incident, the nurse should address which of the following about the injured member?
Correct Answer: A
Rationale: The nurse should address that the injured member's emotional responses may resemble those of crime victims, acknowledging potential trauma. Resignation is speculative, legal action is not the nurse's focus, and debriefing with the client is inappropriate and potentially harmful.
Question 4 of 5
A male client who is very depressed exhibits psychomotor retardation, a flat affect, and apathy. The nurse observes the client to be in need of grooming and hygiene. Which of the following nursing actions is most appropriate?
Correct Answer: B
Rationale: Asking if the client is ready respects autonomy while gently encouraging hygiene, aligning with their energy level.
Question 5 of 5
A client diagnosed with Undifferentiated Schizophrenia gained 50 lb in 6 months while taking olanzapine (Zyprexa). After seeing her psychiatrist who changed the medication to ziprasidone (Geodon), the client tells the nurse, 'I don't want to take this Geodon either. I can't gain any more weight.' Which response by the nurse is most appropriate for this client?
Correct Answer: A
Rationale: Addressing the client's concern about weight gain by noting that ziprasidone is associated with less weight gain than olanzapine provides reassurance and encourages adherence.