NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
At an outpatient visit 3 months after discharge from the hospital, a client says he has stopped his olanzapine (Zyprexa) even though it controls his symptoms of schizophrenia better than other medications. 'I have gained 20 lb already. I can't stand any more.' Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: Offering a diet and exercise plan addresses the client's concern about weight gain while encouraging continued treatment, promoting adherence and health management.
Question 2 of 5
A client states that she hears God's voice telling her that she has sinned and needs to punish herself? Which response by the nurse is most important?
Correct Answer: B
Rationale: Instructing the client to inform staff when she feels the need to punish herself prioritizes safety, as it helps prevent self-harm, which is a critical concern with command hallucinations.
Question 3 of 5
When developing a teaching plan for a group of middle school children about the drug 3,4-methylenedioxymethamphetamine (Ecstasy), what information should the nurse expect to include? Select all that apply.
Correct Answer: A, B, C, D
Rationale: Information includes: Ecstasy's similarity to speed (
A), use at raves (
B), pacifiers for teeth grinding (
C), and reducing self-consciousness (
D), all accurate characteristics.
Question 4 of 5
When conducting a mental status examination with a newly admitted client who has an Axis I diagnosis of paranoid schizophrenia, the client states, 'I'm being followed; it's not safe. They're monitoring my every move.' In which of the following areas of the mental status examination should be the mental status examined.
Correct Answer: A
Rationale: The client's statement reflects paranoid delusions, which are assessed under thought content in a mental status examination, as this area evaluates the presence of delusions or hallucinations.
Question 5 of 5
Which of the following amounts of medications is appropriate for a client who is being treated with imipramine (Tofranil) on an outpatient basis for recurring depression and suicidal ideation to have at one time?
Correct Answer: D
Rationale: A 7-day supply minimizes the risk of overdose in a suicidal client.