Mental Health NCLEX Questions with Rationale | Nurselytic

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Mental Health NCLEX Questions with Rationale Questions

Extract:


Question 1 of 5

If the physician prescribes imipramine hydrochloride (Tofranil) for the client, the nurse should assess for which therapeutic drug effect first?

Correct Answer: D

Rationale: Regulated mood is the primary therapeutic effect of imipramine, addressing the core symptoms of depression.

Question 2 of 5

The client experiencing severe withdrawal symptoms due to alcohol dependence is prescribed chlordiazepoxide 100 mg oral x 1 then 50 mg every 2 hours until symptoms are controlled. The medication is supplied in 50-mg tablets. The nurse administered the initial dose 2 hours ago and the client is still agitated and tremulous. How many tablets should the nurse prepare to administer at this time?_ tablet(s) (Record your answer as a whole number.)

Correct Answer: 1

Rationale: Proportion: 50 mg/1 tablet = 50 mg/X tablets; X = 1 tablet.

Question 3 of 5

What is the most appropriate nursing action when the terminally ill client's death is imminent?

Correct Answer: A

Rationale: Staying with the client provides comfort, and contacting family ensures support, aligning with the advance directive.

Question 4 of 5

The client has been placed in restraints for violent behavior. Which statement best indicates the nurse’s understanding of the risk for client injury while being restrained?

Correct Answer: C

Rationale: Continuous monitoring (
C) prevents injury during restraint. Nutrition (
A) release mechanisms (
B) and circulation checks (
D) are secondary to constant observation.

Question 5 of 5

The nurse is counseling the client with a substance abuse disorder. Which defense mechanism is the nurse most likely to observe the client using in response to a stressful event?

Correct Answer: B

Rationale: Regression (
B) is common in substance abuse showing childlike behaviors. Repression (
A) sublimation (
C) and reaction formation (
D) are less typical.

Similar Questions

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The nurse is caring for an unresponsive toddler in a PICU. The child’s parent was arrested for alleged child abuse but released on bail. The parent is pounding at the door belligerent and demanding to visit the child. Which is the most appropriate nursing plan of action?
The student participating in college sports is suspected of abusing anabolic steroids and is referred to the college’s health service. Which nursing assessment findings are consistent with anabolic steroid abuse? Select all that apply.
The nurse assesses the client every 15 minutes. What objective evidence will the nurse detect that indicates that the restraints are too tight? Select all that apply.
The client uses methamphetamine regularly. Which subjective quote documented by the nurse demonstrates the client using pathological projection as a coping mechanism?

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