NCLEX Mental Health Questions

Extract:

Question 1 of 5

In this situation, which nursing action is most appropriate?

Correct Answer: C

Rationale: Reporting delirium tremens symptoms, like hallucinations, to the physician ensures timely medical intervention for alcohol withdrawal.

Question 2 of 5

The nurse is caring for the client who has methamphetamine toxicity. Which interventions should the nurse include in the client’s plan of care? Select all that apply.

A. Give olanzapine 10 mg IM q2h prn to treat agitation. B. Allow the client to sleep and eat as much as desired. C. Administer labetalol 20 mg IV to control hallucinations. D. Monitor 1:1 to protect client from harm to self and others. E. Encourage involvement in the therapeutic treatment milieu.

Correct Answer: A ,B ,D

Rationale: Olanzapine (
A) reduces agitation sleep/eating (
B) aids recovery 1:1 monitoring (
D) ensures safety. Labetalol (
C) is for BP not hallucinations; milieu (E) is premature.

Question 3 of 5

The client is visibly upset pounding on the desk at the nurses’ station and shouting “You’re the nurse so you have to fix this now.” What should be the nurse’s primary rationale for recognizing that the client is a danger to staff and other clients?

A. The client is verbally threatening the nurse to fix the situation now. B. The client does not acknowledge his or her role in the problem-solving process. C. The client has no apparent ability to recognize that he or she is acting inappropriately. D. The client’s main strategy for meeting personal needs and wants is intimidation and anger.

Correct Answer: D

Rationale: Intimidation and anger as primary strategies (
D) indicate danger. No verbal threat (
A) role acknowledgment (
B) or recognition of inappropriateness (
C) is evident.

Question 4 of 5

Which therapeutic activity is most helpful in facilitating reminiscence therapy among older adult clients?

A. Discussing a current event topic B. Singing popular songs from the 1960s C. Reading an article from the newspaper D. Making decorations for a future holiday

Correct Answer: B

Rationale: Singing familiar songs from the past stimulates memories, enhancing engagement in reminiscence therapy.

Question 5 of 5

The client taking disulfiram has a throbbing headache diaphoresis and sudden vomiting. Which possible conclusions by the nurse should be explored first?

A. The client may have developed influenza. B. The client may have recently consumed alcohol. C. The client may have recently taken a cough suppressant. D. The client may have eaten foods that interact with disulfiram.

Correct Answer: B

Rationale: Alcohol ingestion (
B) causes disulfiram reaction (headache diaphoresis vomiting). Influenza (
A) cough suppressants (
C)

NCLEX Mental Health Questions | Nurselytic

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NCLEX-PN

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