Mental Health NCLEX Questions with Rationale | Nurselytic

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Mental Health NCLEX Questions with Rationale Questions

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Question 1 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 2 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 3 of 5

Which technique is most therapeutic for helping clients with dementia remain oriented?

Correct Answer: D

Rationale: Large calendars provide a constant visual cue, aiding orientation to time in clients with dementia.

Question 4 of 5

Which emotional responses are the parents most likely to experience immediately after the sudden death of their infant?

Correct Answer: B

Rationale: Guilt is a common immediate response as parents often question their actions or feel responsible for the infant's death, reflecting early grief processing.

Question 5 of 5

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.

Correct Answer: A ,B ,D, E

Rationale: Anabolic steroids cause acne (
A) aggression (
B) UTIs (
D) and hair thinning (E not thickening). Heavy menstruation (
C) is incorrect; menses cease. Edema (F) may occur but isn’t selected.

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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?
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