Mental Health NCLEX | Nurselytic

Questions 24

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Mental Health NCLEX Questions

Extract:


Question 1 of 5

The client expresses ambivalence about quitting smoking and also the fear of “getting fat” and “looking like a cow.” The client wonders if that is worse than smoking. Which response by the nurse is most helpful?

Correct Answer: D

Rationale: Acknowledging weight gain fear and exploring pros/cons (
D) aids decision-making. Dieting (
A) risks relapse health focus (
B) dismisses fear closed question (
C) limits discussion.

Question 2 of 5

The nurse is caring for the client who is 2 days postadmission to a medical unit and has a long history of heavy alcohol abuse. The nurse should monitor for which acute complications related to alcohol abuse? Select all that apply.

Correct Answer: A ,B ,C, E

Rationale: Seizures (
A) pancreatitis (
B) GI bleeding (
C) and delirium tremens (E) are acute risks. Exophthalmos (
D) is unrelated.

Question 3 of 5

The client is admitted to the ED with multiple lacerations and broken bones after being assaulted. The client’s spouse barges into the client’s ED room with a gun and states “I’m going to kill you and anyone else who gets in my way.” Which action should be taken by the nurse initially?

Correct Answer: D

Rationale: Using a nonaggressive posture and tone (
D) to request the gun be placed down de-escalates the situation safely. Yelling (
A) may startle and escalate assuming intent (
B) blocks communication and gesturing (
C) risks escalation if noticed.

Question 4 of 5

What suggestion can the nurse make if the client complains of feeling dizzy when taking doxepin (Sinequan) at bedtime as prescribed?

Correct Answer: B

Rationale: Rising slowly minimizes orthostatic hypotension, a common side effect of doxepin, reducing dizziness.

Question 5 of 5

If the client's pain is the result of a panic attack, which findings will the nurse most likely note during the physical assessment? Select all that apply.

Correct Answer: A,E

Rationale: Panic attacks typically cause tachycardia and sweating due to sympathetic nervous system activation, reflecting acute anxiety.

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