NCLEX Mental Health Questions | Nurselytic

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NCLEX Mental Health Questions Questions

Extract:


Question 1 of 5

The client is being admitted to the ICU with drug overdose that resulted in extreme hypertension and an unstable cardiac rhythm. The client suddenly becomes physically combative and is kicking shoving throwing items in the room and threatening staff. The charge nurse calls a behavioral situation code and 4-point restraints are applied by the team. Which intervention is most important for the nurse to implement next?

Correct Answer: B

Rationale: A physician or licensed independent practitioner must prescribe restraints and assess the client within 1 hour of restraint placement for client and staff safety. Incident reports (
A) follow treatment documentation (
C) follows HCP contact and securing restraints to the HOB (
D) risks circulation impairment.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

Similar Questions

During a home visit, which assessment finding is most suggestive that the client is experiencing auditory hallucinations?
The nurse educator is presenting a program on drug abuse to new nurses on the mental health unit. When explaining cocaine abuse which street names for cocaine should the nurse include in the discussion?
The nurse is teaching home health aides about monitoring for alcohol abuse in older adults. Which response by a home health aide indicates a need for further teaching?
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?
When the anxious client summons the nurse and reports feeling weak and dizzy, which nursing action is most appropriate at this time?

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