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NCLEX RN Mental Health Questions Questions

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Question 1 of 5

The client is laughing and telling jokes to a group of clients. Suddenly, the client is crying and talking about a death in the family. A moment later, the client is laughing and joking again. The nurse should:

Correct Answer: D

Rationale: Redirecting to a quiet area allows assessment of labile mood and de-escalation.

Question 2 of 5

A 20-year-old client diagnosed with paranoid schizophrenia is recovering from a psychotic break. Before discharge from the hospital, the client becomes depressed and states, 'I don't want this illness. I'm about to begin my junior year in college.' Which of the following issues would be most important for the nurses to address at this time?

Correct Answer: D

Rationale: Medication non-compliance is critical to address to prevent relapse, especially given the client's distress.

Question 3 of 5

A client has been taking increased amounts of alprazolam (Xanax) for about 6 months for anxiety. She asks the nurse how she can 'get off the Xanax.' The most accurate answer by the nurse is which of the following?

Correct Answer: C

Rationale: Tapering Xanax over 48 hours is accurate, as gradual reduction prevents withdrawal symptoms, given the client's prolonged use.

Question 4 of 5

After a client reveals a history of childhood sexual abuse, the nurse should ask which of the following questions first?

Correct Answer: D

Rationale: Asking about the abuser's current access to children prioritizes safety and potential ongoing risk to others.

Question 5 of 5

A client is brought to the emergency department (ED) by a friend who states that the client recently ran out of his phenytoin (Dilantin) and has been having a grand mal seizure for the last 10 minutes. The nurse observes that the client is still seizing. The nurse should do the following in order of priority from first to last?

Order the Items

Source Container

Monitor the client's safety and place seizure pads on the cart rails.
Record the time, duration and nature of the seizures.
Page the ED physician and prepare to give diazepam (Valium) intravenously.
Ask the friend about the client's medical history and current medications.

Correct Answer: A,C,B,D

Rationale: First ensure safety with seizure pads, then prepare diazepam, record seizure details, and gather history.

Similar Questions

A client diagnosed with Undifferentiated Schizophrenia gained 50 lb in 6 months while taking olanzapine (Zyprexa). After seeing her psychiatrist who changed the medication to ziprasidone (Geodon), the client tells the nurse, 'I don't want to take this Geodon either. I can't gain any more weight.' Which response by the nurse is most appropriate for this client?
Three months after the death of her husband in an automobile accident, a client is admitted to the hospital after attempting to overdose on her antidepressant. She states, 'I can't live without him. It's no use.' Which of the following nursing diagnoses is the priority in the client's plan of care?
A client reports that men in blue clothes keep looking in her window and talking about her. Which of the following responses by the nurse is most uncommitted?
A 9-year-old client with attention deficit hyperactivity disorder tells the nurse, 'No one in my class likes me because they think I'm stupid. They're right, I am stupid!' The nurse identifies which of the following nursing diagnoses as relevant for this client?
A client with dementia is resistant to dressing. Which approach should the nurse use?

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