NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
The client is to be discharged from the hospital after a safe, medically supervised withdrawal from alcohol. Which of the following outcomes indicate client readiness for an outpatient alcohol treatment program? Select all that apply.
Correct Answer: B, C, D
Rationale: Outcomes indicating readiness include: Verbalizing the damaging effects of alcohol (
B), showing awareness of harm; planning to attend AA meetings (
C), indicating commitment to support; and taking naltrexone daily (
D), adhering to treatment. Options A and E suggest denial or lack of insight.
Question 2 of 5
A client with acute mania exhibits euphoria, pressured speech, and flight of ideas. The client has been talking to the nurse non-stop for 5 minutes. Which of the following should the nurse do next?
Correct Answer: A
Rationale: Redirecting to a structured activity like lunch helps manage flight of ideas and reduces stimulation.
Question 3 of 5
A client with a history of angry outbursts is learning to identify triggers. Which activity should the nurse recommend?
Correct Answer: A
Rationale: Keeping a journal helps the client identify specific triggers for anger, enabling targeted interventions. Yoga and walking are helpful but less focused on trigger identification, and avoiding stress is unrealistic.
Question 4 of 5
After a period of unsuccessful treatment with Elavil (amitriptyline), a woman diagnosed with depression is switched to Parnate (tranylcypromine). Which statement by the client indicates the client understands the side effects of Parnate?
Correct Answer: C
Rationale: Parnate is a monoamine oxidase inhibitor (MAOI), and clients must avoid tyramine-rich foods like aged cheese and yeast products to prevent hypertensive crisis.
Question 5 of 5
Which of the following should the nurse expect to assess for a client who is exhibiting late signs of heroin withdrawal?
Correct Answer: A
Rationale: Late signs of heroin withdrawal include vomiting and diarrhea, as the body continues to react to the absence of opioids, typically after earlier symptoms like yawning or rhinorrhea.