NCLEX Mental Health Questions | Nurselytic

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?

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?

The nurse is caring for the client who has methamphetamine toxicity. Which interventions should the nurse include in the client’s plan of care? Select all that apply.

The client in group therapy states “I’ve enjoyed using methylphenidate because of how it makes me feel.” The nurse should identify which additional statement with methylphenidate use?

The client is experiencing withdrawal symptoms leading to sleep deprivation. The nurse should recognize that the client is at greatest risk for violent behavior due to which assessment finding?