NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
The client's friend reports that the client has been taking about eight 'reds' (800 mg of secobarbital [Seconal]) daily, besides drinking more alcohol than usual. The client's friend asks anxiously, 'Do you think she will live?' Which of the following responses by the nurse is most appropriate?
Correct Answer: D
Rationale: Saying 'Her condition is serious. You sound very worried about her' is appropriate, as it acknowledges the gravity of the situation and validates the friend's concern therapeutically.
Question 2 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 3 of 5
A client is taking diazepam (Valium) for generalized anxiety disorder. Which instruction should the nurse give to this client? Select all that apply.
Correct Answer: A, D, E
Rationale: Instructions include: Consult provider before stopping (
A) to avoid withdrawal, avoid alcohol (
D) to prevent CNS depression, and stop if allergic reactions occur (E). Cheese (
B) is irrelevant, and empty stomach (
C) is not required.
Question 4 of 5
While a client is taking alprazolam (Xanax), which of the following should the nurse instruct the client to avoid?
Correct Answer: C
Rationale: The client should avoid alcohol, as it increases CNS depression when combined with alprazolam, posing significant risks.
Question 5 of 5
A soldier is stationed in Iraq on his second tour of duty. His division was notified of the date they will be deployed to Afghanistan. As this date approaches, he is showing signs of excess anxiety and irritability and inability to sleep at night because of nightmares of IED (improvised explosive devices) tragedies, all leading to poor work performance. He is admitted to the base hospital for an evaluation. The admitting nurse should take the following actions in order of priority from first to last?
Order the Items
Source Container
Correct Answer: C, A, D, B
Rationale: The order is: 1) Remove weapons for safety (
C). 2) Remind him feelings are typical to normalize symptoms (
A). 3) Acknowledge injustices and offer empathy to build rapport (
D). 4) Ask about experiences to explore trauma (
B). Safety is the priority, followed by support and exploration.