Questions 74

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Mental Health RN NCLEX Questions Questions

Extract:


Question 1 of 5

The client with depression has been consistent with taking 12.5 mg of paroxetine (Paxil) extended release daily. The nurse judges the client to be benefiting from this drug therapy when the client demonstrates which of the following behaviors? Select all that apply.

Correct Answer: B, C, D

Rationale: Completing tasks, reduced agitation (pacing), and expressing feelings indicate improved depression symptoms.

Question 2 of 5

A client with dementia is found wandering at night. Which intervention should the nurse prioritize?

Correct Answer: B

Rationale: Door alarms and motion sensors ensure safety by alerting staff to wandering, addressing the behavior without restrictive measures.

Question 3 of 5

The nurse is teaching two nursing assistants who are new to the inpatient unit about caring for a client who is suicidal. The nurse determines that additional teaching is needed when which of the following statements is made?

Correct Answer: C

Rationale: One-to-one precautions require constant observation, not intermittent checks.

Question 4 of 5

A client with schizophrenia is started on aripiprazole (Abilify). Which side effect should the nurse monitor most closely?

Correct Answer: B

Rationale: Akathisia, a feeling of restlessness, is a common side effect of aripiprazole and requires close monitoring to ensure client comfort and adherence.

Question 5 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.

Similar Questions

The client is feeling better as the symptoms of alcohol withdrawal abate. She refuses information about alcohol rehabilitation and states, 'I don't have a problem. I'll never drink like that again. I learned my lesson this time. I guess I'll just have to switch to beer or wine.' The nurse should respond by:
A client with suspected abuse describes her husband as a good man who works hard and provides well for his family. She does not work outside the home and states that she is proud to be a wife and mother will be taken to the client. The nurse interprets the family pattern described by the client as best illustrating which of the following as characteristic of abusive families?
A client with schizophrenia is admitted with catatonic stupor. Which of the following interventions should the nurse prioritize?
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.
A client who took an overdose of Tylenol in a suicide attempt is transferred overnight to the psychiatric inpatient unit from the intensive care unit. The night shift nurse called the physician on call to obtain initial orders. The physician ordered the typical routine medications for clients on this unit: Milk of Magnesia, Maalox, and Tylenol as needed. Prior to administering the orders, the nurse should:

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