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Psychiatric Mental Health Nursing NCLEX RN Questions Questions

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Question 1 of 5

The client with mania is irritable and insulting to a nursing assistant. The nursing assistant states, 'I can't believe Mark is so rude. Shouldn't he be overly happy?' Which of the following responses by the nurse should help the nursing assistant understand the client's behavior?

Correct Answer: D

Rationale: Explaining irritability as a symptom of mania helps the assistant understand and respond appropriately.

Question 2 of 5

A nurse on the Geropsychiatric unit receives a call from the son of a recently discharged client. He reports that his father just got a prescription for memantine (Namenda) to take 'on top of his donepezil (Aricept).' The son then asks, 'Why does he have to take extra medicines?' The nurse should tell the son:

Correct Answer: B

Rationale: Memantine and donepezil are often combined to target different aspects of dementia (cholinesterase inhibition and NMDA receptor regulation), slowing progression more effectively together.

Question 3 of 5

Which of the following comments indicates that a client understands the nurse's teaching about sertraline (Zoloft)?

Correct Answer: B

Rationale: Delayed ejaculation is a known side effect of sertraline, indicating correct understanding.

Question 4 of 5

A client in an anger management group says, 'I get mad, but I don't want to hurt anyone.' Which goal should the nurse prioritize for this client?

Correct Answer: B

Rationale: Identifying early signs of anger escalation helps the client intervene before losing control, preventing harm. Exercise is a coping strategy, suppression is unhealthy, and leaving situations is less proactive than early intervention.

Question 5 of 5

The nurse manager on a psychiatric unit is reviewing the outcomes of staff participation in an aggression management program. Evaluation of such a program would be based primarily on which of the following indicators?

Correct Answer: D

Rationale: The primary indicator is a reduction in the total number of restraint procedures, as effective aggression management should decrease the need for restraints. Fewer injuries, reduced complaints, and training reviews are secondary outcomes.

Similar Questions

A client diagnosed with Post Traumatic Stress Disorder is readmitted for suicidal thoughts and continued trouble sleeping. She states that when she closes her eyes, she has vivid memories about being awakened at night. 'My dad would be on top of me trying to have sex with me. I couldn't breathe.' Which of the following suggestions would be appropriate for the nurse to make for the insomnia? Select all that apply.
A client states that she hears God's voice telling her that she has sinned and needs to punish herself? Which response by the nurse is most important?
A client with Alzheimer's disease is hoarding objects. What should the nurse do?
A 68-year-old client has improved with medication and treatment and no longer experiences suicidal ideation. She can manage her diabetic care and understands her diet requirements. She will be discharged to live alone in her apartment. Visits by which of the following caregivers is most important for the nurse to arrange before the client's discharge?
The nurse hands the medication cup to a client who is psychotic and exhibiting concrete thinking, and tells the client to take his medicine. The client takes the cup, holds it in his hand, and stares at it. Which of the following should the nurse do next?

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