NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse assesses a client to be at risk for self-mutilation and implements a safety contract with the client. Which of the following client behaviors indicate that the contract is working?
Correct Answer: B
Rationale: Notifying staff when anxiety is increasing indicates the safety contract is working, as it shows the client is actively engaging in the plan to manage risk and seek help proactively.
Question 2 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 3 of 5
A 17-year-old client who has been taking an antidepressant for 6 weeks has returned to the clinic for a medication check. When the nurse talks with the client and her mother, the mother reports that she has to remind the client to take her antidepressant every day. The client says, 'Yeah, I'm pretty bad about remembering to take my meds, but I never miss a dose because Mom always bugs me about taking it.' Which of the following responses would be effective for the nurse to make to the client?
Correct Answer: B
Rationale: Addressing the client's responsibility encourages independence and prepares her for future self-management.
Question 4 of 5
A client with acute mania is to receive lithium carbonate 600 mg P.O. three times daily and 2 mg of haloperidol (Haldol) P.O. at bedtime. The nurse should:
Correct Answer: D
Rationale: The ordered doses of lithium and haloperidol are appropriate for managing acute mania.
Question 5 of 5
Which of the following assessments provides the best information about the client's physiologic response and the effectiveness of the medication prescribed specifically for alcohol withdrawal?
Correct Answer: C
Rationale: Vital signs provide the best information, as they reflect physiologic stability and the effectiveness of medications in managing withdrawal symptoms like hypertension and tachycardia.