NCLEX-PN
Mental Health NCLEX Questions and Answers Questions
Extract:
Question 1 of 5
The nurse in the ED is admitting an agitated young adult who tried to jump from a bridge after taking a hallucinogenic drug at a party. What should be the nurse’s initial action?
Correct Answer: C
Rationale: Staying with the client (
C) prevents self-harm due to altered perception. Inpatient arrangements (
A) reversal drugs (B unavailable) and security (
D) are secondary.
Question 2 of 5
Which concept is most important for the nurse to convey to a client during a panic attack?
Correct Answer: A
Rationale: Reassuring safety addresses the client's fear, a core component of panic attacks, helping to de-escalate anxiety.
Question 3 of 5
Which statement made by the client diagnosed with human immunodeficiency virus (HIV) would the nurse interpret as the most serious indication of an increased risk for suicide?
Correct Answer: D
Rationale: Expressing that others would be better off without them suggests feelings of worthlessness and hopelessness, strong indicators of suicidal ideation.
Question 4 of 5
The hospitalized client has a history of weekly moderate alcohol use. Which symptoms assessed by the nurse indicate that the client may be experiencing alcohol withdrawal? Select all that apply.
Correct Answer: A, C ,D ,E
Rationale: Withdrawal causes agitation (
A) tachycardia (
C) hallucinations (
D) and tongue tremor (E) via NMDA receptor activity. Hypotension (
B) is incorrect; hypertension occurs.
Question 5 of 5
The nurse in the ED is admitting an agitated young adult who tried to jump from a bridge after taking a hallucinogenic drug at a party. What should be the nurse’s initial action?
Correct Answer: C
Rationale: Staying with the client (
C) prevents self-harm due to altered perception. Inpatient arrangements (
A) reversal drugs (B unavailable) and security (
D) are secondary.