NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is advising a client with schizophrenia about what to do when she begins to get agitated. The client has been compliant with taking her medications and has worked with clinic staff on dealing with her illness and recognizing when she is becoming agitated. Indicate the order from first to last the nurse should suggest the following actions be taken.
Correct Answer: C,D,A,B
Rationale: The nurse should suggest: 1) Remove to a quiet environment to reduce stimuli (
C); 2) Tell trusted people to seek support (
D); 3) Take lorazepam for immediate anxiety relief (
A); 4) Take haloperidol for longer-term symptom control (
B). This order prioritizes non-pharmacological interventions first, followed by medications based on their onset of action.
Question 2 of 5
When preparing the teaching plan for a client who is to start clozapine (Clozaril), which of the following is crucial to include?
Correct Answer: D
Rationale: Clozapine carries a risk of agranulocytosis, requiring weekly blood tests to monitor white blood cell counts, making this the most critical teaching point for client safety.
Question 3 of 5
In a family education group for those who have relatives with paranoid schizophrenia, which of the following statements by a family member indicates a need for further teaching about symptom management?
Correct Answer: B
Rationale: Pushing clients to socialize may increase stress and exacerbate symptoms like hallucinations, indicating a misunderstanding of symptom management. The other statements reflect appropriate strategies for managing overwhelm, negative symptoms, and hallucinations.
Question 4 of 5
An adult client diagnosed with anxiety disorder becomes anxious when she touches fruits and vegetables. What should the nurse do?
Correct Answer: D
Rationale: Teaching cognitive behavioral approaches is appropriate, as it helps the client manage anxiety by addressing irrational thoughts and developing coping strategies.
Question 5 of 5
As hospital-based care has become more oriented to crisis intervention, criteria for admission to the hospital have also changed. Which clients have priority for admission to an acute care facility? Select all that apply.
Correct Answer: B,C,D
Rationale: Acutely psychotic clients (
B), acutely depressed clients (
C), and those dangerous to self or others (
D) require urgent stabilization, prioritizing them for admission to manage acute symptoms and ensure safety.