NCLEX Mental Health Questions

Extract:

Question 1 of 5

The nurse is developing the answer key to a post test that will be given to participants following a workshop about caffeine abuse among older adult clients. Which statement about caffeine abuse should be excluded from the answer key?

Correct Answer: C

Rationale: Caffeine causes hyperglycemia tachycardia and increased lipids (C is false). Withdrawal symptoms (A
D) and diagnosis (
B) are correct.

Question 2 of 5

The nurse is collecting information from the family in which Munchausen Syndrome by Proxy (MSP) is suspected. Which finding should the nurse expect?

A. The abusing parent is likely the father. B. The abusing parent and child have a strong bond. C. The abusing parent has little medical knowledge. D. The child will provide insight into what is occurring.

Correct Answer: B

Rationale: MSP involves a strong parent-child bond (
B) typically with the mother (not father
A) who has medical knowledge (not little
C). Children rarely provide insight (
D).

Question 3 of 5

The nurse educator is presenting a program on drug abuse to new nurses on the mental health unit. When explaining cocaine abuse which street names for cocaine should the nurse include in the discussion?

A. Weed chaw fags B. Toot snow crack C. Uppers dexies crystal D. Blue silk cloud 9 white knight

Correct Answer: B

Rationale:
Toot snow crack (
B) are cocaine street names. Weed chaw fags (
A) are nicotine uppers dexies crystal (
C) are amphetamines blue silk cloud 9 white knight (
D) are synthetics.

Question 4 of 5

The nurse is caring for the client who has methamphetamine toxicity. Which interventions should the nurse include in the client’s plan of care? Select all that apply.

A. Give olanzapine 10 mg IM q2h prn to treat agitation. B. Allow the client to sleep and eat as much as desired. C. Administer labetalol 20 mg IV to control hallucinations. D. Monitor 1:1 to protect client from harm to self and others. E. Encourage involvement in the therapeutic treatment milieu.

Correct Answer: A ,B ,D

Rationale: Olanzapine (
A) reduces agitation sleep/eating (
B) aids recovery 1:1 monitoring (
D) ensures safety. Labetalol (
C) is for BP not hallucinations; milieu (E) is premature.

Question 5 of 5

The client is being admitted to the ICU with drug overdose that resulted in extreme hypertension and an unstable cardiac rhythm. The client suddenly becomes physically combative and is kicking shoving throwing items in the room and threatening staff. The charge nurse calls a behavioral situation code and 4-point restraints are applied by the team. Which intervention is most important for the nurse to implement next?

A. Have staff members who were harmed complete an incident report. B. Contact the health care provider to obtain an order for restraint use. C. Document the client’s behavior and action taken in the nurse’s notes. D. Check that the client’s wrist restraints are tightly secured to the HOB.

Correct Answer: B

Rationale: A physician or licensed independent practitioner must prescribe restraints and assess the client within 1 hour of restraint placement for client and staff safety. Incident reports (
A) follow treatment documentation (
C) follows HCP contact and securing restraints to the HOB (
D) risks circulation impairment.

NCLEX Mental Health Questions | Nurselytic

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