NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 of 5
The nurse is distinguishing between delusions experienced by a client diagnosed with major depression with psychotic features and the delusions of a client diagnosed with schizophrenia. The essential difference is:
Correct Answer: D
Rationale: Delusions in major depression with psychotic features are typically mood-congruent (e.g., guilt, worthlessness), unlike the often bizarre delusions in schizophrenia.
Question 2 of 5
The physician orders fluoxetine (Prozac) orally every morning for a 72-year-old client with depression. Which transient adverse effect of this drug requires immediate action by the nurse?
Correct Answer: B
Rationale: Dizziness in an elderly client increases fall risk, requiring immediate action to ensure safety.
Question 3 of 5
When developing the teaching plan for the family of a client with severe depression who is to receive electroconvulsive therapy (ECT), which of the following information should the nurse include?
Correct Answer: A
Rationale: Temporary confusion and disorientation are common post-ECT effects, and families should be prepared.
Question 4 of 5
When assessing a client who is receiving tricyclic antidepressant therapy, which of the following should alert the nurse to the possibility that the client is experiencing anticholinergic effects?
Correct Answer: D
Rationale: Urine retention and blurred vision are classic anticholinergic effects of tricyclic antidepressants.
Question 5 of 5
A client diagnosed with major depression has sleep and appetite disturbances, a flat affect and is withdrawn. The client has been taking fluvoxamine (Luvox) 50 mg twice daily for 5 days. Which client behavior is most important to report to the next shift?
Correct Answer: B
Rationale: Interacting with a visitor is a positive change, indicating potential improvement, and should be reported.