NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse manager on a psychiatric unit is reviewing the outcomes of staff participation in an aggression management program. Evaluation of such a program would be based primarily on which of the following indicators?
Correct Answer: D
Rationale: The primary indicator is a reduction in the total number of restraint procedures, as effective aggression management should decrease the need for restraints. Fewer injuries, reduced complaints, and training reviews are secondary outcomes.
Question 2 of 5
A client with depression who is taking doxepin (Sinequan) 100 mg P.O. at bedtime has dizziness on arising. Which of the following suggestions is most appropriate?
Correct Answer: B
Rationale: Orthostatic hypotension is a side effect of doxepin; rising slowly minimizes dizziness and fall risk.
Question 3 of 5
A client with schizophrenia comes to the outpatient mental health clinic 5 days after being discharged from the hospital. The client was given a 1-week supply of clozapine (Clozaril). The client tells the nurse that she has too much saliva and frequently needs to spit. The nurse interprets the client's statement as indicating which of the following?
Correct Answer: C
Rationale: Excessive salivation (sialorrhea) is a common side effect of clozapine, and the nurse should recognize it as an expected adverse effect rather than a delusion or symptom.
Question 4 of 5
When teaching a client who is to receive methadone therapy for opioid addiction, the nurse should instruct the client that methadone is useful primarily for which of the following reasons?
Correct Answer: D
Rationale: Methadone is useful because it allows the client to work and live normally, stabilizing opioid dependence and reducing cravings, supporting functional recovery.
Question 5 of 5
A client with schizophrenia is attending a group therapy session and begins to laugh inappropriately. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Ignoring inappropriate laughter avoids reinforcing the behavior and maintains the group's focus.