NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 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 2 of 5
As the nurse is turning off the television, a client with bipolar disorder, manic phase, says, 'I want the television on so I can watch the late show. I'm not tired and you can't tell me what to do. I want it on!' The nurse should tell the client:
Correct Answer: C
Rationale: Clearly stating the unit's rules reinforces structure and boundaries for the manic client.
Question 3 of 5
A client states, 'I'm so tired of living and just want to end it all.' Which of the following responses is most therapeutic?
Correct Answer: C
Rationale: Acknowledging the client's pain and offering support is therapeutic and validating.
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 45-year-old client has been rehospitalized with a severe exacerbation of lupus that affects her central nervous system. After visiting with the client, her husband approaches the nurse. He says, 'My wife is scaring me. She says she does not want to live with this illness anymore. Our kids are grown and she feels useless as a mother and a wife.' Which of the following statements are the most important responses to the husband? Select all that apply.
Correct Answer: A,C,E
Rationale: The nurse should assess for suicidality (
A) due to the wife's statements, acknowledge the husband's fear (
C) to build trust, and discuss supportive communication strategies (E) to empower him. Advising optimism (
B) may dismiss his feelings, and assuming she'll feel differently (
D) minimizes the current concern.