NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 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 2 of 5
When caring for a client who has overdosed on phencyclidine (PCP), the nurse should be especially cautious about which of the following client behaviors?
Correct Answer: B
Rationale: Violent behavior is the primary concern, as PCP overdose can cause aggression and unpredictability, posing a safety risk to the client and others.
Question 3 of 5
A client is scheduled for the first electroconvulsive therapy (ECT) treatment in the morning. The client has been unable to sleep, but at 10 p.m. The client is still unable to sleep at 11:15 p.m. In what order should the nurse do the following?
Order the Items
Source Container
Correct Answer: D, C, A, B
Rationale: The nurse should first discuss specific concerns to identify anxiety sources od to assess the client's needs, then offer relaxing music to promote relaxation, sit quietly to provide a calming presence, and finally encourage Restoril if prescribed, ensuring safe administration.
Question 4 of 5
A client has been admitted to the emergency department with alcohol withdrawal delirium. At 9 a.m. on 10/25, the nurse notes that the client is confused. His vital signs are T=99°F, P=50, R=10, and BP=100/60. The nurse compares these findings to the nurses' progress notes from admission 24 hours ago. What should the nurse do first?
Correct Answer: C
Rationale: Attempting to arouse the client is the first action, as it assesses the level of consciousness and responsiveness, critical in determining the severity of delirium and guiding further interventions.
Question 5 of 5
A client with schizophrenia refuses to take prescribed antipsychotic medication, stating, 'It makes me feel like a zombie.' Which of the following responses by the nurse is most appropriate?
Correct Answer: B
Rationale: Discussing side effects with the doctor encourages collaboration and addresses the client's concerns.