NCLEX-RN
NCLEX-RN Mental Health Questions
Extract:
Question 1 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 2 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 3 of 5
In addition to teaching assertiveness and problem-solving skills when helping the client cope effectively with stress and anxiety, the nurse should also address the client's ability to:
Correct Answer: D
Rationale: Conflict resolution skills are essential for managing stress and anxiety in interpersonal situations, complementing assertiveness and problem-solving skills. Suppressing anger is not constructive, balancing a checkbook is unrelated to stress management, and following directions is too narrow a skill for this context.
Question 4 of 5
A client with an Axis II diagnosis of antisocial personality disorder has a potential for violence and aggressive behavior. Which of the following client outcomes to be accomplished in the short term is most appropriate for the nurse to include in the plan of care?
Correct Answer: B
Rationale: Discussing feelings of anger with staff is the most appropriate short-term outcome, as it promotes safe expression of emotions and builds trust, reducing the risk of aggressive outbursts.
Question 5 of 5
A client with alcohol dependency is prescribed a B-complex vitamin. The client states, 'Why do I need a vitamin? My appetite is just fine.' Which of the following responses by the nurse is most appropriate?
Correct Answer: C
Rationale: Saying 'The vitamin is a nutritional supplement important to your health' is most appropriate, as it explains the need for B-complex vitamins to address deficiencies common in alcohol dependency.