NCLEX-PN
Mental Health NCLEX Questions and Answers Questions
Extract:
Question 1 of 5
When the nurse reviews information about lithium carbonate (Lithane) with the client, which instructions are most important to stress? Select all that apply.
Correct Answer: C,D,E
Rationale: Monitoring urine output, maintaining sodium/fluid balance, and regular blood tests are critical to prevent lithium toxicity and ensure safe therapy.
Question 2 of 5
Which of the following nursing assessment data places the client at highest risk for suicide?
Correct Answer: B
Rationale: A specific suicide plan indicates high risk, as it shows intent and means, requiring immediate intervention.
Question 3 of 5
Which action is most appropriate if the nurse discovers the oriented older couple having consensual sexual intercourse?
Correct Answer: B
Rationale: Restoring privacy respects the couple's autonomy and dignity, supporting their right to consensual intimacy.
Question 4 of 5
Which action is most appropriate for the nurse to take first?
Correct Answer: D
Rationale: Taking the client to a private room ensures dignity and safety, addressing the immediate need without public confrontation.
Question 5 of 5
Which nursing assessment is critical to ensuring the client's well-being during the home visit?
Correct Answer: C
Rationale: Proper medication administration is critical for Alzheimer's clients, ensuring symptom management and safety during the visit.