NCLEX-PN
Mental Health NCLEX Questions with Rationale Questions
Extract:
Question 1 of 5
Which findings strongly suggest that the client is experiencing an exacerbation of the bipolar disorder? Select all that apply.
Correct Answer: A,E
Rationale: Extravagant spending and sexual promiscuity are indicative of mania, a key feature of bipolar disorder exacerbation.
Question 2 of 5
If the physician prescribes imipramine hydrochloride (Tofranil) for the client, the nurse should assess for which therapeutic drug effect first?
Correct Answer: D
Rationale: Regulated mood is the primary therapeutic effect of imipramine, addressing the core symptoms of depression.
Question 3 of 5
The nurse is caring for an unresponsive toddler in a PICU. The child’s parent was arrested for alleged child abuse but released on bail. The parent is pounding at the door belligerent and demanding to visit the child. Which is the most appropriate nursing plan of action?
Correct Answer: D
Rationale: Initiating the emergency response (
D) ensures safety. Allowing entry (
A) deferring to HCP (
B) or reporting to Social Services (C likely already done) are inappropriate.
Question 4 of 5
Which technique is most therapeutic for helping clients with dementia remain oriented?
Correct Answer: D
Rationale: Large calendars provide a constant visual cue, aiding orientation to time in clients with dementia.
Question 5 of 5
When the client begins crying and says, 'Nurse, I feel like I'm going to die,' which response is most therapeutic?
Correct Answer: D
Rationale: Staying with the client provides reassurance and support, directly addressing their fear and promoting a sense of security.