NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
Which of the following is the best predictor of a client's favorable response to the choice of an antidepressant?
Correct Answer: D
Rationale: A family member's positive response to the same antidepressant often predicts a similar response due to genetic factors.
Question 2 of 5
The client with Alzheimer's disease may have delusions about being harmed by staff and others. When the client expresses fear of being killed by staff, which of the following responses is most appropriate?
Correct Answer: C
Rationale: Reorienting the client to the hospital setting and the nurse's role as helpers gently counters the delusion without confrontation, promoting trust and safety.
Question 3 of 5
Which of the following amounts of medications is appropriate for a client who is being treated with imipramine (Tofranil) on an outpatient basis for recurring depression and suicidal ideation to have at one time?
Correct Answer: D
Rationale: A 7-day supply minimizes the risk of overdose in a suicidal client.
Question 4 of 5
A client with Alzheimer's disease has difficulty swallowing. Which intervention should the nurse prioritize?
Correct Answer: B
Rationale: Consulting a speech therapist evaluates swallowing difficulties, ensuring safe nutrition and preventing aspiration.
Question 5 of 5
A client is brought to the emergency department by his brother. The client is perspiring profusely, breathing rapidly, and complaining of dizziness and palpitations. Problems of a cardiovascular nature are ruled out and the diagnosis is tentatively listed as a panic attack. After the symptoms pass, the client states, 'I thought I was going to die.' Which of the following responses by the nurse is best?
Correct Answer: A
Rationale: Saying 'It was very frightening for you' is best, as it validates the client's experience, builds rapport, and encourages further discussion of the panic attack.