NCLEX-PN
Mental Health NCLEX Questions with Rationale Questions
Extract:
Question 1 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 2 of 5
If a client with chronic mental illness develops the following symptoms after the physician discontinues haloperidol, which one is most likely a consequence of the drug therapy?
Correct Answer: A
Rationale: Facial tics are a potential tardive dyskinesia symptom, a known side effect of long-term haloperidol use.
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
The client states “I don’t see any problem with smoking a little weed. It isn’t addictive.” Which response by the nurse is most accurate?
Correct Answer: C
Rationale: Marijuana’s addictive effects mimic CNS depressants and hallucinogens (
C). It’s addictive with withdrawal (
D) not just a gateway (
B) and legality (
A) is irrelevant.
Question 5 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.