Questions 74

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NCLEX RN Mental Health Questions Questions

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Question 1 of 5

While a client is taking alprazolam (Xanax), which of the following should the nurse instruct the client to avoid?

Correct Answer: C

Rationale: The client should avoid alcohol, as it increases CNS depression when combined with alprazolam, posing significant risks.

Question 2 of 5

A hospitalized adolescent diagnosed with anorexia nervosa refuses to comply with her daily before-breakfast weigh-in. She states that she just drank a glass of water, which she feels will unfairly increase her weight. What is the nurse's best response to the client?

Correct Answer: C

Rationale: This response reinforces the protocol's consistency, which is essential for treatment adherence.

Question 3 of 5

The nurse identifies a nursing diagnosis of Dressing or grooming self-care deficit related to apathy, as evidenced by an inability to shower and dress herself for a female client diagnosed with schizophrenia. When planning care for this client, which of the following outcomes should the nurse expect the client to meet in a specified number of days?

Correct Answer: D

Rationale: The outcome of performing showering and dressing addresses the self-care deficit directly, focusing on functional improvement, which is the goal of the nursing diagnosis.

Question 4 of 5

A 77-year-old client is brought to the emergency department by her son. The client is complaining to assess the number of the questions, 'I'm so worried about everything.' Her son says that she has heart failure and chronic schizophrenia. 'In addition to all of her heart medicines, she is on aripiprazole (Abilify), which was increased to 30 mg by her family doctor 3 days ago.' In addition to documenting all of the client's medications and exact dosages, the nurse should particularly investigate which of the following? Select all that apply.

Correct Answer: B,C,D

Rationale: Investigating schizophrenia symptoms (
B) assesses the need for aripiprazole; checking the dose (
C) is critical, as 30 mg is high for an elderly patient; and evaluating heart failure symptoms (
D) ensures medical stability, as aripiprazole can affect cardiac function.

Question 5 of 5

Three months after the death of her husband in an automobile accident, a client is admitted to the hospital after attempting to overdose on her antidepressant. She states, 'I can't live without him. It's no use.' Which of the following nursing diagnoses is the priority in the client's plan of care?

Correct Answer: D

Rationale: Risk for self-directed violence is the priority due to the recent suicide attempt and expressed desire to die, posing an immediate safety concern. Complicated grieving, powerlessness, and hopelessness are relevant but secondary to ensuring safety.

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