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NCLEX RN· RN Mental Health · NCLEX RN Questions on Psychiatric Nursing

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client is receiving haloperidol decanoate (Haldol decanoate). He begins to complain of stiff muscles, restlessness, and internal jumpiness. The client has all of the following medications ordered as needed. Which one would be most appropriate for the nurse to administer to decrease the client's symptoms?

A. Lorazepam (Ativan)
B. Benztropine mesylate (Cogentin)
C. Trazodone (Desyrel)
D. Olanzapine (Zyprexa)

Expert Explanatory Rationale

Correct Answer: Benztropine mesylate (Cogentin)

Question 2 of 5

The client with acute mania is prescribed 600 mg of lithium (lithium carbonate) P.O. three times per day. The physician also orders 5 mg of haloperidol (Haldol) P.O. at bedtime. Which action should the nurse take?

A. Administer the medication as ordered.
B. Question the physician about the order.
C. Administer the Haldol, but not the lithium.
D. Consult with the nursing supervisor before administering the medications.

Expert Explanatory Rationale

Correct Answer: Administer the medication as ordered.

Question 3 of 5

A client with a history of domestic violence is anxious about returning home. Which action should the nurse take first?

A. Provide a list of local shelters.
B. Assess the client's safety concerns.
C. Encourage the client to confront their partner.
D. Contact the client's partner for clarification.

Expert Explanatory Rationale

Correct Answer: Assess the client's safety concerns.

Question 4 of 5

The nurse plans a staff development conference about intimate partner violence (IPV). Which of the following statements, if made by a participant, would indicate a correct understanding of the conference?

A. Nurses are responsible for screening select individuals for intimate partner violence.'
B. The nurse should tell the client that information about IPV will not be shared with anyone else.'
C. Men may be reluctant to report abuse because of a stigma of being abused by a woman.'
D. Physical injuries from IPV are usually overtly seen on the face and the hands.'

Expert Explanatory Rationale

Correct Answer: Men may be reluctant to report abuse because of a stigma of being abused by a woman.'

Question 5 of 5

The client states to the nurse at the outpatient clinic, 'I don't feel ready to go back to work. It's only been a week since I left the hospital.' Assessment reveals a flat affect, disheveled appearance, poor posture, and minimal eye contact during interaction. The nurse asks the client whether he is thinking about harming himself. The client tells the nurse he has a loaded revolver at home and will probably use it. Which of the following should the nurse do next?

A. Tell the client to go and remove the gun from his home.
B. Ask the client to call the nurse every hour when he gets home.
C. Ask the client to promise not to harm himself.
D. Initiate plans for hospitalization immediately.

Expert Explanatory Rationale

Correct Answer: Initiate plans for hospitalization immediately.