While coaching a youth soccer team, the nurse has observed one of the

Psychiatric Mental Health Nursing NCLEX RN Questions Part 2

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Question 1 of 5.

While coaching a youth soccer team, the nurse has observed one of the teammates bingeing and purging on multiple occasions. The nurse asks the girl's mother to stay after practice and talk privately. Which of the following ways is best for the nurse to begin the conversation?

A. Your daughter is one of the best players on the team. She's a very good player and is also pleasant and easy to coach.'

B. I have some very bad news for you. Your daughter has a serious problem that is diagnosed as an eating disorder.'

C. I am a nurse, I have seen your daughter doing things that are considered to be part of an eating disorder.'

D. Let me get right to the point. Your daughter is very sick and needs to see a mental health therapist right away.'

Explanation: This approach is direct, professional, and leverages the nurse's expertise to open a sensitive conversation.

Question 2 of 5.

A client has been taking 30 mg of duloxetine hydrochloride (Cymbalta) twice daily for 2 months because of depression and vague aches and pains. While interacting with the nurse, the client discloses a pattern of drinking a 6-pack of beer daily for the past 10 years to help with sleep. What should the nurse do first?

A. Refer the client to the dual diagnosis program at the clinic.

B. Share the information at the next interdisciplinary treatment conference.

C. Report the client's beer consumption to the physician.

D. Teach the client relaxation exercises to perform before bedtime.

Explanation: Reporting alcohol use to the physician is critical due to potential interactions with Cymbalta, which can increase liver risks or exacerbate depression.

Question 3 of 5.

The nurse is assessing the outcomes of care for a client who has an Axis I diagnosis of major depression. Following the initiation of treatment, arrange the symptoms in chronological order from the one that improves first to the one that improves last.

A. Self-esteem.
B. Sleep.
C. Energy level.
D. Appetite.

Correct arrangement

B. Sleep.
D. Appetite.
C. Energy level.
A. Self-esteem.

Explanation: Depression treatment typically improves sleep first, followed by appetite, energy level, and finally self-esteem, which takes longer to recover.

Question 4 of 5.

A 62-year-old female client with severe depression and psychotic symptoms is scheduled for electroconvulsive therapy (ECT) tomorrow morning. The client's daughter asks the nurse, 'How painful will the treatment be for Mom?' The nurse should respond by saying which of the following?

A. Your mother will be given something for pain before the treatment.'

B. The physician will make sure your mother doesn't suffer needlessly.'

C. Your mother will be asleep during the treatment and will not be in pain.'

D. Your mother will be able to talk to us and tell us if she's in pain.'

Explanation: ECT is performed under anesthesia, ensuring the client is unconscious and feels no pain during the procedure.

Question 5 of 5.

The client with recurring depression will be discharged to the community in a few days. Which of the following is the best approach for the nurse to help the family prepare for the client's return home?

A. Discourage visitors while the client is at home.

B. Provide for a schedule of activities outside the home.

C. Involve the client in usual at-home activities.

D. Encourage the client to sleep as much as possible.

Explanation: Involving the client in usual activities promotes normalcy and recovery, balancing rest and engagement.