**Title:** **The NCLEX-RN Mental Health
Success: Psychiatric Nursing Review**
---
### Question 1 of 90
A client with major depressive disorder says, "Nothing matters anymore. I just want to sleep forever."
Most therapeutic response?
A) "Why do you feel that way?"
B) "You have so much to live for."
C) "It sounds like you are feeling hopeless."
D) "Let's talk about something positive."
💫RATIONALE✔️✔️: Reflecting feelings (C) validates client's experience and encourages further expression
without judgment.
💫ANSWER✔️✔️: C) "It sounds like you are feeling hopeless."
---
### Question 2 of 90
Client with bipolar disorder in manic phase pacing, talking rapidly, making grandiose statements. First
intervention?
A) Administer lithium
,B) Reduce environmental stimuli
C) Confront delusions
D) Encourage group therapy
💫RATIONALE✔️✔️: Reducing stimuli (B) decreases agitation and prevents escalation. Medications take
time; confrontation increases agitation.
💫ANSWER✔️✔️: B) Reduce environmental stimuli
---
### Question 3 of 90
**Select-All-That-Apply (SATA):** Serotonin syndrome findings. Which expected? (Select all that apply.)
A) Hyperthermia
B) Bradycardia
C) Diaphoresis
D) Myoclonus
E) Diarrhea
💫RATIONALE✔️✔️: Serotonin syndrome: hyperthermia (A), diaphoresis (C), myoclonus (D), diarrhea (E).
Tachycardia, not bradycardia.
💫ANSWER✔️✔️: A, C, D, E
---
### Question 4 of 90
Client with paranoid schizophrenia says, "The FBI is poisoning my food." Most appropriate response?
,A) "That's not true. No one is poisoning you."
B) "I understand you believe that, but I don't see any evidence."
C) "Why do you think the FBI would do that?"
D) "Let's talk about something else."
💫RATIONALE✔️✔️: (B) acknowledges belief without reinforcing delusion. Arguing increases mistrust.
💫ANSWER✔️✔️: B) "I understand you believe that, but I don't see any evidence."
---
### Question 5 of 90
Client undergoing alcohol withdrawal. Which finding indicates severe withdrawal (delirium tremens)?
A) Tremors and anxiety
B) Visual hallucinations and fever
C) Insomnia and diaphoresis
D) Headache and nausea
💫RATIONALE✔️✔️: DTs: visual hallucinations, fever (B), seizures, severe autonomic instability.
Tremors/anxiety = mild withdrawal.
💫ANSWER✔️✔️: B) Visual hallucinations and fever
---
### Question 6 of 90
Lithium teaching. Which statement indicates understanding?
, A) "Drink extra water when I exercise."
B) "Take ibuprofen for headaches."
C) "If miss dose, double next."
D) "Stop if feel better."
💫RATIONALE✔️✔️: Dehydration increases lithium levels. Maintain consistent fluid/sodium intake (A).
NSAIDs increase lithium levels.
💫ANSWER✔️✔️: A) "Drink extra water when I exercise."
---
### Question 7 of 90
**Select-All-That-Apply (SATA):** Anorexia nervosa findings. Which expected? (Select all that apply.)
A) Lanugo hair
B) Bradycardia
C) Hypothermia
D) Hyperkalemia
E) Amenorrhea
💫RATIONALE✔️✔️: Anorexia: lanugo (A), bradycardia (B), hypothermia (C), amenorrhea (E).
Hypokalemia, not hyperkalemia.
💫ANSWER✔️✔️: A, B, C, E
---
### Question 8 of 90
Success: Psychiatric Nursing Review**
---
### Question 1 of 90
A client with major depressive disorder says, "Nothing matters anymore. I just want to sleep forever."
Most therapeutic response?
A) "Why do you feel that way?"
B) "You have so much to live for."
C) "It sounds like you are feeling hopeless."
D) "Let's talk about something positive."
💫RATIONALE✔️✔️: Reflecting feelings (C) validates client's experience and encourages further expression
without judgment.
💫ANSWER✔️✔️: C) "It sounds like you are feeling hopeless."
---
### Question 2 of 90
Client with bipolar disorder in manic phase pacing, talking rapidly, making grandiose statements. First
intervention?
A) Administer lithium
,B) Reduce environmental stimuli
C) Confront delusions
D) Encourage group therapy
💫RATIONALE✔️✔️: Reducing stimuli (B) decreases agitation and prevents escalation. Medications take
time; confrontation increases agitation.
💫ANSWER✔️✔️: B) Reduce environmental stimuli
---
### Question 3 of 90
**Select-All-That-Apply (SATA):** Serotonin syndrome findings. Which expected? (Select all that apply.)
A) Hyperthermia
B) Bradycardia
C) Diaphoresis
D) Myoclonus
E) Diarrhea
💫RATIONALE✔️✔️: Serotonin syndrome: hyperthermia (A), diaphoresis (C), myoclonus (D), diarrhea (E).
Tachycardia, not bradycardia.
💫ANSWER✔️✔️: A, C, D, E
---
### Question 4 of 90
Client with paranoid schizophrenia says, "The FBI is poisoning my food." Most appropriate response?
,A) "That's not true. No one is poisoning you."
B) "I understand you believe that, but I don't see any evidence."
C) "Why do you think the FBI would do that?"
D) "Let's talk about something else."
💫RATIONALE✔️✔️: (B) acknowledges belief without reinforcing delusion. Arguing increases mistrust.
💫ANSWER✔️✔️: B) "I understand you believe that, but I don't see any evidence."
---
### Question 5 of 90
Client undergoing alcohol withdrawal. Which finding indicates severe withdrawal (delirium tremens)?
A) Tremors and anxiety
B) Visual hallucinations and fever
C) Insomnia and diaphoresis
D) Headache and nausea
💫RATIONALE✔️✔️: DTs: visual hallucinations, fever (B), seizures, severe autonomic instability.
Tremors/anxiety = mild withdrawal.
💫ANSWER✔️✔️: B) Visual hallucinations and fever
---
### Question 6 of 90
Lithium teaching. Which statement indicates understanding?
, A) "Drink extra water when I exercise."
B) "Take ibuprofen for headaches."
C) "If miss dose, double next."
D) "Stop if feel better."
💫RATIONALE✔️✔️: Dehydration increases lithium levels. Maintain consistent fluid/sodium intake (A).
NSAIDs increase lithium levels.
💫ANSWER✔️✔️: A) "Drink extra water when I exercise."
---
### Question 7 of 90
**Select-All-That-Apply (SATA):** Anorexia nervosa findings. Which expected? (Select all that apply.)
A) Lanugo hair
B) Bradycardia
C) Hypothermia
D) Hyperkalemia
E) Amenorrhea
💫RATIONALE✔️✔️: Anorexia: lanugo (A), bradycardia (B), hypothermia (C), amenorrhea (E).
Hypokalemia, not hyperkalemia.
💫ANSWER✔️✔️: A, B, C, E
---
### Question 8 of 90
