Psychiatric Mental Health Nursing NCLEX Questions and Answers 2025

Psychiatric Mental Health Nursing NCLEX
Questions and Answers 2025
FlumazenilA(Romazicon)AhasAbeenAorderedAforAaAmaleAclientAwhoAhasAoverdosedAonAoxaz
epamA(Serax).ABeforeAadministeringAtheAmedication,AtheAnurseAshouldAbeApreparedAforAw
hichAcommonAadverseAeffect?
A.ASeizures
B.AShivering
C.AAnxiety
D.AChestApainA-AcorrectAanswers-A.ASeizures
Rationale:ASeizuresAareAtheAmostAcommonAadverseAeffectAofAusingAflumazenilAtoAreverseA
benzodiazepineAoverdose.ATheAeffectAisAmagnifiedAifAtheAclientAhasAaAcombinedAtricyclicAa
ntidepressantAandAbenzodiazepineAoverdose.ALessAcommonAadverseAeffectsAincluderAshi
vering,Aanxiety,AandAchestApain.
TheAnurseAisAcaringAforAaAclientAdiagnosedAwithAbulimia.ATheAmostAappropriateAinitialAgoalA
forAaAclientAdiagnosedAwithAbulimiaAisAto:
A.AAvoidAshoppingAforAlargeAamountsAofAfood
B.AControlAeatingAimpulses
C.AIdentifyAanxiety-causingAsituations
D.AEatAonlyAthreeAmealsAperAdayA-AcorrectAanswers-C.AIdentifyAanxiety-causingAsituations
Rationale:ABulimicAbehaviorAisAgenerallyAaAmaladaptiveAcopingAresponseAtoAstressAandAun
derlyingAissues.ATheAclientAmustAidentifyAanxiety-
causingAsituationAasAthatAstimulateAtheAbulimicAbehaviorAandAthenAlearnAnewAwaysAofAcopi
ngAwithAtheAanxiety.AControllingAshoppingAforAlargeAamountsAofAfoodAisn'tAaAgoalAearlyAinAtr
eatment.AManagingAeatingAimpulsesAandAreplacingAthemAwithAadaptiveAcopingAmechanis
msAcanAbeAintegratedAintoAtheAplanAofAcareAafterAinitiallyAaddressingAstressAandAunderlying
Aissues.AEatingAthreeAmealsAperAdayAisn'tAaArealisticAgoalAearlyAinAtreatment.

AAfemaleAclientAwho'sAatAhighAriskAforAsuicideAneedsAcloseAsupervision.AToAbestAensureAth
eAclient'sAsafety,AtheAnurseAshould:
A.ACheckAonAtheAclientAfrequentlyAatAirregularAintervalsAthroughoutAtheAnight
B.AAssureAtheAclientAthatAtheAnurseAwillAholdAinAconfidenceAanythingAtheAclientAsays
C.ARepeatedlyAdiscussApreviousAsuicideAattemptsAwithAtheAclient
D.ADisregardAdecreasedAcommunicationAbyAtheAclientAbecauseAthisAisAcommonAinAsuicidal
AclientsA-AcorrectAanswers-

A.ACheckAonAtheAclientAfrequentlyAatAirregularAintervalsAthroughoutAtheAnight
Rationale:ACheckingAtheAclientAfrequentlyAbutAatAirregularAintervalsApreventsAtheAclientAfro
mApredictingAwhenAobservationAwillAtakeAplaceAandAalteringAbehaviorAinAaAmisleadingAwayA
atAtheseAtimes.AOptionABAmayAencourageAtheAclientAtoAtryAtoAmanipulateAtheAnurse'sAorAse
ekAattentionAforAhavingAaAsecretAsuicideAplan.AOptionACAmayAreinforceAaAsuicidalAidea.ADe
creasedAcommunicationAisAaAsignAofAwithdrawalAthatAmayAindicateAtheAclientAhasAdecidedAt
oAcommitAsuicide;AtheAnurseAshouldn'tAdisregardAit.
WhichAofAtheAfollowingAdrugsAshouldAtheAnurseAprepareAtoAadministerAtoAaAclientAwithAaAtox
icAacetaminophenA(Tylenol)Alevel?

,A.AdeferoxamineAmesylate
B.AsuccimerA(Chemet)
C.AflumazenilA(Romazicon)
D.AacetylcysteineA(Mucomyst)A-AcorrectAanswers-D.AacetylcysteineA(Mucomyth)
Rationale:ATheAantidoteAforAacetaminophenAtoxicityAisAacetylcysteine.AItAenhancesAconver
sionAofAtoxicAmetabolitesAtoAnontoxicAmetabolites.ADeferoxamineAmeslyateAisAtheAantidote
AforAironAintoxication.ASuccimerAisAanAantidoteAforAleadApoisoning.AFlumazenilAreversesAthe

AsedativeAeffectsAofAbenzodiazepines.

AAmaleAclientAisAadmittedAtoAtheAsubstanceAabuseAunitAforAalcoholAdetoxification.AWhichAof
AtheAfollowingAmedicationsAisAtheAnurseAlikelyAtoAadministerAtoAreduceAtheAsymptomsAofAal

coholAwithdrawal?
A.AnaloxoneA(Narcan)
B.AhaloperidolA(Haldol)
C.AmagnesiumAsulfate
D.AchlordiazepoxideA(Librium)A-AcorrectAanswers-D.AclordiazepoxideA(Librium)
Rationale:AChlordiazepoxideA(Librium)AandAotherAtranquilizersAhelpAreduceAtheAsymptoms
AofAalcoholAwithdrawal.AHaloperidolA(Haldol)AmayAbeAgivenAtoAtreatAclientsAwithApsychosis,A

severeAagitation,AorAdelirium.ANaloxoneA(Narcan)AisAadministeredAforAnarcoticAoverdose.A
MagnesiumAsulfateAandAotherAanticonvulsantAmedicationsAareAonlyAadministerAtoAtreatAsei
zuresAifAtheyAoccurAduringAtheAwithdrawal.
DuringApostprandialAmonitor,AaAfemaleAclientAwithAbulimiaAnervosaAtellsAtheAnurse,A"YouAc
anAsitAwithAme,AbutAyou'reAjustAwastingAyourAtime.AAfterAyouAsatAwithAmeAyesterday,AIAwasA
stillAableAtoApurge.AToday,AmyAgoalAisAtoAdoAitAtwice."AWhatAisAtheAnurse'sABESTAresponses
?
A.A"IAtrustAyouAnotAtoApurge."
B.A"HowAareAyouApurgingAandAwhenAdoAyouAdoAit?"
C.A"Don'tAworry.AIAwon'tAallowAyouAtoApurgeAtoday."
D.A"IAknowAit'sAimportantAforAyouAtoAfeelAinAcontrol,AbutAI'llAmonitorAyouAforA90AminutesAafterA
youAeat."A-AcorrectAanswers-
D.A"IAknowAit'sAimportantAforAyouAtoAfeelAinAcontrol,AbutAI'llAmonitorAyouAforA90AminutesAafterA
youAeat."
Rationale:AThisAresponseAacknowledgesAthatAtheAclientsAisAtestingAlimitsAandAthatAtheAnurs
eAisAsettingAthemAbyAperformingApostprandialAmonitoringAtoApreventAself-
inducedAeyesAis.AClientsAwithAbulimiaAnervosaAneedAtoAfeelAinAcontrolAofAtheAdietAbecauseAt
heyAfeelAtheyAlackAcontrolAoverAallAotherAaspectsAofAtheirAlives.ABecauseAtheirAtherapeuticAr
elationshipsAwithAcaregiversAareAlessAimportantAthanAtheirAneedAtoApurge,AtheyAdon'tAfearA
betrayingAtheAnurse'sAtrustAbyAengagingAinAtheAactivity.ATheyAcommonlyAplotApurgingAandAr
arelyAshareAtheirAsecretsAaboutAit.AAnAauthoritarianAorAchallengingAresponseAmayAtriggerAa
ApowerAstruggleAbetweenAtheAnurseAandAclient.

AAmaleAclientAadmittedAtoAtheApsychiatricAunitAforAtreatmentAofAsubstanceAabuseAsaysAtoAth
eAnurse,A"ItAfeltAsoAwonderfulAtoAgetAhigh."AWhichAofAtheAfollowingAisAtheAmostAappropriateA
response?
A.A"IfAyouAcontinueAtoAtalkAlikeAthat,AI'mAgoingAtoAstopAspeakingAtoAyou."
B.A"YouAtoldAmeAyouAgotAfiredAfromAyourApastAjobAforAmissingAtooAmayAdaysAafterAtakingAdr
ugsAallAnight."
C.A"TellAmeAmoreAaboutAhowAitAfeltAtoAgetAhigh."

, D.A"Don'tAyouAknowAit'sAillegalAtoAuseAdrugs?"A-AcorrectAanswers-
B.A"YouAtoldAmeAyouAgotAfiredAfromAyourApastAjobAforAmissingAtooAmanyAdaysAafterAtakingAd
rugsAallAnight."
Rationale:AConfrontingAtheAclientAwithAtheAconsequencesAofAsubstanceAabuseAhelpsAtoAbr
eakAthroughAdenial.AMakingAthreatsA(optionAA)Aisn'tAanAeffectiveAwayAtoApromoteAself-
disclosureAorAestablishAaArapportAwithAtheAclient.AAlthoughAtheAnurseAshouldAencourageAth
eAclientAtoAdiscussAfeelings,AtheAdiscussingAshouldAfocusAonAhowAtheAclientAfeltAbefore,Anot
Aduring,AanAepisodeAofAsubstanceAabuseA(optionAC).AEncouragingAelaborationAaboutAhisAe

xperienceAwhileAgettingAhighAmayAreinforceAtheAabusiveAbehavior.ATheAclientAundoubtedly
AisAawareAthatAdrugAuseAisAillegal;AaAreminderAtoAthisAeffectA(optionAD)AisAunlikelyAtoAalterAbe

havior.
ForAaAfemaleAclientAwithAanorexiaAnervosa,AtheAnurseAisAawareAthatAwhichAgoalAtakesAtheA
highestApriority?
A.ATheAclientAwillAestablishAadequateAdailyAnutritionalAintake
B.ATheAclientAwillAmakeAaAcontractAwithAtheAnurseAthatAsetsAaAtargetAweight
C.ATheAclientAwillAidentifyAself-perceptionsAaboutAbodyAsizeAasAunrealistic
D.ATheAclientAwillAverbalizeAtheApossibleApsychologicalAconsequencesAofAself-starvationA-
AcorrectAanswers-A.ATheAclientAwillAestablishAadequateAdailyAnutritionalAintake

Rationale:AAccordingAtoAMaslow'sAHierarchyAofANeeds,AallAhumansAneedAtoAmeetAbasicAp
hysiologicalAneedsAfirst.ABecauseAaAclientAwithAanorexiaAnervosaAeatsAlittleAorAnothing,Athe
AnurseAmustAfirstAplanAtoAhelpAtheAclientAmeetAthisAbasic,AimmediateAphysiologicalAneed.AT

heAnurseAmayAgiveAlesserApriorityAtoAgoalsAthatAaddressAlong-
termAplansA(asAinAoptionAB),Aself-
perceptionA(optionAC),AandApotentialAcomplicationsA(optionAD).
WhenAinterviewingAtheAparentsAofAanAinjuredAchild,AwhichAofAtheAfollowingAisAtheAstrongestA
indicatorAthatAchildAabuseAmayAbeAaAproblem?
A.ATheAinjuryAisn'tAconsistentAwithAtheAhistoryAorAtheAchild'sAage
B.ATheAmotherAandAfatherAtellAdifferentAstoriesAregardingAwhatAhappened
C.ATheAfamilyAisApoor
D.ATheAparentsAareAargumentativeAandAdemandingAwithAemergencyAdepartmentApersonn
elA-AcorrectAanswers-A.ATheAinjuryAisn'tAconsistentAwithAtheAhistoryAorAtheAchild'sAage
Rationale:AWhenAtheAchild'sAinjuriesAareAinconsistentAwithAtheAhistoryAgivenAorAimpossibleA
becauseAofAtheAchild'sAageAandAdevelopmentalAstage,AtheAemergencyAdepartmentAnurseA
shouldAbeAsuspiciousAthatAchildAabuseAisAoccurring.ATheAparentsAmayAtellAdifferentAstoriesA
becauseAtheirAperceptionAmayAbeAdifferentAregardingAwhatAhappened.AIfAtheyAchangeAthei
rAstoryAwithAdifferentAhealthAcareAworkersAaskAtheAsameAquestion,AthisAisAaAclueAthatAchildA
abuseAmayAbeAaAproblem.AChildAabuseAoccursAinAallAsocioeconomicAgroups.AParentsAmay
AargueAandAbeAdemandingAbecauseAofAtheAstressAofAhavingAanAinjuredAchild.

ForAaAfemaleAclientAwithAanorexiaAnervosa,AtheAnurseAplansAtoAincludeAtheAparentsAinAther
apyAsessionsAalongAwithAtheAclient.AWhatAfactAshouldAtheAnurseArememberAtoAbeAtypicalAof
AparentsAofAclientsAwithAanorexiaAnervosa?

A.ATheyAtendAtoAoverprotectsAtheirAchildren
B.ATheyAusuallyAhaveAaAhistoryAofAsubstanceAabuse
C.ATheyAmaintainAemotionalAdistanceAfromAtheirAchildren
D.ATheyAalternateAbetweenAlovingAandArejectingAtheirAchildrenA-AcorrectAanswers-
A.ATheyAtendAtoAoverprotectAtheirAchildren