Mental Health NCLEX-RN Practice Exam — Set 1

A client with major depressive disorder has been on sertraline 6 weeks and says, "I don't think this is working." Most appropriate response?

Client with bipolar I in a manic episode is pacing, loud, and grandiose. First intervention?

Client with schizophrenia reports hearing voices saying he is worthless. Best safety question?

Family education for newly diagnosed Alzheimer disease. Which statement indicates understanding?

Client with bulimia nervosa engaged in self-induced vomiting. Which lab finding is expected?

Acute alcohol withdrawal, CIWA score 18. Which medication is anticipated?

In group therapy, a client with borderline personality disorder says, "You never let me talk. You're the worst nurse here." Most appropriate response?

PTSD client reports nightmares about combat. Which additional finding is consistent with PTSD?

Anorexia nervosa client, BMI 14.8, refuses breakfast saying, "I feel too full." Most appropriate action?

Client on fluoxetine for 8 weeks reports feeling better but is concerned about weight gain. Best response?

Schizophrenic client mumbles, rocks, and tells the nurse, "They're watching me. They know what I did." Most therapeutic response?

Discharge teaching for bipolar disorder on lithium. Which statement indicates a need for further teaching?