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NCLEX-RN Exam Questions - Part 6
1. Which of the following statements relevant to a suicidal client is correct?
A) The more specific a client - s plan, the more likely he or she is to attempt suicide.
B) A client who is unsuccessful at a first suicide attempt is not likely to make future attempts.
C) A client who threatens suicide is just seeking attention and is not likely to attempt suicide.
D) Nurses who care for a client who has attempted suicide should not make any reference to the word 'suicide' in order to protect the client - s ego.
2. The physician orders fluoxetine (Prozac) for a depressed client. Which of the following should the nurse remember about fluoxetine?
A) Because fluoxetine is a tricyclic antidepressant, it may precipitate a hypertensive crisis.
B) The therapeutic effect of the drug occurs 2 - 4 weeks after treatment is begun.
C) Foods such as aged cheese, yogurt, soy sauce, and bananas should not be eaten with this drug.
D) Fluoxetine may be administered safely in combination with monoamine oxidase (MAO) inhibitors.
3. The day following his admission, the nurse sits down by a male client on the sofa in the dayroom. He was admitted for depression and thoughts of suicide. He looks at the nurse and says, 'My life is so bad no one can do anything to help me.' The most helpful initial response by the nurse would be:
A) 'It concerns me that you feel so badly when you have so many positive things in your life.'
B) 'It will take a few weeks for you to feel better, so you need to be patient.'
C) 'You are telling me that you are feeling hopeless at this point?'
D) 'Let - s play cards with some of the other clients to get your mind off your problems for now.'
4. A long-term goal for the nurse in planning care for a depressed, suicidal client would be to:
A) Provide him with a safe and structured environment.
B) Assist him to develop more effective coping mechanisms.
C) Have him sign a 'no-suicide' contract.
D) Isolate him from stressful situations that may precipitate a depressive episode.
5. After 3 weeks of treatment, a severely depressed client suddenly begins to feel better and starts interacting appropriately with other clients and staff. The nurse knows that this client has an increased risk for:
A) Suicide
B) Exacerbation of depressive symptoms
C) Violence toward others
D) Psychotic behavior
A) The more specific a client - s plan, the more likely he or she is to attempt suicide.
B) A client who is unsuccessful at a first suicide attempt is not likely to make future attempts.
C) A client who threatens suicide is just seeking attention and is not likely to attempt suicide.
D) Nurses who care for a client who has attempted suicide should not make any reference to the word 'suicide' in order to protect the client - s ego.
2. The physician orders fluoxetine (Prozac) for a depressed client. Which of the following should the nurse remember about fluoxetine?
A) Because fluoxetine is a tricyclic antidepressant, it may precipitate a hypertensive crisis.
B) The therapeutic effect of the drug occurs 2 - 4 weeks after treatment is begun.
C) Foods such as aged cheese, yogurt, soy sauce, and bananas should not be eaten with this drug.
D) Fluoxetine may be administered safely in combination with monoamine oxidase (MAO) inhibitors.
3. The day following his admission, the nurse sits down by a male client on the sofa in the dayroom. He was admitted for depression and thoughts of suicide. He looks at the nurse and says, 'My life is so bad no one can do anything to help me.' The most helpful initial response by the nurse would be:
A) 'It concerns me that you feel so badly when you have so many positive things in your life.'
B) 'It will take a few weeks for you to feel better, so you need to be patient.'
C) 'You are telling me that you are feeling hopeless at this point?'
D) 'Let - s play cards with some of the other clients to get your mind off your problems for now.'
4. A long-term goal for the nurse in planning care for a depressed, suicidal client would be to:
A) Provide him with a safe and structured environment.
B) Assist him to develop more effective coping mechanisms.
C) Have him sign a 'no-suicide' contract.
D) Isolate him from stressful situations that may precipitate a depressive episode.
5. After 3 weeks of treatment, a severely depressed client suddenly begins to feel better and starts interacting appropriately with other clients and staff. The nurse knows that this client has an increased risk for:
A) Suicide
B) Exacerbation of depressive symptoms
C) Violence toward others
D) Psychotic behavior
1. Right Answer: A
Explanation: (A) This is a high-risk factor for potential suicide. (B) A previous suicide attempt is a definite risk factor for subsequent attempts. (C) Every threat of suicide should be taken seriously. (D) The client should be asked directly about his or her intent to do bodily harm. The client is never hurt by direct, respectful questions.
2. Right Answer: B
Explanation: (A) Fluoxetine is not a tricyclic antidepressant. It is an atypical antidepressant. (B) This statement is true. (C) These foods are high in tyramine and should be avoided when the client is taking MAO inhibitors. Fluoxetine is not an MAO inhibitor. (D) Fatal reactions have been reported in clients receiving fluoxetine in combination with MAO inhibitors.
3. Right Answer: C
Explanation: (A) This response does not acknowledge the clients feelings and may increase his feelings of guilt. (B) This response denotes false reassurance. (C) This response acknowledges the clients feelings and invites a response. (D) This response changes the subject and does not allow the client to talk about his feelings.
4. Right Answer: B
Explanation: (A) This statement represents a short-term goal. (B) Long-term therapy should be directed toward assisting the client to cope effectively with stress. (C) Suicide contracts represent short-term interventions. (D) This statement represents an unrealistic goal. Stressful situations cannot be avoided in reality.
5. Right Answer: A
Explanation: (A) When the severely depressed client suddenly begins to feel better, it often indicates that the client has made the decision to kill himself or herself and has developed a plan to do so. (B) Improvement in behavior is not indicative of an exacerbation of depressive symptoms. (C) Thedepressed client has a tendency for self-violence, not violence toward others. (D) Depressive behavior is not always accompanied by psychotic behavior.
Explanation: (A) This is a high-risk factor for potential suicide. (B) A previous suicide attempt is a definite risk factor for subsequent attempts. (C) Every threat of suicide should be taken seriously. (D) The client should be asked directly about his or her intent to do bodily harm. The client is never hurt by direct, respectful questions.
2. Right Answer: B
Explanation: (A) Fluoxetine is not a tricyclic antidepressant. It is an atypical antidepressant. (B) This statement is true. (C) These foods are high in tyramine and should be avoided when the client is taking MAO inhibitors. Fluoxetine is not an MAO inhibitor. (D) Fatal reactions have been reported in clients receiving fluoxetine in combination with MAO inhibitors.
3. Right Answer: C
Explanation: (A) This response does not acknowledge the clients feelings and may increase his feelings of guilt. (B) This response denotes false reassurance. (C) This response acknowledges the clients feelings and invites a response. (D) This response changes the subject and does not allow the client to talk about his feelings.
4. Right Answer: B
Explanation: (A) This statement represents a short-term goal. (B) Long-term therapy should be directed toward assisting the client to cope effectively with stress. (C) Suicide contracts represent short-term interventions. (D) This statement represents an unrealistic goal. Stressful situations cannot be avoided in reality.
5. Right Answer: A
Explanation: (A) When the severely depressed client suddenly begins to feel better, it often indicates that the client has made the decision to kill himself or herself and has developed a plan to do so. (B) Improvement in behavior is not indicative of an exacerbation of depressive symptoms. (C) Thedepressed client has a tendency for self-violence, not violence toward others. (D) Depressive behavior is not always accompanied by psychotic behavior.
80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
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