NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A 17-year-old is admitted to a psychiatric day treatment program due to severe lower back pain since her mother's death 3 years ago. Medical examinations, the nurse's health care for her pain. She cares for her four younger siblings after school and on weekends because of her father's long work hours. Which pre-discharge statement indicates that treatment for her condition has been successful?
Correct Answer: D
Rationale: This statement indicates the client recognizes the link between stress and her pain, suggesting treatment success.
Question 2 of 5
A client is brought to the psychiatric unit from the emergency department (ED) escorted by ED staff and a security officer. The client's shoulder is bandaged and his arm is in a sling because of a self-inflicted gunshot wound to his shoulder. Later, the client's wife follows with a bag of her husband's belongings. Which of the following nursing actions is most appropriate at this time?
Correct Answer: D
Rationale: Inspecting the bag ensures no dangerous items are brought into the unit, enhancing safety.
Question 3 of 5
A 28-year-old client with an Axis I diagnosis of major depression and an Axis II diagnosis of dependent personality disorder has been living at home with very supportive parents. The client is thinking about independent living on the recommendation of the treatment team. The client states to the nurse, 'I don't know if I can make it in an apartment without my parents.' The nurse should respond by saying to the client:
Correct Answer: D
Rationale: Saying 'Your parents have been supportive and will continue to be even if you live apart' reassures the client, addresses their dependency fears, and encourages independence while maintaining a sense of support.
Question 4 of 5
A client with schizophrenia is prescribed clozapine (Clozaril) 200 mg daily. Which of the following laboratory tests should the nurse monitor regularly?
Correct Answer: B
Rationale: Clozapine can cause agranulocytosis, requiring regular monitoring of white blood cell counts.
Question 5 of 5
A married female client has been referred to the mental health center because she is depressed. The nurse notices bruises on her upper arms and asks about them. After denying any problems, the client starts to cry and says, 'He didn't really mean to hurt me, but I hate for the kids to see this. I'm so worried about them.' Which of the following is the most crucial information for the nurse to determine?
Correct Answer: B
Rationale: The most crucial information is the potential for immediate danger to the client and her children, as this directly impacts their safety and requires urgent intervention to prevent harm.