NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A 79-year-old woman is brought to the outpatient clinic by her daughter for a routine medication evaluation. The daughter reports that her mother is quite stable and has no adverse effects from the risperidone (Risperdal) she is taking. Then the daughter says, 'I just think my mother could be even better if she was on a larger dosage. My son takes 1 mg of Risperdal every day and my mother is only on 0.5 mg.' What is the most helpful response by the nurse?
Correct Answer: C
Rationale: Explaining that older adults typically require lower doses due to slower metabolism and increased sensitivity to medications educates the daughter and addresses her concern appropriately.
Question 2 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 3 of 5
A client is being discharged after 3 days of hospitalization for a suicide attempt that followed the... [incomplete]. Which of the following should be included in the discharge plan?
Correct Answer: A
Rationale: Referral to outpatient mental health services is essential for ongoing support and monitoring post-suicide attempt, addressing the client's mental health needs. A higher dose of antidepressants requires careful consideration, avoiding stressors is unrealistic, and daily home visits may be excessive unless specifically indicated.
Question 4 of 5
A client with a history of interpersonal violence is admitted after an altercation. The nurse observes the client pacing and muttering angrily. Which of the following is the most appropriate initial intervention?
Correct Answer: C
Rationale: Offering a quiet space allows the client to de-escalate without escalating to restrictive measures, aligning with least-restrictive intervention principles. Medication, seclusion, or restraints are premature without attempting de-escalation, and the client's behavior does not yet indicate immediate danger.
Question 5 of 5
A client with Alzheimer's disease is apathetic. Which intervention should the nurse prioritize?
Correct Answer: A
Rationale: Encouraging simple activities stimulates engagement, addressing apathy without overwhelming the client.