NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A client diagnosed with borderline personality disorder has self-inflicted cuts on her arms. The nurse is assessing the client for the risk of suicide. What should the nurse ask the client first?
Correct Answer: C
Rationale: Asking if the client has a suicide plan is the priority because it directly assesses the immediate risk of suicide, which is critical in ensuring safety. Understanding the plan helps determine the level of intent and urgency for intervention.
Question 2 of 5
The nurse is reviewing the medication administration record (MAR) of a client with bipolar disorder who is receiving lithium carbonate. Which of the following laboratory results should the nurse report to the physician immediately?
Correct Answer: D
Rationale: A lithium level of 2.0 mEq/L is toxic (therapeutic range: 0.6–1.2 mEq/L), requiring immediate reporting to prevent harm.
Question 3 of 5
A client admitted for assaulting a neighbor says, 'I didn't mean to hurt him.' Which nursing intervention is the priority?
Correct Answer: A
Rationale: Teaching conflict resolution skills addresses the client's violent behavior by providing tools to manage disputes nonviolently. Medication, a no harm contract, or support groups are secondary without first building skills to prevent recurrence.
Question 4 of 5
Which of the following points should the nurse include when teaching a client about panic disorder?
Correct Answer: C
Rationale: Teaching that panic attack symptoms are time-limited and will abate is key, as it reassures the client and reduces fear, aiding in managing panic disorder.
Question 5 of 5
A client was discharged from an alcohol rehabilitation program on clonazepam (Klonopin) 0.5 mg TID. Several months later he reports having insomnia, shakiness, sweating and one seizure. The nurse should first ask the client if he:
Correct Answer: C
Rationale: Asking if the client stopped taking Klonopin suddenly is first, as abrupt cessation can cause withdrawal symptoms like insomnia, shakiness, sweating, and seizures, matching the client's presentation.