NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client diagnosed with schizophrenia is being switched to risperidone long-acting injection (Risperdal Consta). He is told that he will remain on his oral dose of risperidone (Risperdal) daily for approximately 1 month. The client says, 'I didn't have to do this with my last shot.' Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: Explaining that Risperdal Consta requires time to reach therapeutic levels clarifies why the oral dose is continued, addressing the client's confusion accurately.
Question 2 of 5
The nurse judges that a client is ready to be released from seclusion and restraints when the client demonstrates which of the following behaviors?
Correct Answer: D
Rationale: Showing signs of self-control indicates the client is no longer a danger, justifying release from seclusion/restraints. Sedation, reduced struggling, or stopping verbal outbursts do not necessarily confirm restored self-control.
Question 3 of 5
When assessing a hospitalized client diagnosed with Major Depression and Borderline Personality Disorder, the nurse should ask the client about which of the following first?
Correct Answer: B
Rationale: Asking about suicidal plans first is critical, as it directly assesses the immediate risk and specificity of intent, guiding safety interventions for a client with these diagnoses.
Question 4 of 5
As a client's level of anxiety increases to a debilitating degree, the nurse should expect which of the following as a psychomotor behavior indicating a panic level of anxiety?
Correct Answer: A
Rationale: At a panic level of anxiety, psychomotor behaviors may include extreme actions such as suicide attempts or violence due to the client's inability to cope. Desperation and rage are emotional responses, disorganized reasoning is cognitive, and loss of contact with reality is a perceptual issue, none of which are primarily psychomotor behaviors.
Question 5 of 5
A pregnant client in her third trimester is started on chlorpromazine (Thorazine) 25 mg four times daily. Which of the following instructions is most important for the nurse to include in the client's teaching plan?
Correct Answer: B
Rationale: Chlorpromazine can cause photosensitivity, a significant risk during pregnancy, making sun protection critical to prevent skin damage, which is more immediate than the other options.