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Psychiatric NCLEX RN Questions Questions

Extract:


Question 1 of 5

A client experiencing a manic episode has been talking loudly, pacing the unit and trying to draw other clients into debates about the value of self-determination. Arrange in order the steps a nurse should take to help calm this client.

Correct Answer: C, B, A, D

Rationale: First reduce stimuli, then discuss feelings, administer medication if needed, and teach coping strategies.

Question 2 of 5

The client exhibits a flat affect, psychomotor retardation, and depressed mood. The nurse attempts to engage the client in an interaction but the client does not respond to the nurse. Which response by the nurse is most appropriate?

Correct Answer: A

Rationale: Sitting quietly with the client provides presence and support, respecting their current inability to engage.

Question 3 of 5

A nurse is leading a support group for parents of adolescents with substance use disorders. Which strategy should the nurse emphasize?

Correct Answer: B

Rationale: Setting clear boundaries and consistent consequences helps parents manage the adolescent's behavior while supporting recovery from substance use.

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 client in the emergency department is diagnosed as having amphetamine psychosis. The nurse should take all of the following actions in which order of priority from first to last?

Order the Items

Source Container

Transfer the client to the psychiatric unit.
Monitor cardiac and respiratory status.
Place seizure pads on the bed.
Administer IM haloperidol (Haldol) as ordered.

Correct Answer: B, C, D, A

Rationale: The order is: 1) Monitor cardiac and respiratory status for stability (
B). 2) Place seizure pads for safety (
C). 3) Administer haloperidol to manage psychosis (
D). 4) Transfer to the psychiatric unit for ongoing care (
A). This prioritizes immediate physiological safety and symptom management.

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