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NCLEX RN Psychiatric Questions Questions

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Question 1 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 2 of 5

A client becomes increasingly morose and irritable after being told that she has cancer. She is rude to visitors and pushes nurses away when they attempt to give her medications and treatments. Which of the following should the nurse do when the client has a hostile outburst?

Correct Answer: B

Rationale: Encouraging the client to discuss her concerns and feelings helps address the underlying emotions driving her hostile outbursts, promoting coping. Positive reinforcement may not address the root cause, ignoring the outburst dismisses her feelings, and redirecting anger to staff is inappropriate.

Question 3 of 5

A client who has had three episodes of recurrent endogenous depression within the past 2 years states to the nurse, 'I want to know why I'm so depressed.' Which of the following statements by the nurse is most helpful?

Correct Answer: B

Rationale: Discussing possible reasons encourages exploration of triggers and fosters therapeutic engagement.

Question 4 of 5

A client is experiencing alcohol withdrawal. He wakes up and screams, 'There's something crawling under my skin. Help me.' In which order, from first to last, should the following nursing actions be done?

Order the Items

Source Container

Remind the client that he is having withdrawal symptoms and that these will be treated.
Administer a dose of lorazepam (Ativan) depending on the severity of the withdrawal symptoms.
Assess the client for other withdrawal symptoms.
Take the client's vital signs.
Chart the details of the episode on the electronic health record.

Correct Answer: C, D, B, A, E

Rationale: The order is: 1) Assess for other withdrawal symptoms to understand the full clinical picture (
C). 2) Take vital signs to monitor stability (
D). 3) Administer lorazepam to manage symptoms (
B). 4) Remind the client about withdrawal symptoms to provide reassurance (
A). 5) Chart the episode for documentation (E). This prioritizes assessment, treatment, and communication.

Question 5 of 5

A client who experienced sleep disturbances, feelings of worthlessness, and an inability to concentrate for the past 3 months was fired from her job a month ago. The client tells the nurse, 'My boss was wonderful! He was understanding and a really nice man.' The nurse interprets the client's statement as representing the defense mechanism of reaction formation. Which of the following would be the best response by the nurse?

Correct Answer: B

Rationale: Encouraging the client to discuss difficulties at work may uncover underlying feelings masked by reaction formation.

Similar Questions

The nurse manager overhears two staff members talking in the snack room. One of the staff members states, 'Her superficial cuts are just a means of getting our attention. She never should have been admitted. I hope she's out of here soon.' Which of the following responses by the nurse manager is most appropriate?
A client who has been stabilized on medications for several months is at the clinic for a medication check. During a conversation with the nurse, the client suddenly jumps up, begins pacing, and wrings her hands. In what order should the nurse do the following interventions from first to last?
When developing appropriate short-term goals with clients who are inpatients, which of the following is most realistic?
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?
A nurse is assessing a client experiencing hypomania who wants to stop her mood stabilizing medication because she is 'feeling good,' has a high energy level and thinks she is productive at work. Which response by the nurse is most appropriate?

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