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NCLEX RN Psychiatric Questions Questions

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Question 1 of 5

A client is brought to the hospital by police and admitted involuntarily. She is diagnosed as having bipolar disorder, manic phase. The physician orders lithium carbonate. The client refuses her morning dose of lithium. The nurse should next:

Correct Answer: C

Rationale: Clients retain the right to refuse medication unless deemed incompetent or an immediate danger, requiring legal processes.

Question 2 of 5

The nurse is teaching unlicensed staff about caring for the client with alcohol dependency. Which of the following statements by the staff indicates the need for additional teaching?

Correct Answer: B

Rationale: Saying the client is weak and could stop if desired indicates a need for teaching, as it reflects a misunderstanding of alcohol dependency as a disease, not a lack of willpower.

Question 3 of 5

A client with Alzheimer's disease is unable to recognize family. What should the nurse suggest?

Correct Answer: B

Rationale: Using photos and names helps cue recognition, reducing frustration and supporting family interaction.

Question 4 of 5

A client who chronically snorts cocaine is brought to the emergency department due to a cocaine overdose. The client is experiencing delusions, hallucinations, mild respiratory distress and mild tachycardia initially. The nurse should do which of the following? Select all that apply.

Correct Answer: B, C, E, F

Rationale: Actions include: Placing seizure pads (
B) for safety, administering haloperidol (
C) for psychosis, encouraging deep breathing (E) for respiratory distress, and monitoring for metabolic acidosis (F) due to overdose effects. Inducing vomiting (
A) and monitoring respiratory acidosis (
D) are not indicated.

Question 5 of 5

A client is suicidal and not responding to the antidepressants prescribed to him over the last 2 months. This morning, after talking to his wife, the client verbally agrees to electroconvulsive therapy (ECT), but refuses to sign the consent form saying it is 'evil.' The nurse should:

Correct Answer: C

Rationale: Written consent is required for ECT unless a court orders it; verbal consent is insufficient.

Similar Questions

A client receiving dialysis directs profanities at the nurse and then abruptly hangs his head and pleads, 'Please forgive me. Something just came over me. Why do I say those things?' The nurse interprets this as which of the following?
An outpatient client who has a history of paranoid schizophrenia and chronic alcohol dependency has been taking risperidone (Risperdal) for several months. She reports that she stopped drinking 4 days ago, the client is a very satisfied by the tactile hallucinations of bugs crawling under her skin. Which of the following factors should the nurse incorporate into the plan of care when explaining the tactile hallucinations?
A 17-year-old is admitted to a psychiatric day treatment program due to severe lower back pain since her mother's death 3 years ago. Medical examinations, the nurse's health care for her pain. She cares for her four younger siblings after school and on weekends because of her father's long work hours. Which pre-discharge statement indicates that treatment for her condition has been successful?
The client, a veteran of the Vietnam war who has posttraumatic stress disorder, tells the nurse about the horror and mass destruction of war. He states, 'I killed all of those people for nothing.' Which of the following responses by the nurse is appropriate?
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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