NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 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?
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 2 of 5
A client with major depression is to be discharged home tomorrow. When preparing the client's discharge plan, which of the following areas is most important for the nurse to review with the client?
Correct Answer: D
Rationale: Medication adherence and outpatient follow-up are critical to prevent relapse in major depression.
Question 3 of 5
A client is brought to the psychiatric unit from the emergency department (ED) escorted by ED staff and a security officer. The client's shoulder is bandaged and his arm is in a sling because of a self-inflicted gunshot wound to his shoulder. Later, the client's wife follows with a bag of her husband's belongings. Which of the following nursing actions is most appropriate at this time?
Correct Answer: D
Rationale: Inspecting the bag ensures no dangerous items are brought into the unit, enhancing safety.
Question 4 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 5 of 5
A client is entering the alcohol treatment program for the fourth time in 5 years. Which of the following statements by the nurse will be most helpful to the client?
Correct Answer: D
Rationale: Saying 'The staff and I will help you through the program' is most helpful, as it offers support, fosters collaboration, and avoids judgment about past attempts.