NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
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?
Correct Answer: D
Rationale: The client's rapid shift from anger to remorse indicates emotional lability, characterized by unstable and unpredictable emotions. Neologism involves made-up words, confabulation is fabricating stories to fill memory gaps, and flight of ideas is rapid thought shifts, none of which fit this behavior.
Question 2 of 5
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?
Correct Answer: D
Rationale: This statement indicates the client recognizes the link between stress and her pain, suggesting treatment success.
Question 3 of 5
A client was discharged from an alcohol rehabilitation program on clonazepam (Klonopin) 0.5 mg TID. Several months later he reports having insomnia, shakiness, sweating and one seizure. The nurse should first ask the client if he:
Correct Answer: C
Rationale: Asking if the client stopped taking Klonopin suddenly is first, as abrupt cessation can cause withdrawal symptoms like insomnia, shakiness, sweating, and seizures, matching the client's presentation.
Question 4 of 5
A married female client has been referred to the mental health center because she is depressed. The nurse notices bruises on her upper arms and asks about them. After denying any problems, the client starts to cry and says, 'He didn't really mean to hurt me, but I hate for the kids to see this. I'm so worried about them.' Which of the following is the most crucial information for the nurse to determine?
Correct Answer: B
Rationale: The most crucial information is the potential for immediate danger to the client and her children, as this directly impacts their safety and requires urgent intervention to prevent harm.
Question 5 of 5
A client presents to the emergency department after a car accident, appearing dazed and trembling. Which is the nurse's priority action?
Correct Answer: B
Rationale: Assessing for physical injuries is the priority to rule out life-threatening conditions, especially given the client's dazed state. Sedation, recounting the event, or family contact are secondary until physical stability is confirmed.