NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A client taking mirtazapine (Remeron) is disheartened about a 20 lb weight gain over the past 3 months. The client tells the nurse, 'I stopped taking my Remeron 15 days ago. I don't want to get depressed again, but I feel awful about my weight.' Which response by the nurse is most appropriate?
Correct Answer: D
Rationale: Acknowledging the client's distress and facilitating a discussion with the doctor supports collaborative care.
Question 2 of 5
A client with schizophrenia is admitted to the psychiatric unit with delusions and auditory hallucinations. Which of the following nursing interventions is most appropriate?
Correct Answer: B
Rationale: Listening to music can help distract from auditory hallucinations, providing a non-confrontational intervention.
Question 3 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 4 of 5
A client with a history of interpersonal violence is admitted after an altercation. The nurse observes the client pacing and muttering angrily. Which of the following is the most appropriate initial intervention?
Correct Answer: C
Rationale: Offering a quiet space allows the client to de-escalate without escalating to restrictive measures, aligning with least-restrictive intervention principles. Medication, seclusion, or restraints are premature without attempting de-escalation, and the client's behavior does not yet indicate immediate danger.
Question 5 of 5
The nurse is reviewing the medication administration record (MAR) of a client with bipolar disorder who is receiving lithium carbonate. Which of the following laboratory results should the nurse report to the physician immediately?
Correct Answer: D
Rationale: A lithium level of 2.0 mEq/L is toxic (therapeutic range: 0.6–1.2 mEq/L), requiring immediate reporting to prevent harm.