NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
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?
Correct Answer: C,D,A,B
Rationale: First, sharing observations helps the client recognize her anxiety behaviors. Asking about sources identifies triggers. Walking with the client reduces anxiety physically, and discussing solutions is most effective once anxiety is lowered.
Question 2 of 5
A client in the emergency department is diagnosed as having amphetamine psychosis. The nurse should take all of the following actions in which order of priority from first to last?
Order the Items
Source Container
Correct Answer: B, C, D, A
Rationale: The order is: 1) Monitor cardiac and respiratory status for stability (
B). 2) Place seizure pads for safety (
C). 3) Administer haloperidol to manage psychosis (
D). 4) Transfer to the psychiatric unit for ongoing care (
A). This prioritizes immediate physiological safety and symptom management.
Question 3 of 5
A client with paranoid schizophrenia accuses staff of stealing. Which response is most therapeutic?
Correct Answer: C
Rationale: Checking belongings together addresses the accusation practically, reducing mistrust without confrontation.
Question 4 of 5
Which of the following represents a breach of the nursing Code of Ethics regarding the rights of clients in psychiatric care situations?
Correct Answer: C
Rationale: Discussing a client's care with a friend violates confidentiality, breaching the Code of Ethics.
Question 5 of 5
When developing the plan of care for a client with suicidal ideation, developing goals to address which of the following is a priority?
Correct Answer: D
Rationale: Safety is the priority to prevent self-harm in a client with suicidal ideation.