NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A client who has had three episodes of recurrent endogenous depression within the past 2 years states to the nurse, 'I want to know why I'm so depressed.' Which of the following statements by the nurse is most helpful?
Correct Answer: B
Rationale: Discussing possible reasons encourages exploration of triggers and fosters therapeutic engagement.
Question 2 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?
Order the Items
Source Container
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 3 of 5
A client with schizophrenia is prescribed clozapine (Clozaril) 200 mg daily. Which of the following laboratory tests should the nurse monitor regularly?
Correct Answer: B
Rationale: Clozapine can cause agranulocytosis, requiring regular monitoring of white blood cell counts.
Question 4 of 5
A 19-year-old client is admitted to a psychiatric unit with an Axis I diagnosis of alcohol abuse and an Axis II diagnosis of personality disorder not otherwise specified. The client's mother states, 'He's always in trouble, just like when he was a boy. Now he's just a bigger prankster and out of control.' In view of the client's history, which of the following is most important initially?
Correct Answer: D
Rationale: Closely observing the client's behavior to establish a baseline is most important initially, as it provides critical data to understand his patterns, assess risks, and tailor interventions.
Question 5 of 5
A client who has had three episodes of recurrent endogenous depression within the past 2 years states to the nurse, 'I want to know why I'm so depressed.' Which of the following statements by the nurse is most helpful?
Correct Answer: B
Rationale: Discussing possible reasons encourages exploration of triggers and fosters therapeutic engagement.