NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client with acute mania is to receive lithium carbonate 600 mg P.O. three times daily and 2 mg of haloperidol (Haldol) P.O. at bedtime. The nurse should:
Correct Answer: D
Rationale: The ordered doses of lithium and haloperidol are appropriate for managing acute mania.
Question 2 of 5
A client in an anger management group says, 'I get mad, but I don't want to hurt anyone.' Which goal should the nurse prioritize for this client?
Correct Answer: B
Rationale: Identifying early signs of anger escalation helps the client intervene before losing control, preventing harm. Exercise is a coping strategy, suppression is unhealthy, and leaving situations is less proactive than early intervention.
Question 3 of 5
The nurse manager of a psychiatric unit notices that one of the nurses commonly avoids a 75-year-old client's company. Which of the following factors should the nurse manager identify as being the most likely cause of this nurse's discomfort with older clients?
Correct Answer: A
Rationale: Fears and conflicts about aging are a common psychological reason for discomfort with elderly clients, as they may trigger personal anxieties about the nurse's own aging process.
Question 4 of 5
A client is brought to the emergency department by his brother. The client is perspiring profusely, breathing rapidly, and complaining of dizziness and palpitations. Problems of a cardiovascular nature are ruled out and the diagnosis is tentatively listed as a panic attack. After the symptoms pass, the client states, 'I thought I was going to die.' Which of the following responses by the nurse is best?
Correct Answer: A
Rationale: Saying 'It was very frightening for you' is best, as it validates the client's experience, builds rapport, and encourages further discussion of the panic attack.
Question 5 of 5
A 17-year-old client who has been taking an antidepressant for 6 weeks has returned to the clinic for a medication check. When the nurse talks with the client and her mother, the mother reports that she has to remind the client to take her antidepressant every day. The client says, 'Yeah, I'm pretty bad about remembering to take my meds, but I never miss a dose because Mom always bugs me about taking it.' Which of the following responses would be effective for the nurse to make to the client?
Correct Answer: B
Rationale: Addressing the client's responsibility encourages independence and prepares her for future self-management.