NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 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 2 of 5
When asked about her stresses before admission, an anxious client stares blankly at the nurse and mutters unintelligibly. Which of the following descriptions of the client's behaviors should the nurse document in the client's chart?
Correct Answer: C
Rationale: Describing the client's behavior objectively as a blank look and incomprehensible mumble accurately reflects the observation without assuming uncooperativeness or disorientation.
Question 3 of 5
A 21-year-old female was arrested on charges of solicitation. Jail staff asked for a mental health evaluation when the woman used a fork to stab herself. She also had an episode of rage after waking up from a nightmare and screamed repeatedly to 'let her out of the locked room.' After she was admitted to the psychiatric unit, she admitted to being kidnapped and held from ages 8 to 16 by a convicted child pornographer. She said she never contacted her family after her release from captivity. The nurse should do the following in what order of priority from first to last?
Order the Items
Source Container
Correct Answer: A,C,B,D
Rationale: The nurse should prioritize: 1) Suicide precautions and no harm contract (
A) due to self-harm; 2) Offer empathy and support (
C) to build trust; 3) Ask about contacting family (
B) to explore reconnection; 4) Encourage verbalizing emotions (
D) to process trauma.
Question 4 of 5
A 13-year-old junior high school student has come to the school nurse, stating that her father has physically abused her for 3 years. Initially, the client is a lot of the house, thinking it was because her father had been laid off, but the abuse continued after he got a job 4 months ago. She fears that her mother will not believe her and her father will reject her if they discover she has revealed the abuse. The nurse should first:
Correct Answer: D
Rationale: Reporting to Child Protective Services is the legal and ethical priority to ensure the child's safety and initiate investigation.
Question 5 of 5
A client is suicidal and not responding to the antidepressants prescribed to him over the last 2 months. This morning, after talking to his wife, the client verbally agrees to electroconvulsive therapy (ECT), but refuses to sign the consent form saying it is 'evil.' The nurse should:
Correct Answer: C
Rationale: Written consent is required for ECT unless a court orders it; verbal consent is insufficient.