NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A married female client has been referred to the mental health center because she is depressed. The nurse notices bruises on her upper arms and asks about them. After denying any problems, the client starts to cry and says, 'He didn't really mean to hurt me, but I hate for the kids to see this. I'm so worried about them.' Which of the following is the most crucial information for the nurse to determine?
Correct Answer: B
Rationale: The most crucial information is the potential for immediate danger to the client and her children, as this directly impacts their safety and requires urgent intervention to prevent harm.
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
The nurse manager overhears two staff members talking in the snack room. One of the staff members states, 'Her superficial cuts are just a means of getting our attention. She never should have been admitted. I hope she's out of here soon.' Which of the following responses by the nurse manager is most appropriate?
Correct Answer: D
Rationale: All suicidal behaviors, even superficial ones, require serious assessment due to potential escalation.
Question 4 of 5
The client has been hospitalized for major depression and suicidal ideation. Which of the following statements indicates to the nurse that the client is improving?
Correct Answer: B
Rationale: Reduced suicidal thoughts indicate improvement in the client's mental state.
Question 5 of 5
The physician orders valproic acid (Depakene) for a client with bipolar disorder who has achieved limited success with lithium carbonate (Lithane). Which of the following should the nurse include in the client's medication teaching plan?
Correct Answer: C
Rationale: Drowsiness and gastrointestinal upset are common side effects of valproic acid, requiring client education.