NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
A young adult client diagnosed with bipolar disorder has been managing the disorder effectively with medication and treatment for several years. The client suddenly becomes manic. The nurse reviews the client's medication record. Which of the following medications may have contributed to the development of his manic state?
Correct Answer: B
Rationale: Prednisone, a corticosteroid, can trigger mania in bipolar clients due to its effect on mood regulation.
Question 2 of 5
The nurse is conducting an intake interview with an Asian American female who reports sadness, physical and mental fatigue, anxiety, and sleep disturbance. Prior to the client's time with the physician, it is important for the nurse to obtain information about the client's use of which of the following? Select all that apply.
Correct Answer: B, C, D, E
Rationale: Herbal medicine, breathing exercises, massage, and folk healers may impact treatment or interact with medications, requiring assessment.
Question 3 of 5
A client is entering the chemical dependency unit for treatment of alcohol dependency. Which of the client's possessions should the nurse place in a locked area?
Correct Answer: D
Rationale: Antiseptic mouthwash should be locked, as it often contains alcohol, which could be misused by a client with alcohol dependency, posing a risk to recovery.
Question 4 of 5
Based on a client's history of violence toward others and her inability to cope with anger, which of the following should the nurse use as the most important indicator of goal achievement before discharge?
Correct Answer: D
Rationale: Verbalizing feelings appropriately is the most important indicator, as it demonstrates the ability to express anger constructively, reducing the risk of violence. Acknowledging feelings, describing triggers, or listing past behaviors are steps but less definitive than appropriate expression.
Question 5 of 5
A nurse is assessing a 12-year-old with suspected depression. Which of the following symptoms should the nurse prioritize? Select all that apply.
Correct Answer: B,C,D
Rationale: Depression in children often presents with persistent sadness, difficulty concentrating, and risky behaviors. Increased appetite and improved school performance are not typical.