NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
Police bring a client to the emergency department after she threatens to kill her ex-husband. She states emphatically, 'The police should bring him in, not me. He's paranoid about my dating and has been stalking me for weeks. He's probably off his medicines. His case manager and the police won't do anything.' In which order should the following nursing actions be done from first to last?
Correct Answer: B,D,C,A
Rationale: Safety is the priority, so assessing risk for harm comes first. Interviewing the client about her needs and situation provides context, followed by obtaining the case manager's name to coordinate care. Asking about marital problems is less urgent and comes last.
Question 2 of 5
At an outpatient visit 3 months after discharge from the hospital, a client says he has stopped his olanzapine (Zyprexa) even though it controls his symptoms of schizophrenia better than other medications. 'I have gained 20 lb already. I can't stand any more.' Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: Offering a diet and exercise plan addresses the client's concern about weight gain while encouraging continued treatment, promoting adherence and health management.
Question 3 of 5
A young child who has been sexually abused has difficulty putting feelings into words. Which of the following should the nurse employ with the child?
Correct Answer: A
Rationale: Play therapy is an effective, age-appropriate method for helping young children express emotions non-verbally.
Question 4 of 5
The client diagnosed with major depression and dependent personality disorder has made the decision to live independently in an apartment. The nurse and the client meet with his parents to discuss his decision. Which statement by the nurse is most helpful to foster the client's independence?
Correct Answer: B
Rationale: Stating 'All of you will gain from his independent living; he needs our support' promotes the client's independence while framing it as a positive step for the family, encouraging support without fostering dependency.
Question 5 of 5
A client with dementia is at risk for falls. Which intervention should the nurse prioritize?
Correct Answer: B
Rationale: Bed alarms and clear pathways address fall risks directly, promoting safety without restricting mobility or overmedicating.