NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
The client who has been taking venlafaxine (Effexor) 25 mg P.O. three times a day for the past 2 days states, 'This medicine isn't doing me any good. I'm still so depressed.' Which of the following responses by the nurse is most appropriate?
Correct Answer: B
Rationale: Explaining the 2–4 week onset of antidepressants sets realistic expectations and encourages adherence.
Question 2 of 5
A client admitted after a panic attack asks, 'Will this happen again?' Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: Discussing anxiety management strategies empowers the client with tools to prevent or cope with future panic attacks. Minimizing the issue, suggesting medication alone, or dismissing worry does not address the client's need for proactive coping.
Question 3 of 5
A client diagnosed with schizophrenia is being switched to risperidone long-acting injection (Risperdal Consta). He is told that he will remain on his oral dose of risperidone (Risperdal) daily for approximately 1 month. The client says, 'I didn't have to do this with my last shot.' Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: Explaining that Risperdal Consta requires time to reach therapeutic levels clarifies why the oral dose is continued, addressing the client's confusion accurately.
Question 4 of 5
A client with schizophrenia exhibits flat affect and apathy. Which outcome is most realistic within one week?
Correct Answer: B
Rationale: Attending one group activity is a realistic initial step for a client with negative symptoms, encouraging gradual engagement.
Question 5 of 5
The client with an Axis I diagnosis of bipolar disorder, manic phase, states to the nurse, 'I'm the Queen of England. Bow before me.' The nurse interprets this statement as important to document as which of the following areas of the mental status examination?
Correct Answer: D
Rationale: Grandiose delusions, like claiming to be royalty, are documented under thought content.