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NCLEX RN Questions on Psychiatric Nursing Questions

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Question 1 of 5

The friend of a client brought to the emergency department states, 'I guess she had some bad junk (heroin) today.' The client is drowsy and verbally nonresponsive. Which of the following assessment findings is of immediate concern to the nurse?

Correct Answer: A

Rationale: A respiratory rate of 9 breaths/minute is of immediate concern, as heroin overdose can cause respiratory depression, posing a life-threatening risk requiring urgent intervention.

Question 2 of 5

A client with paranoid schizophrenia is hypervigilant. Which environment is most therapeutic?

Correct Answer: B

Rationale: A quiet, low-stimulus room reduces triggers for hypervigilance, promoting a sense of safety.

Question 3 of 5

A client with a history of domestic violence is anxious about returning home. Which action should the nurse take first?

Correct Answer: B

Rationale: Assessing safety concerns identifies specific risks and guides the plan, prioritizing the client's safety. Providing resources, encouraging confrontation, or contacting the partner are premature or unsafe without understanding the situation.

Question 4 of 5

The friend of a client brought to the emergency department states, 'I guess she had some bad junk (heroin) today.' The client is drowsy and verbally nonresponsive. Which of the following assessment findings is of immediate concern to the nurse?

Correct Answer: A

Rationale: A respiratory rate of 9 breaths/minute is of immediate concern, as heroin overdose can cause respiratory depression, posing a life-threatening risk requiring urgent intervention.

Question 5 of 5

A client experiencing acute mania has been taking lithium carbonate 600 mg P.O. three times daily for 14 days. The client's serum lithium level is 1.8 mEq/L. The nurse should:

Correct Answer: A

Rationale: A lithium level of 1.8 mEq/L is toxic; holding the dose, notifying the provider, and increasing fluids are critical.

Similar Questions

The client is fidgeting and has trouble sitting still. He has difficulty concentrating and is tangential. Which of the following interventions should help manage this client's level of anxiety? Select all that apply.
A client with panic disorder is taking alprazolam (Xanax) 1 mg P.O. three times daily. The nurse understands that this medication is effective in blocking the symptoms of panic because of its specific action on which of the following neurotransmitters?
A client diagnosed with bulimia tells the nurse she only eats excessively when upset with her best friend, and then she vomits to avoid gaining a lot of weight. The nurse should next:
The nurse is planning care for a group of clients. Which client should the nurse identify as needing the most assistance in accepting being ill?
The wife of a client with alcohol dependency tells the nurse, 'I'm tired of making excuses for him to his boss and coworkers when he can't make it into work. I believe him every time he says he's going to quit.' The nurse recognizes the wife's statement as indicating which of the following behaviors?

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