NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
The nurse leading a group session for parents of children diagnosed with oppositional defiant disorder. The nurse should give which of the following recommendations for discipline?
Correct Answer: B
Rationale: Consistent discipline with positive expression strategies is effective for managing oppositional defiant disorder.
Question 2 of 5
Which of the following client statements indicates to the nurse that the client needs further teaching about disulfiram (Antabuse)?
Correct Answer: A
Rationale: Saying 'I can drink one or two beers' indicates a need for further teaching, as disulfiram causes severe reactions with any alcohol consumption, requiring complete abstinence.
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
A client was admitted to the inpatient unit 3 days ago with a flat affect, psychomotor retardation, anorexia, hopelessness, and suicidal ideation. The physician prescribed 75 mg of venlafaxine extended release (Effexor XR) to be given every morning. The client interacted minimally with the staff and spent most of the day in his room. As the nurse enters the unit at the beginning of the evening shift, the client is smiling and cheerfully greets the nurse. He appears to be relaxed and joins the group for community meeting before supper. What should the nurse interpret as the most likely cause of the client's behavior?
Correct Answer: B
Rationale: Sudden improvement in a suicidal client may indicate a resolved decision to act on suicidal thoughts, requiring close observation.
Question 5 of 5
A client with a history of interpersonal violence is admitted after an altercation. The nurse observes the client pacing and muttering angrily. Which of the following is the most appropriate initial intervention?
Correct Answer: C
Rationale: Offering a quiet space allows the client to de-escalate without escalating to restrictive measures, aligning with least-restrictive intervention principles. Medication, seclusion, or restraints are premature without attempting de-escalation, and the client's behavior does not yet indicate immediate danger.