NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
The physician orders valproic acid (Depakene) for a client with bipolar disorder who has achieved limited success with lithium carbonate (Lithane). Which of the following should the nurse include in the client's medication teaching plan?
Correct Answer: C
Rationale: Drowsiness and gastrointestinal upset are common side effects of valproic acid, requiring client education.
Question 2 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 3 of 5
A client with Alzheimer's disease is unable to recognize family. What should the nurse suggest?
Correct Answer: B
Rationale: Using photos and names helps cue recognition, reducing frustration and supporting family interaction.
Question 4 of 5
A client diagnosed with borderline personality disorder has self-inflicted cuts on her arms. The nurse is assessing the client for the risk of suicide. What should the nurse ask the client first?
Correct Answer: C
Rationale: Asking if the client has a suicide plan is the priority because it directly assesses the immediate risk of suicide, which is critical in ensuring safety. Understanding the plan helps determine the level of intent and urgency for intervention.
Question 5 of 5
A client who is suspicious of others including staff is brought to the hospital wearing a wrinkled dress with stains on the front. Assessment also reveals a flat affect, confusion and slow movements. Which goal should the nurse identify as the initial priority in the client's way?
Correct Answer: A
Rationale: Establishing safety and acceptance is the priority for a suspicious client, as it builds trust and reduces paranoia, which is essential before addressing other needs like hygiene or socialization.