NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
When caring for a client who was a victim of a crime, the nurse is aware that recovery from any crime can be a long and difficult process depending on the meaning it has for the client. Which of the following should the nurse assess as most important for this client?
Correct Answer: D
Rationale: The client's perception of the crime is most important, as it shapes their emotional response and recovery process.
Question 2 of 5
A client who chronically snorts cocaine is brought to the emergency department due to a cocaine overdose. The client is experiencing delusions, hallucinations, mild respiratory distress and mild tachycardia initially. The nurse should do which of the following? Select all that apply.
Correct Answer: B, C, E, F
Rationale: Actions include: Placing seizure pads (
B) for safety, administering haloperidol (
C) for psychosis, encouraging deep breathing (E) for respiratory distress, and monitoring for metabolic acidosis (F) due to overdose effects. Inducing vomiting (
A) and monitoring respiratory acidosis (
D) are not indicated.
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 with a cocaine dependency is irritable, anxious, highly sensitive to stimuli, and overreactive to clients and staff on the unit. Which of the following actions is most therapeutic for this client?
Correct Answer: C
Rationale: Providing frequent time-outs is therapeutic, as it allows the client to de-escalate in a low-stimulus environment, managing irritability and sensitivity.
Question 5 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.