NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
When developing a teaching plan for a client about the medications prescribed for depression, which of the following components is most important for the nurse to include?
Correct Answer: B
Rationale: Educating about side effects and when to report them ensures safety and adherence.
Question 2 of 5
A client with symptoms of amphetamine psychosis that are improving is anxious and still experiencing some delusions. When developing the client's plan of care, which of the following measures should the nurse include?
Correct Answer: D
Rationale: Inviting the client to play ping-pong is appropriate, as it provides a low-stress, engaging activity to reduce anxiety and distract from delusions.
Question 3 of 5
The client states to the nurse at the outpatient clinic, 'I don't feel ready to go back to work. It's only been a week since I left the hospital.' Assessment reveals a flat affect, disheveled appearance, poor posture, and minimal eye contact during interaction. The nurse asks the client whether he is thinking about harming himself. The client tells the nurse he has a loaded revolver at home and will probably use it. Which of the following should the nurse do next?
Correct Answer: D
Rationale: A specific plan with access to a lethal means (loaded revolver) requires immediate hospitalization.
Question 4 of 5
Police bring a client to the emergency department after she threatens to kill her ex-husband. She states emphatically, 'The police should bring him in, not me. He's paranoid about my dating and has been stalking me for weeks. He's probably off his medicines. His case manager and the police won't do anything.' In which order should the following nursing actions be done from first to last?
Order the Items
Source Container
Correct Answer: B,D,C,A
Rationale: Safety is the priority, so assessing risk for harm comes first. Interviewing the client about her needs and situation provides context, followed by obtaining the case manager's name to coordinate care. Asking about marital problems is less urgent and comes last.
Question 5 of 5
A nurse in an Employee Assistance Program (EAP) is seeing a woman who wants to report her boss to the police for sexual harassment. She states he says that she will be a friend... [incomplete]. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Advising the client to document incidents provides evidence for reporting and empowers her to take action, which is appropriate in an EAP context. Confrontation may be unsafe, immediate legal referral is premature without documentation, and dismissing her concerns is invalidating.