NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
When developing appropriate short-term goals with clients who are inpatients, which of the following is most realistic?
Correct Answer: C
Rationale: Writing a list of strengths and needs is a realistic, achievable short-term goal for an inpatient, promoting self-awareness and planning. Demonstrating a positive self-image is too broad, planning for school is long-term, and practicing assertiveness in a specific confrontation may be too complex for short-term inpatient care.
Question 2 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 3 of 5
A client was discharged from an alcohol rehabilitation program on clonazepam (Klonopin) 0.5 mg TID. Several months later he reports having insomnia, shakiness, sweating and one seizure. The nurse should first ask the client if he:
Correct Answer: C
Rationale: Asking if the client stopped taking Klonopin suddenly is first, as abrupt cessation can cause withdrawal symptoms like insomnia, shakiness, sweating, and seizures, matching the client's presentation.
Question 4 of 5
A client is brought to the hospital by police and admitted involuntarily. She is diagnosed as having bipolar disorder, manic phase. The physician orders lithium carbonate. The client refuses her morning dose of lithium. The nurse should next:
Correct Answer: C
Rationale: Clients retain the right to refuse medication unless deemed incompetent or an immediate danger, requiring legal processes.
Question 5 of 5
A client admitted for assaulting a neighbor says, 'I didn't mean to hurt him.' Which nursing intervention is the priority?
Correct Answer: A
Rationale: Teaching conflict resolution skills addresses the client's violent behavior by providing tools to manage disputes nonviolently. Medication, a no harm contract, or support groups are secondary without first building skills to prevent recurrence.