NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
Which of the following amounts of medications is appropriate for a client who is being treated with imipramine (Tofranil) on an outpatient basis for recurring depression and suicidal ideation to have at one time?
Correct Answer: D
Rationale: A 7-day supply minimizes the risk of overdose in a suicidal client.
Question 2 of 5
The psychiatric unit is short-staffed for the evening shift. Which of the following clients should the nurse manager assign to the certified psychiatric technician instead of the registered nurse?
Correct Answer: D
Rationale: A stable client with schizophrenia attending group therapy requires less intensive monitoring, suitable for a certified psychiatric technician.
Question 3 of 5
A client with bipolar disorder is prescribed valproic acid (Depakote) 500 mg twice daily. Which of the following client statements indicates a need for further teaching?
Correct Answer: C
Rationale: Stopping valproic acid abruptly can trigger relapse; the client needs further teaching on medication adherence.
Question 4 of 5
A client with schizophrenia is attending a group therapy session and begins to laugh inappropriately. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Ignoring inappropriate laughter avoids reinforcing the behavior and maintains the group's focus.
Question 5 of 5
A client reports having thoughts of being followed by foreign agents who are after his secret papers. Which response by the nurse is most appropriate when responding to the client's disturbed thought process?
Correct Answer: B
Rationale: Acknowledging the emotional impact of the client's delusions validates their feelings without reinforcing the delusional content, promoting a therapeutic alliance.