NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
Which of the following client statements indicates to the nurse that the client needs further teaching about disulfiram (Antabuse)?
Correct Answer: A
Rationale: Saying 'I can drink one or two beers' indicates a need for further teaching, as disulfiram causes severe reactions with any alcohol consumption, requiring complete abstinence.
Question 2 of 5
A client with a history of interpersonal violence is admitted after an altercation. The nurse observes the client pacing and muttering angrily. Which of the following is the most appropriate initial intervention?
Correct Answer: C
Rationale: Offering a quiet space allows the client to de-escalate without escalating to restrictive measures, aligning with least-restrictive intervention principles. Medication, seclusion, or restraints are premature without attempting de-escalation, and the client's behavior does not yet indicate immediate danger.
Question 3 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 4 of 5
A 17-year-old is admitted to a psychiatric day treatment program due to severe lower back pain since her mother's death 3 years ago. Medical examinations, the nurse's health care for her pain. She cares for her four younger siblings after school and on weekends because of her father's long work hours. Which pre-discharge statement indicates that treatment for her condition has been successful?
Correct Answer: D
Rationale: This statement indicates the client recognizes the link between stress and her pain, suggesting treatment success.
Question 5 of 5
A client is being discharged after 3 days of hospitalization for a suicide attempt that followed the... [incomplete]. Which of the following should be included in the discharge plan?
Correct Answer: A
Rationale: Referral to outpatient mental health services is essential for ongoing support and monitoring post-suicide attempt, addressing the client's mental health needs. A higher dose of antidepressants requires careful consideration, avoiding stressors is unrealistic, and daily home visits may be excessive unless specifically indicated.