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NCLEX RN Psychiatric Questions Questions

Question 1 of 5

A 14-year-old girl with a history of sexual abuse reports nightmares and flashbacks. The nurse suspects post-traumatic stress disorder (PTSD). What is the nurse's first action?

Correct Answer: B

Rationale: Referring to a trauma-focused therapist is the first step to address PTSD symptoms effectively and safely.

Question 2 of 5

The wife of a client with bipolar disorder, manic phase, states to the nurse, 'He's acting so crazy. What did he do to get this way?' The nurse bases the response on the understanding of which of the following about this disorder?

Correct Answer: C

Rationale: Bipolar disorder is primarily due to neurotransmitter imbalances, though genetics may contribute.

Question 3 of 5

A client newly diagnosed with bulimia is attending the nurse-led group at the mental health center. She tells the group that she came only because her husband said he would divorce her if she didn't get help. Which of the following responses by the nurse is most appropriate?

Correct Answer: C

Rationale: This response encourages the client to explore her feelings and motivations, fostering engagement in treatment.

Question 4 of 5

A 15-year-old client diagnosed with PTSD is admitted to the unit after slicing both arms with a razor blade. He says, 'Maybe my mother will listen to me now. She tells me I'm just crazy when I say I'm screwed up because my step dad had sex with me for years.' The nurse should do the following in which order of priority first to last?

Order the Items

Source Container

Ask the client about the step dad possibly abusing younger children in the family.
Ask the client to be specific about what he means by 'screwed up.'
Ask the client to sign a No Harm Contract related to suicide and self-mutilation.
Ask the client to talk about appropriate ways to express anger toward his mother.

Correct Answer: C,B,D,A

Rationale: First ensure safety with a no-harm contract, then clarify feelings, discuss anger expression, and finally address potential abuse of others.

Question 5 of 5

The physician orders valproic acid (Depakene) for a client with bipolar disorder who has achieved limited success with lithium carbonate (Lithane). Which of the following should the nurse include in the client's medication teaching plan?

Correct Answer: C

Rationale: Drowsiness and gastrointestinal upset are common side effects of valproic acid, requiring client education.

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The nurse is leading a group therapy session on substance use disorders. The nurse observes that a client is monopolizing the session. The nurse should take which appropriate action?

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