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NCLEX RN Psychiatric Questions Questions

Question 1 of 5

The nursing assistant tells the nurse that the client is sick and is not coming to the dining room for lunch. The nurse should direct the nursing assistant to do which of the following?

Correct Answer: C

Rationale: Inviting and accompanying the client to lunch encourages socialization and participation, addressing potential avoidance behaviors in somatoform disorders.

Question 2 of 5

A client with schizophrenia is started on paliperidone (Invega). Which laboratory test should the nurse monitor?

Correct Answer: C

Rationale: Paliperidone can increase the risk of metabolic syndrome, including elevated blood glucose, making monitoring blood glucose levels essential.

Question 3 of 5

A 90-year-old client diagnosed with major depression is suddenly experiencing sleep disturbances, inability to focus, poor recent memory, altered perceptions, and disorientation to time and place. Lab results indicate the client has a urinary tract infection and dehydration. After explaining the situation and giving the background and assessment data, the nurse should make which of the following recommendations to the physician?

Correct Answer: C

Rationale: The symptoms suggest delirium caused by a urinary tract infection and dehydration, which require medical treatment in a medical unit to address the underlying causes.

Question 4 of 5

A client who was diagnosed with undifferentiated schizophrenia 8 years ago is admitted to a unit because of increasingly severe mood swings. His diagnosis is changed to schizoaffective disorder. He asks the nurse, 'So now what? My friend is the 'I have to be the...' What is the best response by the nurse?

Correct Answer: A

Rationale: Providing a clear, concise explanation of schizoaffective disorder helps the client understand the change in diagnosis and its implications, addressing his question directly.

Question 5 of 5

A client with major depression is to be discharged home tomorrow. When preparing the client's discharge plan, which of the following areas is most important for the nurse to review with the client?

Correct Answer: D

Rationale: Medication adherence and outpatient follow-up are critical to prevent relapse in major depression.

Similar Questions

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Which of the following is the top priority for the client who is placed in restraints?
The mother of a school-aged child tells the nurse that, 'For most of the past year my husband was unemployed and I worked a second job. Twice during the ... he was the school ... he refused to obey. It has not happened again. Our family is back to normal.' After assessing the family, the nurse decides that the child is still at risk for abuse. Which of the following observations best supports this conclusion?
A 19-year-old client is admitted to a psychiatric unit with an Axis I diagnosis of alcohol abuse and an Axis II diagnosis of personality disorder not otherwise specified. The client's mother states, 'He's always in trouble, just like when he was a boy. Now he's just a bigger prankster and out of control.' In view of the client's history, which of the following is most important initially?
When developing appropriate short-term goals with clients who are inpatients, which of the following is most realistic?

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