Questions 73

NCLEX-RN

NCLEX-RN Test Bank

Psychiatric NCLEX RN Questions Questions

Question 1 of 5

When planning the care for a client who is being abused, which of the following measures is most important to include?

Correct Answer: D

Rationale: Helping the client develop a safety plan is the most important measure, as it directly addresses the immediate need to protect the client and her children from further harm.

Question 2 of 5

A client is diagnosed with Generalized Anxiety Disorder (GAD) and given a prescription for venlafaxine (Effexor). Which of the following information should be included in the teaching plan for this client? Select all that apply.

Correct Answer: A, B, D, E

Rationale: Include: Anxiety reduction strategies (
A), benefits and mechanisms of Effexor (
B), side effect management (
D), and adaptive coping strategies (E). Effexor won't eliminate anxiety (
C), and effects take weeks, not days (F).

Question 3 of 5

When integrating the concepts underlying the cognitive-behavioral model into a client's plan of care, the nurse should focus on which of the following areas?

Correct Answer: A

Rationale: The cognitive-behavioral model focuses on substituting rational beliefs for self-defeating thoughts and behaviors, addressing cognitive distortions directly. Insight into unconscious conflicts is psychoanalytic, analyzing fears is less specific, and reducing bodily tensions is a secondary focus compared to cognitive change.

Question 4 of 5

A client is brought to the emergency department by a friend who states, 'He's been using a lot of heroin until he ran out of money about 2 days ago.' The nurse judges the client to be in opioid withdrawal if he exhibits which of the following? Select all that apply.

Correct Answer: A, B, C

Rationale: Opioid withdrawal symptoms include rhinorrhea (
A), diaphoresis (
B), and piloerection (
C). Synesthesia and formication are not typical of opioid withdrawal.

Question 5 of 5

When assessing an aggressive client, which of the following behaviors warrants the nurse's prompt reporting and use of safety precautions?

Correct Answer: D

Rationale: Naming another client as an adversary indicates a potential threat, requiring prompt reporting and safety measures to prevent harm.

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