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Psychiatric NCLEX RN Questions Questions

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Question 1 of 5

A 12-year-old girl has been diagnosed with oppositional defiant disorder. She is observed by the nurse on the unit kissing two of the male clients. Given the client's developmental level and diagnosis, the nurse should respond in which of the following ways? Select all that apply.

Correct Answer: A,B

Rationale: These responses address the inappropriate behavior while providing education on appropriate boundaries, suitable for her diagnosis and age.

Question 2 of 5

A nurse on the Geropsychiatric unit receives a call from the son of a recently discharged client. He reports that his father just got a prescription for memantine (Namenda) to take 'on top of his donepezil (Aricept).' The son then asks, 'Why does he have to take extra medicines?' The nurse should tell the son:

Correct Answer: B

Rationale: Memantine and donepezil are often combined to target different aspects of dementia (cholinesterase inhibition and NMDA receptor regulation), slowing progression more effectively together.

Question 3 of 5

The nurse is to administer Xanax (alprazolam) to help a client of Japanese descent calm down. The order reads Xanax 0.25 to 1 mg by mouth as needed for agitation. What is the best dose for the nurse to give this client?

Correct Answer: 0.25 mg

Rationale: Starting with 0.25 mg is best, as individuals of Japanese descent may metabolize benzodiazepines more slowly due to genetic factors, and the lowest effective dose minimizes risks.

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,E

Rationale: Opioid withdrawal symptoms include rhinorrhea, diaphoresis, piloerection, and formication (sensation of bugs crawling). Synesthesia is not typical.

Question 5 of 5

When collaborating with the health care provider to develop a the plan of care for a child diagnosed with attention deficit hyperactivity disorder (ADHD), the treatment plan will likely include which the following?

Correct Answer: D

Rationale: ADHD is typically treated with psychostimulants like methylphenidate, combined with behavior modification, to manage symptoms effectively.

Similar Questions

A client is admitted to the psychiatric hospital for evaluation after numerous incidents of threatening others, angry outbursts, and two episodes of hitting a coworker at the grocery store where he works. The client is very anxious and tells the nurse who admits him, 'I didn't mean to hit him. He made me so mad I didn't know what to do.' Which of the following is the priority nursing intervention?
The client diagnosed with severe major depression has been taking Lexapro 10 mg daily for 2 weeks. Using nursing process methodology, which of the following parameters should the nurse monitor most closely at this time?
A client who assaulted a coworker is remorseful and asks for help. Which statement by the nurse is most therapeutic?
The expected outcome for using thiamine for a client being treated for an alcohol addiction is to:
A client diagnosed with schizophrenia is brought to the hospital from a group home where he became agitated, threw a chair at another client, and has been refusing medication for 8 weeks. The client exhibits a flat affect, is not caring for his hygiene, and has become increasingly withdrawn and asocial. The physician orders treatment with risperidone (Risperdal) to improve the client's negative and positive symptoms of schizophrenia. When evaluating the drug's effectiveness on the client's negative symptoms, the nurse should expect improvement in which of the following?

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