NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A 13-year-old junior high school student has come to the school nurse, stating that her father has physically abused her for 3 years. Initially, the client is a lot of the house, thinking it was because her father had been laid off, but the abuse continued after he got a job 4 months ago. She fears that her mother will not believe her and her father will reject her if they discover she has revealed the abuse. The nurse should first:
Correct Answer: D
Rationale: Reporting to Child Protective Services is the legal and ethical priority to ensure the child's safety and initiate investigation.
Question 2 of 5
Which of the following should the nurse use as the best measure to determine a client's progress in rehabilitation?
Correct Answer: B
Rationale: The number of drug-free days is the best measure, as it directly reflects sustained abstinence, a primary goal of rehabilitation.
Question 3 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 4 of 5
A client was admitted to the inpatient unit 3 days ago with a flat affect, psychomotor retardation, anorexia, hopelessness, and suicidal ideation. The physician prescribed 75 mg of venlafaxine extended release (Effexor XR) to be given every morning. The client interacted minimally with the staff and spent most of the day in his room. As the nurse enters the unit at the beginning of the evening shift, the client is smiling and cheerfully greets the nurse. He appears to be relaxed and joins the group for community meeting before supper. What should the nurse interpret as the most likely cause of the client's behavior?
Correct Answer: B
Rationale: Sudden improvement in a suicidal client may indicate a resolved decision to act on suicidal thoughts, requiring close observation.
Question 5 of 5
Which of the following approaches is most appropriate to use with a client diagnosed with a narcissistic personality disorder when discrepancies exist between what the client states and what actually exists?
Correct Answer: B
Rationale: Supportive confrontation is most appropriate, as it gently addresses discrepancies in a non-threatening way, encouraging the client to reflect on reality while maintaining therapeutic rapport.