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NCLEX RN Psychiatric Questions Questions

Extract:


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

Which of the following points should the nurse include when teaching a client about panic disorder?

Correct Answer: C

Rationale: Teaching that panic attack symptoms are time-limited and will abate is key, as it reassures the client and reduces fear, aiding in managing panic disorder.

Question 3 of 5

A client is suicidal and not responding to the antidepressants prescribed to him over the last 2 months. This morning, after talking to his wife, the client verbally agrees to electroconvulsive therapy (ECT), but refuses to sign the consent form saying it is 'evil.' The nurse should:

Correct Answer: C

Rationale: Written consent is required for ECT unless a court orders it; verbal consent is insufficient.

Question 4 of 5

A client was discharged from an alcohol rehabilitation program on clonazepam (Klonopin) 0.5 mg TID. Several months later he reports having insomnia, shakiness, sweating and one seizure. The nurse should first ask the client if he:

Correct Answer: C

Rationale: Asking if the client stopped taking Klonopin suddenly is first, as abrupt cessation can cause withdrawal symptoms like insomnia, shakiness, sweating, and seizures, matching the client's presentation.

Question 5 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.

Similar Questions

The nurse manager overhears two staff members talking in the snack room. One of the staff members states, 'Her superficial cuts are just a means of getting our attention. She never should have been admitted. I hope she's out of here soon.' Which of the following responses by the nurse manager is most appropriate?
A client with a cocaine dependency is irritable, anxious, highly sensitive to stimuli, and overreactive to clients and staff on the unit. Which of the following actions is most therapeutic for this client?
A client with schizoaffective disorder reports insomnia. Which intervention should the nurse implement first?
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?
A client taking mirtazapine (Remeron) is disheartened about a 20 lb weight gain over the past 3 months. The client tells the nurse, 'I stopped taking my Remeron 15 days ago. I don't want to get depressed again, but I feel awful about my weight.' Which response by the nurse is most appropriate?

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