NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
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?
Correct Answer: D
Rationale: Closely observing the client's behavior to establish a baseline is most important initially, as it provides critical data to understand his patterns, assess risks, and tailor interventions.
Question 2 of 5
The nurse is developing a teaching plan for a group of middle school children about the drug 3,4-methylenedioxymethamphetamine (Ecstasy). What information should the nurse expect to include? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Ecstasy, similar to amphetamines, is used at raves, causes teeth grinding (hence pacifiers), and reduces self-consciousness.
Question 3 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 4 of 5
A client with Alzheimer's disease is apathetic. Which intervention should the nurse prioritize?
Correct Answer: A
Rationale: Encouraging simple activities stimulates engagement, addressing apathy without overwhelming the client.
Question 5 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.