NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A 28-year-old client with an Axis I diagnosis of major depression and an Axis II diagnosis of dependent personality disorder has been living at home with very supportive parents. The client is thinking about independent living on the recommendation of the treatment team. The client states to the nurse, 'I don't know if I can make it in an apartment without my parents.' The nurse should respond by saying to the client:
Correct Answer: D
Rationale: Saying 'Your parents have been supportive and will continue to be even if you live apart' reassures the client, addresses their dependency fears, and encourages independence while maintaining a sense of support.
Question 2 of 5
A client who was diagnosed with undifferentiated schizophrenia 8 years ago is admitted to a unit because of increasingly severe mood swings. His diagnosis is changed to schizoaffective disorder. He asks the nurse, 'So now what? My friend is the 'I have to be the...' What is the best response by the nurse?
Correct Answer: A
Rationale: Providing a clear, concise explanation of schizoaffective disorder helps the client understand the change in diagnosis and its implications, addressing his question directly.
Question 3 of 5
A client who has had three episodes of recurrent endogenous depression within the past 2 years states to the nurse, 'I want to know why I'm so depressed.' Which of the following statements by the nurse is most helpful?
Correct Answer: B
Rationale: Discussing possible reasons encourages exploration of triggers and fosters therapeutic engagement.
Question 4 of 5
A client with schizoaffective disorder reports insomnia. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Teaching relaxation techniques is a non-invasive first step to address insomnia, promoting self-management.
Question 5 of 5
A client is complaining about blurred vision after 4 days of taking haloperidol (Haldol), benztropine (Cogentin), quetiapine (Seroquel), and buspirone (Buspar). Which of the following medications should the nurse suspect as the most likely cause of this adverse effect?
Correct Answer: D
Rationale: Benztropine, an anticholinergic, is most likely to cause blurred vision due to its effects on the eyes (e.g., mydriasis and cycloplegia), a common side effect of this medication class.