NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A child with Asperger's disorder is being referred to the mental health clinic along with his parents. To provide the best care for this family, the nurse makes a care plan based on the fact that this disorder differs from autism in which of the following areas?
Correct Answer: C
Rationale: Asperger's is often diagnosed later, with social interaction issues becoming evident in school settings.
Question 2 of 5
The nursing assistant tells the nurse that the client is sick and is not coming to the dining room for lunch. The nurse should direct the nursing assistant to do which of the following?
Correct Answer: C
Rationale: Inviting and accompanying the client to lunch encourages socialization and participation, addressing potential avoidance behaviors in somatoform disorders.
Question 3 of 5
A client with schizophrenia is prescribed clozapine (Clozaril) 200 mg daily. Which of the following laboratory tests should the nurse monitor regularly?
Correct Answer: B
Rationale: Clozapine can cause agranulocytosis, requiring regular monitoring of white blood cell counts.
Question 4 of 5
A client with dementia repeatedly asks, 'Where's my wife?' What is the nurse's best response?
Correct Answer: C
Rationale: Reassuring the client of their safety while gently redirecting avoids distress caused by confronting the reality of the wife's death.
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.