NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client admitted after a panic attack asks, 'Will this happen again?' Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: Discussing anxiety management strategies empowers the client with tools to prevent or cope with future panic attacks. Minimizing the issue, suggesting medication alone, or dismissing worry does not address the client's need for proactive coping.
Question 2 of 5
The parents of a 20-year-old female client diagnosed with paranoid schizophrenia admitted 4 days ago are attending a family psychoeducation group in the hospital. Which of the following statements by the mother indicates that she understands her daughter's illness and management?
Correct Answer: B
Rationale: Understanding that basic tasks like getting out of bed and showering may be challenging reflects accurate knowledge of the negative symptoms of schizophrenia and their impact on daily functioning.
Question 3 of 5
A client diagnosed with schizophrenia is being switched to risperidone long-acting injection (Risperdal Consta). He is told that he will remain on his oral dose of risperidone (Risperdal) daily for approximately 1 month. The client says, 'I didn't have to do this with my last shot.' Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: Explaining that Risperdal Consta requires time to reach therapeutic levels clarifies why the oral dose is continued, addressing the client's confusion accurately.
Question 4 of 5
When working with a group of adult survivors of childhood sexual abuse, dealing with anger and rage is a major focus. Which strategy should the nurse expect to be successful? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Symbolic confrontation, journaling, and writing unsent letters are therapeutic strategies that help process anger safely. Direct confrontation is generally not recommended due to potential for re-traumatization.
Question 5 of 5
The father of a U.S. Marine who was killed 2 days ago in Iraq is admitted after a serious suicide attempt. He is medically stable and has signed a no harm contract. Which of the following is the priority nursing intervention?
Correct Answer: C
Rationale: Monitoring for renewed suicidal ideation is the priority, given the recent suicide attempt and acute grief, to ensure immediate safety. Grief counseling, antidepressants, and stress management are important but secondary to ongoing safety assessment.