NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client brought by ambulance to the emergency department after taking an overdose of barbiturates is comatose. The nurse should assess the client for:
Correct Answer: D
Rationale: Respiratory failure is the primary concern, as barbiturate overdose can cause severe respiratory depression, leading to life-threatening complications.
Question 2 of 5
The client exhibits a flat affect, psychomotor retardation, and depressed mood. The nurse attempts to engage the client in an interaction but the client does not respond to the nurse. Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: Sitting quietly with the client provides presence and support, respecting their current inability to engage.
Question 3 of 5
A client with schizophrenia is admitted after stopping medication. He exhibits disorganized speech and bizarre behavior. Which nursing diagnosis is most appropriate?
Correct Answer: D
Rationale: Disorganized speech and bizarre behavior are hallmarks of disturbed thought processes, making this the priority nursing diagnosis.
Question 4 of 5
The nurse judges that a client is ready to be released from seclusion and restraints when the client demonstrates which of the following behaviors?
Correct Answer: D
Rationale: Showing signs of self-control indicates the client is no longer a danger, justifying release from seclusion/restraints. Sedation, reduced struggling, or stopping verbal outbursts do not necessarily confirm restored self-control.
Question 5 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.