NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
A client diagnosed with paranoid schizophrenia is still withdrawn, unkempt, and unmotivated to get out of bed. A mental health aide asks the nurse why he is this way after being on fluphenazine (Prolixin) 10 mg for 7 days. The nurse should tell the health aide:
Correct Answer: A
Rationale: Fluphenazine, a typical antipsychotic, is more effective for positive symptoms (e.g., hallucinations, delusions) than negative symptoms (e.g., withdrawal, lack of motivation), which explains the client's persistent symptoms.
Question 2 of 5
A client with a long history of paranoid schizophrenia is readmitted voluntarily after missing his last two injections of haloperidol decanoate (Haldol Decanoate). He reports, 'I'm not sleeping much and my friend says I smell from not showering. God is telling me to protect myself from others. My parents are sick and tired of me and my illness. They wish I were dead.' Which of the following admission notes by the nurse contains assumptions and potentially false accusations? Select all that apply.
Correct Answer: A,C,E
Rationale: The notes in A, C, and E make assumptions: A assumes noncompliance caused all symptoms and misinterprets the parents' intentions; C assumes a strained relationship and parental wishes without evidence; E falsely states medication was missed for 2 days and assumes parental abuse without substantiation.
Question 3 of 5
A suspicious client states, 'I know you nurses are spraying my food with poison as you take it out of the cart.' Which of the following actions would most likely be successful?
Correct Answer: A
Rationale: Serving sealed foods addresses the client's delusion about poisoning in a practical, non-confrontational way, increasing the likelihood of the client eating.
Question 4 of 5
The nurse identifies a nursing diagnosis of Dressing or grooming self-care deficit related to apathy, as evidenced by an inability to shower and dress herself for a female client diagnosed with schizophrenia. When planning care for this client, which of the following outcomes should the nurse expect the client to meet in a specified number of days?
Correct Answer: D
Rationale: The outcome of performing showering and dressing addresses the self-care deficit directly, focusing on functional improvement, which is the goal of the nursing diagnosis.
Question 5 of 5
In addition to developing over a period of hours or days, the nurse should assess delirium as distinguishable by which of the following characteristics?
Correct Answer: A
Rationale: Fluctuating disturbances in cognition and consciousness are hallmark features of delirium, distinguishing it from other conditions like dementia or agnosia.