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A client diagnosed with paranoid schizophrenia is still withdrawn, unkempt, and unmotivated to get out of bed.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 paranoid schizophrenia believes staff are impostors. Which response by the nurse is most appropriate?
Correct Answer: D
Rationale: Reassuring the client of their safety addresses the delusion indirectly, reducing anxiety without challenging the belief.
Question 3 of 5
A nurse is assessing a 12-year-old with suspected depression. Which of the following symptoms should the nurse prioritize? Select all that apply.
Correct Answer: B,C,D
Rationale: Depression in children often presents with persistent sadness, difficulty concentrating, and risky behaviors. Increased appetite and improved school performance are not typical.
Question 4 of 5
The friend of a client brought to the emergency department states, 'I guess she had some bad junk (heroin) today.' The client is drowsy and verbally nonresponsive. Which of the following assessment findings is of immediate concern to the nurse?
Correct Answer: A
Rationale: A respiratory rate of 9 breaths/minute is of immediate concern, as heroin overdose can cause respiratory depression, posing a life-threatening risk requiring urgent intervention.
Question 5 of 5
The client diagnosed with conversion disorder has a paralyzed arm. A staff member states, 'I would just tell the client her arm is paralyzed because she had an affair and neglected her baby's care to the point where the baby had to be hospitalized for dehydration.' Which of the following responses by the nurse is best?
Correct Answer: B
Rationale: Saying 'Pushing insight will increase anxiety' is best, as it recognizes that confrontation may worsen symptoms in conversion disorder, advocating for a supportive approach.