NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client diagnosed with schizophrenia is brought to the hospital from a group home where he became agitated, threw a chair at another client, and has been refusing medication for 8 weeks. The client exhibits a flat affect, is not caring for his hygiene, and has become increasingly withdrawn and asocial. The physician orders treatment with risperidone (Risperdal) to improve the client's negative and positive symptoms of schizophrenia. When evaluating the drug's effectiveness on the client's negative symptoms, the nurse should expect improvement in which of the following?
Correct Answer: A
Rationale: Risperidone, an atypical antipsychotic, is effective for negative symptoms like apathy, lack of motivation, and asocial behavior, which are evident in the client's presentation.
Question 2 of 5
The client who has been taking venlafaxine (Effexor) 25 mg P.O. three times a day for the past 2 days states, 'This medicine isn't doing me any good. I'm still so depressed.' Which of the following responses by the nurse is most appropriate?
Correct Answer: B
Rationale: Explaining the 2–4 week onset of antidepressants sets realistic expectations and encourages adherence.
Question 3 of 5
A hospitalized adolescent diagnosed with anorexia nervosa refuses to comply with her daily before-breakfast weigh-in. She states that she just drank a glass of water, which she feels will unfairly increase her weight. What is the nurse's best response to the client?
Correct Answer: C
Rationale: Consistency in the weigh-in protocol is essential to monitor progress and prevent manipulation of results.
Question 4 of 5
When assessing an aggressive client, which of the following behaviors warrants the nurse's prompt reporting and use of safety precautions?
Correct Answer: D
Rationale: Naming another client as an adversary indicates a potential threat, requiring prompt reporting and safety measures to prevent harm.
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.