NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client is brought to the emergency department by a friend who states, 'He's been using a lot of heroin until he ran out of money about 2 days ago.' The nurse judges the client to be in opioid withdrawal if he exhibits which of the following? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Opioid withdrawal symptoms include rhinorrhea, diaphoresis, piloerection, and formication (sensation of bugs crawling). Synesthesia is not typical.
Question 2 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 The client exhibits a flat affect, is not caring for his hygiene, and has become increasingly withdrawn and asocial.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 3 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 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
During an interaction with the nurse, a client states, 'My husband has supported me every time I've been hospitalized for depression. He'll leave me this time. I'm an awful wife and mother. I'm no good. Nothing I do is right.' Based on this information, which of the following nursing diagnoses should the nurse identify when developing the client's plan of care?
Correct Answer: B
Rationale: The client's negative self-statements directly indicate chronic low self-esteem, a priority nursing diagnosis.