NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client is diagnosed with Generalized Anxiety Disorder (GAD) and given a prescription for venlafaxine (Effexor). Which of the following information should be included in the teaching plan for this client? Select all that apply.
Correct Answer: A, B, D, E
Rationale: Include: Anxiety reduction strategies (
A), benefits and mechanisms of Effexor (
B), side effect management (
D), and adaptive coping strategies (E). Effexor won't eliminate anxiety (
C), and effects take weeks, not days (F).
Question 2 of 5
The client who has a history of using angry outbursts when frustrated begins to curse at the nurse during an appointment after being informed that she will have to wait to have her medication refilled. Which of the following responses by the nurse is most appropriate?
Correct Answer: C
Rationale: Saying 'I will not continue to talk with you if you curse' sets a clear boundary, addresses the inappropriate behavior, and maintains a therapeutic interaction without escalation.
Question 3 of 5
A client is admitted to the psychiatric hospital for evaluation after numerous incidents of threatening others, angry outbursts, and two episodes of hitting a coworker at the grocery store where he works. The client is very anxious and tells the nurse who admits him, 'I didn't mean to hit him. He made me so mad I didn't know what to do.' Which of the following is the priority nursing intervention?
Correct Answer: A
Rationale: Teaching anger management techniques is the priority to address the client's inability to control violent outbursts, providing tools to manage anger proactively. Anxiolytics may help anxiety but not the root issue, group therapy is secondary, and a no harm contract addresses safety but not skill-building.
Question 4 of 5
When caring for a client who has overdosed on phencyclidine (PCP), the nurse should be especially cautious about which of the following client behaviors?
Correct Answer: B
Rationale: PCP overdose is associated with violent behavior, requiring caution to ensure safety.
Question 5 of 5
During the initial interview, a client with a compulsive eating disorder remarks, 'I can't stand myself and the way I look.' Which of the following statements by the nurse is most therapeutic?
Correct Answer: D
Rationale: This response encourages the client to express emotions, which is therapeutic for addressing underlying issues.