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Psychiatric NCLEX RN Questions Questions

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Question 1 of 5

A client lives in a group home and visits the community mental health center regularly. During one visit with the nurse, the client states, 'The voices are telling me to hurt myself again.' Which of the following questions by the nurse is most important to ask?

Correct Answer: B

Rationale: Directly asking about intent to self-harm assesses immediate risk and guides intervention.

Question 2 of 5

When administering antipsychotics to a client with paranoid schizophrenia, the nurse understands that the newer atypical antipsychotics, such as olanzapine (Zyprexa) and risperidone (Risperdal), are more effective than the older medications in treating the negative symptoms of schizophrenia because of which of the following?

Correct Answer: B

Rationale: Atypical antipsychotics like olanzapine and risperidone block both dopamine and serotonin receptors, which contributes to their effectiveness in treating negative symptoms, unlike older antipsychotics that primarily target dopamine.

Question 3 of 5

When developing the plan of care for a client with suicidal ideation, developing goals to address which of the following is a priority?

Correct Answer: D

Rationale: Safety is the priority to prevent self-harm in a client with suicidal ideation.

Question 4 of 5

When collaborating with the health care provider to develop a the plan of care for a child diagnosed with attention deficit hyperactivity disorder (ADHD), the treatment plan will likely include which the following?

Correct Answer: D

Rationale: ADHD is typically treated with psychostimulants like methylphenidate, combined with behavior modification, to manage symptoms effectively.

Question 5 of 5

The client with acute mania has been admitted to the inpatient unit voluntarily. The nurse approaches the client with medication to be taken orally as ordered by the physician. The client states, 'I don't need that stuff.' Which response by the nurse is best?

Correct Answer: C

Rationale: Explaining the medication's calming effect may encourage voluntary compliance.

Similar Questions

A client who was transferred to the medical unit from intensive care after suffering a myocardial infarction 3 days ago states, 'My secretary should be here by now. I don't have time to lie around here and do nothing. I've never had time to relax, and I don't plan on starting now.' Based on this initial information, which of the following nursing diagnoses should the nurse judge to be of least importance?
A 12-year-old girl has been diagnosed with oppositional defiant disorder. She is observed by the nurse on the unit kissing two of the male clients. Given the client's developmental level and diagnosis, the nurse should respond in which of the following ways? Select all that apply.
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?
A client with bipolar disorder, manic phase, is admitted to the unit. The nurse is developing a plan of care. Which of the following interventions is most appropriate to include in the plan?
A client with schizophrenia exhibits flat affect and apathy. Which outcome is most realistic within one week?

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