NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A client presents to the emergency department after a car accident, appearing dazed and trembling. Which is the nurse's priority action?
Correct Answer: B
Rationale: Assessing for physical injuries is the priority to rule out life-threatening conditions, especially given the client's dazed state. Sedation, recounting the event, or family contact are secondary until physical stability is confirmed.
Question 2 of 5
A 90-year-old client diagnosed with major depression is suddenly experiencing sleep disturbances, inability to focus, poor recent memory, altered perceptions, and disorientation to time and place. Lab results indicate the client has a urinary tract infection and dehydration. After explaining the situation and giving the background and assessment data, the nurse should make which of the following recommendations to the physician?
Correct Answer: C
Rationale: The symptoms suggest delirium caused by a urinary tract infection and dehydration, which require medical treatment in a medical unit to address the underlying causes.
Question 3 of 5
A client in a general hospital is to undergo surgery in 2 days. He is experiencing moderate anxiety about the procedure and its outcome. To help the client reduce his anxiety, the nurse should:
Correct Answer: C
Rationale: An explanation of what to expect decreases anxiety about upcoming events that could be seen as traumatic by the client. Distraction, such as games or television, may not address the specific anxiety related to the surgery. Reassuring the client without providing information may seem dismissive and does not empower the client with knowledge. Referring to a psychiatrist is unnecessary for moderate anxiety and may delay immediate anxiety reduction.
Question 4 of 5
A client with schizophrenia is admitted to the psychiatric unit with delusions and auditory hallucinations. Which of the following nursing interventions is most appropriate?
Correct Answer: B
Rationale: Listening to music can help distract from auditory hallucinations, providing a non-confrontational intervention.
Question 5 of 5
A 19-year-old client is admitted to a psychiatric unit with an Axis I diagnosis of alcohol abuse and an Axis II diagnosis of personality disorder not otherwise specified. The client's mother states, 'He's always in trouble, just like when he was a boy. Now he's just a bigger prankster and out of control.' In view of the client's history, which of the following is most important initially?
Correct Answer: D
Rationale: Closely observing the client's behavior to establish a baseline is most important initially, as it provides critical data to understand his patterns, assess risks, and tailor interventions.