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NCLEX RN Questions on Psychiatric Nursing Questions

Extract:


Question 1 of 5

A client walks into the clinic and tells the nurse she has run out of money for crack, has crashed, and wants something to help her feel better. Which of the following is most important for the nurse to assess?

Correct Answer: D

Rationale: Assessing suicidal ideation is most important, as a crash after crack use can lead to severe depression and increased suicide risk, requiring immediate attention.

Question 2 of 5

A client with panic disorder is taking alprazolam (Xanax) 1 mg P.O. three times daily. The nurse understands that this medication is effective in blocking the symptoms of panic because of its specific action on which of the following neurotransmitters?

Correct Answer: A

Rationale: Alprazolam enhances gamma-aminobutyrate (GAB
A), an inhibitory neurotransmitter, reducing neuronal excitability and blocking panic symptoms.

Question 3 of 5

A client with major depression is admitted to the psychiatric unit. The nurse notes that the client has a history of allergic reaction to selective serotonin reuptake inhibitors (SSRIs). Which of the following medications should the nurse question if ordered by the physician?

Correct Answer: C

Rationale: Fluoxetine is an SSRI, which the client is allergic to, so the nurse should question this order to prevent an allergic reaction.

Question 4 of 5

A client with a history of domestic violence is anxious about returning home. Which action should the nurse take first?

Correct Answer: B

Rationale: Assessing safety concerns identifies specific risks and guides the plan, prioritizing the client's safety. Providing resources, encouraging confrontation, or contacting the partner are premature or unsafe without understanding the situation.

Question 5 of 5

A client with dementia is at risk for falls. Which intervention should the nurse prioritize?

Correct Answer: B

Rationale: Bed alarms and clear pathways address fall risks directly, promoting safety without restricting mobility or overmedicating.

Similar Questions

A client is receiving haloperidol decanoate (Haldol decanoate). He begins to complain of stiff muscles, restlessness, and internal jumpiness. The client has all of the following medications ordered as needed. Which one would be most appropriate for the nurse to administer to decrease the client's symptoms?
A client with acute stress disorder has avoided feelings of anger toward her rapist and cannot verbally express them. The nurse suggests which of the following activities to assist the client with expressing her feelings?
Arrangements are made for a member of the colostomy club to meet with a client before bowel surgery. Which of the following is accomplished by having a representative from the club visit the client?
The client states to the nurse at the outpatient clinic, 'I don't feel ready to go back to work. It's only been a week since I left the hospital.' Assessment reveals a flat affect, disheveled appearance, poor posture, and minimal eye contact during interaction. The nurse asks the client whether he is thinking about harming himself. The client tells the nurse he has a loaded revolver at home and will probably use it. Which of the following should the nurse do next?
When developing the plan of care for a client diagnosed with a personality disorder, the nurse plans to assist the client primarily with which of the following?

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