NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A client who is suspicious of others including staff is brought to the hospital wearing a wrinkled dress with stains on the front. Assessment also reveals a flat affect, confusion and slow movements. Which goal should the nurse identify as the initial priority in the client's way?
Correct Answer: A
Rationale: Establishing safety and acceptance is the priority for a suspicious client, as it builds trust and reduces paranoia, which is essential before addressing other needs like hygiene or socialization.
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
An outpatient client who has a history of paranoid schizophrenia and chronic alcohol dependency has been taking risperidone (Risperdal) for several months. She reports that she stopped drinking 4 days ago, the client is a very satisfied by the tactile hallucinations of bugs crawling under her skin. Which of the following factors should the nurse incorporate into the plan of care when explaining the tactile hallucinations?
Correct Answer: C
Rationale: Tactile hallucinations, such as feeling bugs crawling under the skin, are commonly associated with alcohol withdrawal, especially 4 days after cessation, and should be addressed in the care plan.
Question 4 of 5
A client newly diagnosed with bulimia is attending the nurse-led group at the mental health center. She tells the group that she came only because her husband said he would divorce her if she didn't get help. Which of the following responses by the nurse is most appropriate?
Correct Answer: C
Rationale: This response encourages the client to explore her feelings and motivations, fostering engagement in treatment.
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.