NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A client who was diagnosed with undifferentiated schizophrenia 8 years ago is admitted to a unit because of increasingly severe mood swings. His diagnosis is changed to schizoaffective disorder. He asks the nurse, 'So now what? My friend is the 'I have to be the...' What is the best response by the nurse?
Correct Answer: A
Rationale: Providing a clear, concise explanation of schizoaffective disorder helps the client understand the change in diagnosis and its implications, addressing his question directly.
Question 2 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 3 of 5
A married female client has been referred to the mental health center because she is depressed. The nurse notices bruises on her upper arms and asks about them. After denying any problems, the client starts to cry and says, 'He didn't really mean to hurt me, but I hate for the kids to see this. I'm so worried about them.' Which of the following is the most crucial information for the nurse to determine?
Correct Answer: B
Rationale: The most crucial information is the potential for immediate danger to the client and her children, as this directly impacts their safety and requires urgent intervention to prevent harm.
Question 4 of 5
A client with schizophrenia is started on paliperidone (Invega). Which laboratory test should the nurse monitor?
Correct Answer: C
Rationale: Paliperidone can increase the risk of metabolic syndrome, including elevated blood glucose, making monitoring blood glucose levels essential.
Question 5 of 5
A client is brought to the psychiatric unit from the emergency department (ED) escorted by ED staff and a security officer. The client's shoulder is bandaged and his arm is in a sling because of a self-inflicted gunshot wound to his shoulder. Later, the client's wife follows with a bag of her husband's belongings. Which of the following nursing actions is most appropriate at this time?
Correct Answer: D
Rationale: Inspecting the bag ensures no dangerous items are brought into the unit, enhancing safety.