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NCLEX RN Psychiatric Questions Questions

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Question 1 of 5

A client with Alzheimer's disease is apathetic. Which intervention should the nurse prioritize?

Correct Answer: A

Rationale: Encouraging simple activities stimulates engagement, addressing apathy without overwhelming the client.

Question 2 of 5

Which of the following points should the nurse include when teaching a client about panic disorder?

Correct Answer: C

Rationale: Teaching that panic attack symptoms are time-limited and will abate is key, as it reassures the client and reduces fear, aiding in managing panic disorder.

Question 3 of 5

A client with a cocaine dependency is irritable, anxious, highly sensitive to stimuli, and overreactive to clients and staff on the unit. Which of the following actions is most therapeutic for this client?

Correct Answer: C

Rationale: Providing frequent time-outs is therapeutic, as it allows the client to de-escalate in a low-stimulus environment, managing irritability and sensitivity.

Question 4 of 5

The client, a veteran of the Vietnam war who has posttraumatic stress disorder, tells the nurse about the horror and mass destruction of war. He states, 'I killed all of those people for nothing.' Which of the following responses by the nurse is appropriate?

Correct Answer: A

Rationale: Saying 'You did what you had to do at that time' is appropriate, as it validates the client's actions in the context of war, reducing guilt and supporting therapeutic dialogue.

Question 5 of 5

A client is experiencing alcohol withdrawal. He wakes up and screams, 'There's something crawling under my skin. Help me.' In which order, from first to last, should the following nursing actions be done?

Order the Items

Source Container

Remind the client that he is having withdrawal symptoms and that these will be treated.
Administer a dose of lorazepam (Ativan) depending on the severity of the withdrawal symptoms.
Assess the client for other withdrawal symptoms.
Take the client's vital signs.
Chart the details of the episode on the electronic health record.

Correct Answer: C, D, B, A, E

Rationale: The order is: 1) Assess for other withdrawal symptoms to understand the full clinical picture (
C). 2) Take vital signs to monitor stability (
D). 3) Administer lorazepam to manage symptoms (
B). 4) Remind the client about withdrawal symptoms to provide reassurance (
A). 5) Chart the episode for documentation (E). This prioritizes assessment, treatment, and communication.

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