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NCLEX RN Psychiatric Questions Questions

Extract:


Question 1 of 5

A client with Alzheimer's disease is unable to recognize family. What should the nurse suggest?

Correct Answer: B

Rationale: Using photos and names helps cue recognition, reducing frustration and supporting family interaction.

Question 2 of 5

The nurse leading a group session for parents of children diagnosed with oppositional defiant disorder. The nurse should give which of the following recommendations for discipline?

Correct Answer: B

Rationale: Consistent discipline with positive expression strategies is effective for managing oppositional defiant disorder.

Question 3 of 5

A 15-year-old client diagnosed with PTSD is admitted to the unit after slicing both arms with a razor blade. He says, 'Maybe my mother will listen to me now. She tells me I'm just crazy when I say I'm screwed up because my step dad had sex with me for years.' The nurse should do the following in which order of priority first to last?

Order the Items

Source Container

Ask the client about the step dad possibly abusing younger children in the family.
Ask the client to be specific about what he means by 'screwed up.'
Ask the client to sign a No Harm Contract related to suicide and self-mutilation.
Ask the client to talk about appropriate ways to express anger toward his mother.

Correct Answer: C,B,D,A

Rationale: First ensure safety with a no-harm contract, then clarify feelings, discuss anger expression, and finally address potential abuse of others.

Question 4 of 5

A client with schizophrenia is prescribed clozapine (Clozaril) 200 mg daily. Which of the following laboratory tests should the nurse monitor regularly?

Correct Answer: B

Rationale: Clozapine can cause agranulocytosis, requiring regular monitoring of white blood cell counts.

Question 5 of 5

A client with major depression is to be discharged home tomorrow. When preparing the client's discharge plan, which of the following areas is most important for the nurse to review with the client?

Correct Answer: D

Rationale: Medication adherence and outpatient follow-up are critical to prevent relapse in major depression.

Similar Questions

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?
A client is brought to the hospital by police and admitted involuntarily. She is diagnosed as having bipolar disorder, manic phase. The physician orders lithium carbonate. The client refuses her morning dose of lithium. The nurse should next:
A client is complaining about blurred vision after 4 days of taking haloperidol (Haldol), benztropine (Cogentin), quetiapine (Seroquel), and buspirone (Buspar). Which of the following medications should the nurse suspect as the most likely cause of this adverse effect?
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?
A client with schizoaffective disorder reports insomnia. Which intervention should the nurse implement first?

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