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NCLEX RN Questions on Psychiatric Nursing Questions

Extract:


Question 1 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 2 of 5

A client on a crisis hotline says, 'My partner left me, and I feel like giving up.' Which response by the nurse is most therapeutic?

Correct Answer: B

Rationale: Asking what 'giving up' means clarifies the client's intent, assessing for suicidal ideation or other risks while fostering communication. Reassurance, counseling suggestions, or normalizing feelings are less immediate without understanding the client's state.

Question 3 of 5

A suicidal client is placed in the seclusion room and given lorazepam (Ativan) because she tried to harm herself by banging her head against the wall. After 10 minutes, the client starts to bang her head against the wall in the seclusion room. Which of the following should the nurse do next?

Correct Answer: B

Rationale: Restraints are necessary to prevent immediate self-harm when other interventions fail.

Question 4 of 5

In addition to developing over a period of hours or days, the nurse should assess delirium as distinguishable by which of the following characteristics?

Correct Answer: A

Rationale: Fluctuating disturbances in cognition and consciousness are hallmark features of delirium, distinguishing it from other conditions like dementia or agnosia.

Question 5 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.

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