NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 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.
Question 2 of 5
A client with schizophrenia reports sedation from medication. What should the nurse do?
Correct Answer: B
Rationale: Discussing timing with the physician ensures safe adjustments to address sedation while maintaining treatment.
Question 3 of 5
The client states to the nurse at the outpatient clinic, 'I don't feel ready to go back to work. It's only been a week since I left the hospital.' Assessment reveals a flat affect, disheveled appearance, poor posture, and minimal eye contact during interaction. The nurse asks the client whether he is thinking about harming himself. The client tells the nurse he has a loaded revolver at home and will probably use it. Which of the following should the nurse do next?
Correct Answer: D
Rationale: A specific plan with access to a lethal means (loaded revolver) requires immediate hospitalization.
Question 4 of 5
The client diagnosed with major depression and dependent personality disorder has made the decision to live independently in an apartment. The nurse and the client meet with his parents to discuss his decision. Which statement by the nurse is most helpful to foster the client's independence?
Correct Answer: B
Rationale: Stating 'All of you will gain from his independent living; he needs our support' promotes the client's independence while framing it as a positive step for the family, encouraging support without fostering dependency.
Question 5 of 5
At an outpatient visit 3 months after discharge from the hospital, a client says he has stopped his olanzapine (Zyprexa) even though it controls his symptoms of schizophrenia better than other medications. 'I have gained 20 lb already. I can't stand any more.' Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: Offering a diet and exercise plan addresses the client's concern about weight gain while encouraging continued treatment, promoting adherence and health management.