NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client with paranoid schizophrenia accuses staff of stealing. Which response is most therapeutic?
Correct Answer: C
Rationale: Checking belongings together addresses the accusation practically, reducing mistrust without confrontation.
Question 2 of 5
A pregnant client in her third trimester is started on chlorpromazine (Thorazine) 25 mg four times daily. Which of the following instructions is most important for the nurse to include in the client's teaching plan?
Correct Answer: B
Rationale: Chlorpromazine can cause photosensitivity, a significant risk during pregnancy, making sun protection critical to prevent skin damage, which is more immediate than the other options.
Question 3 of 5
As a client's level of anxiety increases to a debilitating degree, the nurse should expect which of the following as a psychomotor behavior indicating a panic level of anxiety?
Correct Answer: A
Rationale: At a panic level of anxiety, psychomotor behaviors may include extreme actions such as suicide attempts or violence due to the client's inability to cope. Desperation and rage are emotional responses, disorganized reasoning is cognitive, and loss of contact with reality is a perceptual issue, none of which are primarily psychomotor behaviors.
Question 4 of 5
A nurse on the Geropsychiatric unit receives a call from the son of a recently discharged client. He reports that his father just got a prescription for memantine (Namenda) to take 'on top of his donepezil (Aricept).' The son then asks, 'Why does he have to take extra medicines?' The nurse should tell the son:
Correct Answer: B
Rationale: Memantine and donepezil are often combined to target different aspects of dementia (cholinesterase inhibition and NMDA receptor regulation), slowing progression more effectively together.
Question 5 of 5
A nurse is leading a support group for parents of adolescents with substance use disorders. Which strategy should the nurse emphasize?
Correct Answer: B
Rationale: Setting clear boundaries and consistent consequences helps parents manage the adolescent's behavior while supporting recovery from substance use.