NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client with schizophrenia exhibits flat affect and apathy. Which outcome is most realistic within one week?
Correct Answer: B
Rationale: Attending one group activity is a realistic initial step for a client with negative symptoms, encouraging gradual engagement.
Question 2 of 5
The client who has been taking venlafaxine (Effexor) 25 mg P.O. three times a day for the past 2 days states, 'This medicine isn't doing me any good. I'm still so depressed.' Which of the following responses by the nurse is most appropriate?
Correct Answer: B
Rationale: Explaining the 2–4 week onset of antidepressants sets realistic expectations and encourages adherence.
Question 3 of 5
The client exhibits a flat affect, psychomotor retardation, and depressed mood. The nurse attempts to engage the client in an interaction but the client does not respond to the nurse. Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: Sitting quietly with the client provides presence and support, respecting their current inability to engage.
Question 4 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 5 of 5
The physician refers a client diagnosed with somatization disorder to the outpatient clinic because of problems with nausea. The client's past symptoms involved back pain, chest pain, and problems with urination. The client tells the nurse that the nausea began when his wife asked him for a divorce. Which of the following is most appropriate?
Correct Answer: B
Rationale: Directing the client to describe feelings about the divorce is most appropriate, as somatization disorder often reflects emotional distress, and addressing underlying stressors is key.