NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A client with schizophrenia is admitted to the psychiatric unit with delusions and auditory hallucinations. Which of the following nursing interventions is most appropriate?
Correct Answer: B
Rationale: Listening to music can help distract from auditory hallucinations, providing a non-confrontational intervention.
Question 2 of 5
Which of the following approaches is most appropriate to use with a client diagnosed with a narcissistic personality disorder when discrepancies exist between what the client states and what actually exists?
Correct Answer: B
Rationale: Supportive confrontation is most appropriate, as it gently addresses discrepancies in a non-threatening way, encouraging the client to reflect on reality while maintaining therapeutic rapport.
Question 3 of 5
A client with schizophrenia is started on paliperidone (Invega). Which laboratory test should the nurse monitor?
Correct Answer: C
Rationale: Paliperidone can increase the risk of metabolic syndrome, including elevated blood glucose, making monitoring blood glucose levels essential.
Question 4 of 5
A client with dementia who prefers to stay in his room has been brought to the dayroom. After 10 minutes, the client becomes agitated and retreats to his room again. The nurse decides to assess the conditions in the dayroom. Which is the most likely occurrence that is disturbing to this client?
Correct Answer: C
Rationale: Conflicting stimuli, such as a relaxation tape and a crime show on TV, can overwhelm a client with dementia, causing agitation due to difficulty processing multiple inputs.
Question 5 of 5
The nurse is developing a teaching plan for a group of middle school children about the drug 3,4-methylenedioxymethamphetamine (Ecstasy). What information should the nurse expect to include? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Ecstasy, similar to amphetamines, is used at raves, causes teeth grinding (hence pacifiers), and reduces self-consciousness.