NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client with schizophrenia is discharged to a group home. Which teaching is most important?
Correct Answer: A
Rationale: Recognizing medication side effects ensures adherence and safety, critical for successful community living.
Question 2 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 3 of 5
A client diagnosed with paranoid personality disorder is hospitalized for physically threatening his wife because he suspects her of having an affair with a coworker. Which of the following approaches should the nurse employ with this client?
Correct Answer: C
Rationale: A matter-of-fact approach is best for a client with paranoid personality disorder, as it is neutral, non-confrontational, and avoids escalating suspicion or defensiveness, fostering trust and communication.
Question 4 of 5
When integrating the concepts underlying the cognitive-behavioral model into a client's plan of care, the nurse should focus on which of the following areas?
Correct Answer: A
Rationale: The cognitive-behavioral model focuses on substituting rational beliefs for self-defeating thoughts and behaviors, addressing cognitive distortions directly. Insight into unconscious conflicts is psychoanalytic, analyzing fears is less specific, and reducing bodily tensions is a secondary focus compared to cognitive change.
Question 5 of 5
During an interaction with the nurse, a client states, 'My husband has supported me every time I've been hospitalized for depression. He'll leave me this time. I'm an awful wife and mother. I'm no good. Nothing I do is right.' Based on this information, which of the following nursing diagnoses should the nurse identify when developing the client's plan of care?
Correct Answer: B
Rationale: The client's negative self-statements directly indicate chronic low self-esteem, a priority nursing diagnosis.