NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
A client with schizophrenia is prescribed olanzapine (Zyprexa). Which dietary advice should the nurse provide?
Correct Answer: A
Rationale: Olanzapine can cause weight gain and metabolic issues, so limiting sugar and fat helps mitigate these risks.
Question 2 of 5
A client with paranoid schizophrenia is hypervigilant. Which environment is most therapeutic?
Correct Answer: B
Rationale: A quiet, low-stimulus room reduces triggers for hypervigilance, promoting a sense of safety.
Question 3 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 4 of 5
A client with Alzheimer's disease is at risk for dehydration. Which intervention is most effective?
Correct Answer: A
Rationale: Offering fluids frequently in small amounts ensures hydration without overwhelming the client.
Question 5 of 5
Police bring a client to the emergency department after she threatens to kill her ex-husband. She states emphatically, 'The police should bring him in, not me. He's paranoid about my dating and has been stalking me for weeks. He's probably off his medicines. His case manager and the police won't do anything.' In which order should the following nursing actions be done from first to last?
Order the Items
Source Container
Correct Answer: B,D,C,A
Rationale: Safety is the priority, so assessing risk for harm comes first. Interviewing the client about her needs and situation provides context, followed by obtaining the case manager's name to coordinate care. Asking about marital problems is less urgent and comes last.