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NCLEX RN Psychiatric Questions Questions

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Question 1 of 5

A client with schizophrenia reports weight gain on risperidone (Risperdal). What should the nurse do?

Correct Answer: B

Rationale: Monitoring weight and discussing diet addresses the side effect while maintaining treatment, promoting health.

Question 2 of 5

A 28-year-old client with an Axis I diagnosis of major depression and an Axis II diagnosis of dependent personality disorder has been living at home with very supportive parents. The client is thinking about independent living on the recommendation of the treatment team. The client states to the nurse, 'I don't know if I can make it in an apartment without my parents.' The nurse should respond by saying to the client:

Correct Answer: D

Rationale: Saying 'Your parents have been supportive and will continue to be even if you live apart' reassures the client, addresses their dependency fears, and encourages independence while maintaining a sense of support.

Question 3 of 5

The nurse is teaching unlicensed staff about caring for the client with alcohol dependency. Which of the following statements by the staff indicates the need for additional teaching?

Correct Answer: B

Rationale: Saying the client is weak and could stop if desired indicates a need for teaching, as it reflects a misunderstanding of alcohol dependency as a disease, not a lack of willpower.

Question 4 of 5

A client with schizophrenia is prescribed clozapine (Clozaril) 200 mg daily. Which of the following laboratory tests should the nurse monitor regularly?

Correct Answer: B

Rationale: Clozapine can cause agranulocytosis, requiring regular monitoring of white blood cell counts.

Question 5 of 5

A client receiving dialysis directs profanities at the nurse and then abruptly hangs his head and pleads, 'Please forgive me. Something just came over me. Why do I say those things?' The nurse interprets this as which of the following?

Correct Answer: D

Rationale: The client's rapid shift from anger to remorse indicates emotional lability, characterized by unstable and unpredictable emotions. Neologism involves made-up words, confabulation is fabricating stories to fill memory gaps, and flight of ideas is rapid thought shifts, none of which fit this behavior.

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