NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
A client with schizophrenia states, 'The government is spying on me through my TV.' Which of the following responses by the nurse is most therapeutic?
Correct Answer: B
Rationale: Acknowledging the client's belief without agreeing and focusing on reality is therapeutic and non-confrontational.
Question 2 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 3 of 5
When planning interventions for parents who are abusive, the nurse should incorporate knowledge of which factor as a common parental indicator?
Correct Answer: C
Rationale: Low self-esteem is a common indicator in abusive parents, contributing to their difficulty managing stress and emotions.
Question 4 of 5
A client on a crisis hotline says, 'My partner left me, and I feel like giving up.' Which response by the nurse is most therapeutic?
Correct Answer: B
Rationale: Asking what 'giving up' means clarifies the client's intent, assessing for suicidal ideation or other risks while fostering communication. Reassurance, counseling suggestions, or normalizing feelings are less immediate without understanding the client's state.
Question 5 of 5
The wife of a client with alcohol dependency tells the nurse, 'I'm tired of making excuses for him to his boss and coworkers when he can't make it into work. I believe him every time he says he's going to quit.' The nurse recognizes the wife's statement as indicating which of the following behaviors?
Correct Answer: C
Rationale: The wife's behavior indicates enabling, as she covers for the client's actions, inadvertently supporting his alcohol dependency by reducing consequences.