NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
A client with symptoms of amphetamine psychosis that are improving is anxious and still experiencing some delusions. When developing the client's plan of care, which of the following measures should the nurse include?
Correct Answer: D
Rationale: Inviting the client to play ping-pong is appropriate, as it provides a low-stress, engaging activity to reduce anxiety and distract from delusions.
Question 2 of 5
A client with dementia is at risk for falls. Which intervention should the nurse prioritize?
Correct Answer: B
Rationale: Bed alarms and clear pathways address fall risks directly, promoting safety without restricting mobility or overmedicating.
Question 3 of 5
A client with a long history of paranoid schizophrenia is readmitted voluntarily after missing his last two injections of haloperidol decanoate (Haldol Decanoate). He reports, 'I'm not sleeping much and my friend says I smell from not showering. God is telling me to protect myself from others. My parents are sick and tired of me and my illness. They wish I were dead.' Which of the following admission notes by the nurse contains assumptions and potentially false accusations? Select all that apply.
Correct Answer: A,C,E
Rationale: The notes in A, C, and E make assumptions: A assumes noncompliance caused all symptoms and misinterprets the parents' intentions; C assumes a strained relationship and parental wishes without evidence; E falsely states medication was missed for 2 days and assumes parental abuse without substantiation.
Question 4 of 5
The nurse is planning care for a group of clients. Which client should the nurse identify as needing the most assistance in accepting being ill?
Correct Answer: D
Rationale: The 60-year-old woman needs the most assistance, as her refusal to use oxygen despite confusion indicates denial of her illness's severity, posing a significant risk. The boy's reactions are age-appropriate, the woman is engaging with treatment, and the man is planning recovery.
Question 5 of 5
A client diagnosed with major depression spends most of the day lying in bed with the sheet pulled over his head. Which of the following approaches by the nurse is most therapeutic?
Correct Answer: B
Rationale: Frequent initiation of contact shows care and encourages engagement without overwhelming the client.