NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
A hospitalized adolescent diagnosed with anorexia nervosa refuses to comply with her daily before-breakfast weigh-in. She states that she just drank a glass of water, which she feels will unfairly increase her weight. What is the nurse's best response to the client?
Correct Answer: C
Rationale: Consistency in the weigh-in protocol is essential to monitor progress and prevent manipulation of results.
Question 2 of 5
The parents of a 20-year-old female client diagnosed with paranoid schizophrenia admitted 4 days ago are attending a family psychoeducation group in the hospital. Which of the following statements by the mother indicates that she understands her daughter's illness and management?
Correct Answer: B
Rationale: Understanding that basic tasks like getting out of bed and showering may be challenging reflects accurate knowledge of the negative symptoms of schizophrenia and their impact on daily functioning.
Question 3 of 5
When developing the plan of care for a client with acute stress disorder who lost her sister in a boating accident, which of the following should the nurse initiate?
Correct Answer: C
Rationale: Facilitating progressive review of the accident helps the client process trauma gradually, reducing avoidance and promoting recovery.
Question 4 of 5
The father of a U.S. Marine who was killed 2 days ago in Iraq is admitted after a serious suicide attempt. He is medically stable and has signed a no harm contract. Which of the following is the priority nursing intervention?
Correct Answer: C
Rationale: Monitoring for renewed suicidal ideation is the priority, given the recent suicide attempt and acute grief, to ensure immediate safety. Grief counseling, antidepressants, and stress management are important but secondary to ongoing safety assessment.
Question 5 of 5
The expected outcome for using thiamine for a client being treated for an alcohol addiction is to:
Correct Answer: A
Rationale: Thiamine is used to prevent Wernicke's encephalopathy, a serious neurological condition caused by thiamine deficiency common in chronic alcohol use.