NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
A newly admitted client diagnosed with paranoid schizophrenia is pacing rapidly and wringing his hands. He states that another client is out to get him. Then he says, 'Protect me, select me, reject me.' The nurse should next:
Correct Answer: D
Rationale: Removing other clients from the area reduces stimuli and potential triggers for the client's paranoia, promoting safety without immediately resorting to medication, seclusion, or restraints.
Question 2 of 5
The client exhibits a flat affect, psychomotor retardation, and depressed mood. The nurse attempts to engage the client in an interaction but the client does not respond to the nurse. Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: Sitting quietly with the client provides presence and support, respecting their current inability to engage.
Question 3 of 5
A client diagnosed with schizophrenia is brought to the hospital from a group home where he became agitated, threw a chair at another client, and has been refusing medication for 8 weeks. The client exhibits a flat affect, is not caring for his hygiene, and has become increasingly withdrawn and asocial. The physician orders treatment with risperidone (Risperdal) to improve the client's negative and positive symptoms of schizophrenia. When evaluating the drug's effectiveness on the client's negative symptoms, the nurse should expect improvement in which of the following?
Correct Answer: A
Rationale: Risperidone, an atypical antipsychotic, is effective for negative symptoms like apathy, lack of motivation, and asocial behavior, which are evident in the client's presentation.
Question 4 of 5
A client diagnosed with schizophrenia is being switched to risperidone long-acting injection (Risperdal Consta). He is told that he will remain on his oral dose of risperidone (Risperdal) daily for approximately 1 month. The client says, 'I didn't have to do this with my last shot.' Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: Explaining that Risperdal Consta requires time to reach therapeutic levels clarifies why the oral dose is continued, addressing the client's confusion accurately.
Question 5 of 5
A client with schizophrenia is started on lurasidone (Latuda). Which instruction is most important?
Correct Answer: A
Rationale: Lurasidone should be taken with food to enhance absorption, ensuring therapeutic effectiveness.