NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A nurse is assessing a client experiencing hypomania who wants to stop her mood stabilizing medication because she is 'feeling good,' has a high energy level and thinks she is productive at work. Which response by the nurse is most appropriate?
Correct Answer: C
Rationale: Reminding the client of past consequences reinforces the importance of medication adherence.
Question 2 of 5
A client who was diagnosed with undifferentiated schizophrenia 8 years ago is admitted to a unit because of increasingly severe mood swings. His diagnosis is changed to schizoaffective disorder. He asks the nurse, 'So now what? My friend is the 'I have to be the...' What is the best response by the nurse?
Correct Answer: A
Rationale: Providing a clear, concise explanation of schizoaffective disorder helps the client understand the change in diagnosis and its implications, addressing his question directly.
Question 3 of 5
The nursing assistant tells the nurse that the client is sick and is not coming to the dining room for lunch. The nurse should direct the nursing assistant to do which of the following?
Correct Answer: C
Rationale: Inviting and accompanying the client to lunch encourages socialization and participation, addressing potential avoidance behaviors in somatoform disorders.
Question 4 of 5
When caring for the client diagnosed with delirium, which condition is the most important for the nurse to investigate?
Correct Answer: C
Rationale: Prescription drug intoxication is a common and reversible cause of delirium, making it critical to investigate to identify and correct the underlying issue.
Question 5 of 5
A client who experienced sleep disturbances, feelings of worthlessness, and an inability to concentrate for the past 3 months was fired from her job a month ago. The client tells the nurse, 'My boss was wonderful! He was understanding and a really nice man.' The nurse interprets the client's statement as representing the defense mechanism of reaction formation. Which of the following would be the best response by the nurse?
Correct Answer: B
Rationale: Encouraging the client to discuss difficulties at work may uncover underlying feelings masked by reaction formation.