NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
A nurse on the Geropsychiatric unit receives a call from the son of a recently discharged client. He reports that his father just got a prescription for memantine (Namenda) to take 'on top of his donepezil (Aricept).' The son then asks, 'Why does he have to take extra medicines?' The nurse should tell the son:
Correct Answer: B
Rationale: Memantine and donepezil are often combined to target different aspects of dementia (cholinesterase inhibition and NMDA receptor regulation), slowing progression more effectively together.
Question 2 of 5
A client is admitted to the psychiatric hospital for evaluation after numerous incidents of threatening others, angry outbursts, and two episodes of hitting a coworker at the grocery store where he works. The client is very anxious and tells the nurse who admits him, 'I didn't mean to hit him. He made me so mad I didn't know what to do.' Which of the following is the priority nursing intervention?
Correct Answer: A
Rationale: Teaching anger management techniques is the priority to address the client's inability to control violent outbursts, providing tools to manage anger proactively. Anxiolytics may help anxiety but not the root issue, group therapy is secondary, and a no harm contract addresses safety but not skill-building.
Question 3 of 5
A client with bipolar disorder, manic phase, is admitted to the unit. The nurse is developing a plan of care. Which of the following interventions is most appropriate to include in the plan?
Correct Answer: B
Rationale: A high-calorie diet with frequent snacks addresses increased energy expenditure in mania, supporting nutritional needs.
Question 4 of 5
The client with acute mania has been admitted to the inpatient unit voluntarily. The nurse approaches the client with medication to be taken orally as ordered by the physician. The client states, 'I don't need that stuff.' Which response by the nurse is best?
Correct Answer: C
Rationale: Explaining the medication's calming effect may encourage voluntary compliance.
Question 5 of 5
A client with paranoid schizophrenia accuses staff of stealing. Which response is most therapeutic?
Correct Answer: C
Rationale: Checking belongings together addresses the accusation practically, reducing mistrust without confrontation.