NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
A suspicious client states, 'I know you nurses are spraying my food with poison as you take it out of the cart.' Which of the following actions would most likely be successful?
Correct Answer: A
Rationale: Serving sealed foods addresses the client's delusion about poisoning in a practical, non-confrontational way, increasing the likelihood of the client eating.
Question 2 of 5
The client states to the nurse at the outpatient clinic, 'I don't feel ready to go back to work. It's only been a week since I left the hospital.' Assessment reveals a flat affect, disheveled appearance, poor posture, and minimal eye contact during interaction. The nurse asks the client whether he is thinking about harming himself. The client tells the nurse he has a loaded revolver at home and will probably use it. Which of the following should the nurse do next?
Correct Answer: D
Rationale: A specific plan with access to a lethal means (loaded revolver) requires immediate hospitalization.
Question 3 of 5
A client with panic disorder is taking alprazolam (Xanax) 1 mg P.O. three times daily. The nurse understands that this medication is effective in blocking the symptoms of panic because of its specific action on which of the following neurotransmitters?
Correct Answer: A
Rationale: Alprazolam enhances gamma-aminobutyrate (GAB
A), an inhibitory neurotransmitter, reducing neuronal excitability and blocking panic symptoms.
Question 4 of 5
Arrangements are made for a member of the colostomy club to meet with a client before bowel surgery. Which of the following is accomplished by having a representative from the club visit the client?
Correct Answer: C
Rationale: The colostomy club representative provides support and realistic information, helping the client understand and adjust to the colostomy based on lived experience. Community resources are a secondary benefit, supporting the physician's plan is not the primary goal, and convincing about disfigurement may be unrealistic and less focused on practical coping.
Question 5 of 5
A suicidal client is placed in the seclusion room and given lorazepam (Ativan) because she tried to harm herself by banging her head against the wall. After 10 minutes, the client starts to bang her head against the wall in the seclusion room. Which of the following should the nurse do next?
Correct Answer: B
Rationale: Restraints are necessary to prevent immediate self-harm when other interventions fail.