NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
As a client's level of anxiety increases to a debilitating degree, the nurse should expect which of the following as a psychomotor behavior indicating a panic level of anxiety?
Correct Answer: A
Rationale: At a panic level of anxiety, psychomotor behaviors may include extreme actions such as suicide attempts or violence due to the client's inability to cope. Desperation and rage are emotional responses, disorganized reasoning is cognitive, and loss of contact with reality is a perceptual issue, none of which are primarily psychomotor behaviors.
Question 2 of 5
A client is brought to the emergency department by a friend who states, 'He's been using a lot of heroin until he ran out of money about 2 days ago.' The nurse judges the client to be in opioid withdrawal if he exhibits which of the following? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Opioid withdrawal symptoms include rhinorrhea, diaphoresis, piloerection, and formication (sensation of bugs crawling). Synesthesia is not typical.
Question 3 of 5
The physician refers a client diagnosed with somatization disorder to the outpatient clinic because of problems with nausea. The client's past symptoms involved back pain, chest pain, and problems with urination. The client tells the nurse that the nausea began when his wife asked him for a divorce. Which of the following is most appropriate?
Correct Answer: B
Rationale: Directing the client to describe feelings about the divorce is most appropriate, as somatization disorder often reflects emotional distress, and addressing underlying stressors is key.
Question 4 of 5
A client with a history of angry outbursts is taught to use deep breathing exercises. Which client statement indicates successful learning?
Correct Answer: B
Rationale: The statement 'Deep breathing helps me calm down before I get too angry' shows the client understands and applies the technique proactively to manage anger, indicating successful learning. Other responses suggest misunderstanding or reluctance to use the technique effectively.
Question 5 of 5
When planning the care for a client who is being abused, which of the following measures is most important to include?
Correct Answer: D
Rationale: Helping the client develop a safety plan is the most important measure, as it directly addresses the immediate need to protect the client and her children from further harm.