NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
At an outpatient visit 3 months after discharge from the hospital, a client says he has stopped his olanzapine (Zyprexa) even though it controls his symptoms of schizophrenia better than other medications. 'I have gained 20 lb already. I can't stand any more.' Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: Offering a diet and exercise plan addresses the client's concern about weight gain while encouraging continued treatment, promoting adherence and health management.
Question 2 of 5
A client has been in the critical care unit for 3 days following a severe myocardial infarction. Although he is medically stable, he has begun to have fluctuating episodes of consciousness, illogical thinking, and anxiety. He is picking at the air to 'catch these baby angels flying around my head.' While waiting for medical and psychiatric results, the nurse must intervene with the client's needs. Which of the following needs have the highest priority? Select all that apply.
Correct Answer: A,B,D
Rationale: Reducing stimuli (
A) minimizes confusion, avoiding challenges to hallucinations (
B) prevents agitation, and gently presenting reality (
D) supports orientation without confrontation. Assuming dementia (E) is premature, and orienting to medical condition (
C) may overwhelm the client.
Question 3 of 5
When developing the plan of care for a client diagnosed with a personality disorder, the nurse plans to assist the client primarily with which of the following?
Correct Answer: A
Rationale: Focusing on specific dysfunctional behaviors is primary because personality disorders are characterized by maladaptive patterns of behavior. Addressing these behaviors through targeted interventions helps improve functioning and relationships.
Question 4 of 5
The client diagnosed with major depression and dependent personality disorder has made the decision to live independently in an apartment. The nurse and the client meet with his parents to discuss his decision. Which statement by the nurse is most helpful to foster the client's independence?
Correct Answer: B
Rationale: Stating 'All of you will gain from his independent living; he needs our support' promotes the client's independence while framing it as a positive step for the family, encouraging support without fostering dependency.
Question 5 of 5
The client tells the nurse at the outpatient clinic that she doesn't need to attend groups because she's 'not a regular like these other people here.' Which of the following responses by the nurse is most appropriate?
Correct Answer: D
Rationale: Saying 'You say you're not a regular here, but you're experiencing what others are experiencing' validates the client's feelings while gently challenging her denial, encouraging engagement in treatment.