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NCLEX RN Questions on Psychiatric Nursing Questions

Extract:


Question 1 of 5

Based on a client's history of violence toward others and her inability to cope with anger, which of the following should the nurse use as the most important indicator of goal achievement before discharge?

Correct Answer: D

Rationale: Verbalizing feelings appropriately is the most important indicator, as it demonstrates the ability to express anger constructively, reducing the risk of violence. Acknowledging feelings, describing triggers, or listing past behaviors are steps but less definitive than appropriate expression.

Question 2 of 5

A client with Alzheimer's disease is at risk for dehydration. Which intervention is most effective?

Correct Answer: A

Rationale: Offering fluids frequently in small amounts ensures hydration without overwhelming the client.

Question 3 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 4 of 5

While receiving disulfiram (Antabuse) therapy, the client becomes nauseated and vomits severely. Which of the following questions should the nurse ask first?

Correct Answer: C

Rationale: Asking 'How much alcohol did you drink today?' is first, as disulfiram causes severe nausea and vomiting when alcohol is consumed, and this is the most likely cause.

Question 5 of 5

When planning interventions for parents who are abusive, the nurse should incorporate knowledge of which factor as a common parental indicator?

Correct Answer: C

Rationale: Low self-esteem is a common indicator in abusive parents, contributing to their difficulty managing stress and emotions.

Similar Questions

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A client experiencing acute mania has been taking lithium carbonate 600 mg P.O. three times daily for 14 days. The client's serum lithium level is 1.8 mEq/L. The nurse should:
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?
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