NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
In addition to developing over a period of hours or days, the nurse should assess delirium as distinguishable by which of the following characteristics?
Correct Answer: A
Rationale: Fluctuating disturbances in cognition and consciousness are hallmark features of delirium, distinguishing it from other conditions like dementia or agnosia.
Question 2 of 5
The client in the early stage of Alzheimer's disease and his adult son attend an appointment at the community mental health center. While conversing with the nurse, the son states, 'I'm tired of hearing about how things were 30 years ago. Why does Dad always talk about the past?' The nurse should tell the son:
Correct Answer: A
Rationale: In early Alzheimer's, short-term memory is impaired, but long-term memory remains intact, explaining the client's focus on past events.
Question 3 of 5
When developing a teaching plan for the community about managed care models and their effect on clients with chronic mental illnesses, which of the following factors should the nurse include as detrimental to this population? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: All listed factors limit access to care, reduce treatment options, and hinder community integration, negatively impacting clients with chronic mental illnesses.
Question 4 of 5
A client on clozapine (Clozaril) reports fever and sore throat. What should the nurse do first?
Correct Answer: B
Rationale: Fever and sore throat may indicate agranulocytosis, a serious side effect of clozapine, requiring immediate physician notification to assess and manage the risk.
Question 5 of 5
A client with dementia is at risk for falls. Which intervention should the nurse prioritize?
Correct Answer: B
Rationale: Bed alarms and clear pathways address fall risks directly, promoting safety without restricting mobility or overmedicating.