NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
Parents of a 7-year-old child newly diagnosed with attention deficit hyperactivity disorder (ADHD) ask the nurse whether their son will always have to take medication for this condition. The nurse should tell the parents:
Correct Answer: B
Rationale: This response accurately reflects that 30-50% of children with ADHD may need medication into adulthood.
Question 2 of 5
During an interaction with the nurse, a client states, 'My husband has supported me every time I've been hospitalized for depression. He'll leave me this time. I'm an awful wife and mother. I'm no good. Nothing I do is right.' Based on this information, which of the following nursing diagnoses should the nurse identify when developing the client's plan of care?
Correct Answer: B
Rationale: The client's negative self-statements directly indicate chronic low self-esteem, a priority nursing diagnosis.
Question 3 of 5
A client with bipolar disorder, manic phase, is admitted to the unit. The nurse is developing a plan of care. Which of the following interventions is most appropriate to include in the plan?
Correct Answer: B
Rationale: A high-calorie diet with frequent snacks addresses increased energy expenditure in mania, supporting nutritional needs.
Question 4 of 5
A client with paranoid schizophrenia accuses staff of stealing. Which response is most therapeutic?
Correct Answer: C
Rationale: Checking belongings together addresses the accusation practically, reducing mistrust without confrontation.
Question 5 of 5
When administering antipsychotics to a client with paranoid schizophrenia, the nurse understands that the newer atypical antipsychotics, such as olanzapine (Zyprexa) and risperidone (Risperdal), are more effective than the older medications in treating the negative symptoms of schizophrenia because of which of the following?
Correct Answer: B
Rationale: Atypical antipsychotics like olanzapine and risperidone block both dopamine and serotonin receptors, which contributes to their effectiveness in treating negative symptoms, unlike older antipsychotics that primarily target dopamine.