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Psychiatric NCLEX RN Questions Questions

Extract:

The following scenario applies to the next 1 items
The nurse is caring for a client in the mental health unit experiencing psychosis

Item 1 of 1
Nurses’ Notes
1300 – Client was banging their food tray and shouting at other clients. De-escalated the situation by escorting the client back to their room. Once back to their room, the client kept shouting ‘they are after me!’ at the roommate. The client stopped the shouting but resumed several minutes later. The client refused the scheduled by-mouth (PO) olanzapine, stating, ‘they don’t want me to take that.’

Medications
Olanzapine 10 mg PO Daily

Medical History
• Schizophrenia
• Vitamin D deficiency
• Hyperlipidemia


Question 1 of 5

Select two (2) actions the nurse should take

Correct Answer: D,F

Rationale: Asking about hallucinations assesses the client's psychosis, and a private room reduces stimuli and conflict, promoting safety and de-escalation.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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