NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
The client diagnosed with severe major depression has been taking Lexapro 10 mg daily for 2 weeks. Using nursing process methodology, which of the following parameters should the nurse monitor most closely at this time?
Correct Answer: A
Rationale: Suicidal ideation must be closely monitored, especially early in antidepressant therapy, due to increased risk.
Question 2 of 5
The parents of a 20-year-old female client diagnosed with paranoid schizophrenia admitted 4 days ago are attending a family psychoeducation group in the hospital. Which of the following statements by the mother indicates that she understands her daughter's illness and management?
Correct Answer: B
Rationale: Understanding that basic tasks like getting out of bed and showering may be challenging reflects accurate knowledge of the negative symptoms of schizophrenia and their impact on daily functioning.
Question 3 of 5
When assessing an aggressive client, which of the following behaviors warrants the nurse's prompt reporting and use of safety precautions?
Correct Answer: D
Rationale: Naming another client as an adversary indicates a potential threat, requiring prompt reporting and safety measures to prevent harm.
Question 4 of 5
The expected outcome for using thiamine for a client being treated for an alcohol addiction is to:
Correct Answer: A
Rationale: Thiamine is used to prevent Wernicke's encephalopathy, a serious neurological condition caused by thiamine deficiency common in chronic alcohol use.
Question 5 of 5
Which of the following statements by the nurse participating in a group confrontation of a coworker's most helpful in reducing the coworker's denial about alcohol being a problem?
Correct Answer: D
Rationale: Saying 'You have alcohol on your breath' is most helpful, as it provides concrete evidence of the problem, directly challenging denial in a factual manner.