Questions 95

NCLEX-RN

Home > NCLEX-RN > RN Mental Health > Psychiatric NCLEX RN Questions
NCLEX-RN Test Bank

Psychiatric NCLEX RN Questions Questions

Extract:

The following scenario applies to the next 1 items
The nurse in the mental health clinic is caring for a 23-year-old female
Item 1 of 1
Nurses' Notes
1545 – Client presented to establish care with psychiatry and was recommended by a few of her professors to seek counseling regarding her attitude. She stated, "I just want to get checked out because they insist something is wrong, but I feel fine." The client did report that she has gone through a few breakups over the past year and states that "guys suck, all they want is to be with you for a short time, and then they leave you. I cannot handle it when someone leaves me." Since her most recent breakup, she reports hanging out with several guys and having indiscriminate sex but is "keeping her distance." The client reports obtaining psychiatric care one year ago but abandoned treatment because "the psychiatrist just didn't get me; he was totally awful." The client reports no psychiatric hospitalizations but two previous suicide attempts when she was a teenager using a butter knife, stating, "I wasn't trying to kill myself; I just wanted my parents to listen to me." On assessment, the client is alert, completely oriented, and has a mood described as "whatever" she appears somewhat hostile during the assessment, and her affect is labile, ranging from euthymic to angry at certain portions of the interview. She denies any hallucinations. She is dressed in normal attire; her hair is well-kept, and she has a slender appearance.


Question 1 of 5

The client is exhibiting manifestations consistent with............... personality disorder. The nurse should prioritize assessing the client for.................. When developing a plan of care for this client, it is strongly recommended that the nurse obtain a prescription for............

Correct Answer: A,C,G

Rationale: The client's labile affect, fear of abandonment, and history of suicide attempts suggest borderline personality disorder. Assessing for suicide risk and prescribing outpatient therapy (e.g., DBT) are priorities.

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:

Similar Questions

A client with schizophrenia is admitted after stopping medication. He exhibits disorganized speech and bizarre behavior. Which nursing diagnosis is most appropriate?
The nurse is assessing a client with opioid withdrawal. Which of the following would be an expected finding? Select all that apply.
A nurse is caring for a client admitted to the hospital for heroin detoxification. Which nursing intervention is most appropriate for addressing the client's withdrawal symptoms?
When integrating the concepts underlying the cognitive-behavioral model into a client's plan of care, the nurse should focus on which of the following areas?
A client who has been stabilized on medications for several months is at the clinic for a medication check. During a conversation with the nurse, the client suddenly jumps up, begins pacing, and wrings her hands. In what order should the nurse do the following interventions from first to last?

Access More Questions!

NCLEX RN Basic

$89/ 30 days

 

NCLEX RN Premium

$150/ 90 days