NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
The client who has a history of using angry outbursts when frustrated begins to curse at the nurse during an appointment after being informed that she will have to wait to have her medication refilled. Which of the following responses by the nurse is most appropriate?
Correct Answer: C
Rationale: Saying 'I will not continue to talk with you if you curse' sets a clear boundary, addresses the inappropriate behavior, and maintains a therapeutic interaction without escalation.
Question 2 of 5
The nurse is planning an eating disorder protocol for hospitalized clients experiencing bulimia and anorexia. Which elements should be included in the protocol? Select all that apply.
Correct Answer: A,B,D
Rationale: These elements prevent hiding food, purging, or obsessing over weight, which are critical for treatment.
Question 3 of 5
A client with schizophrenia is started on lurasidone (Latuda). Which instruction is most important?
Correct Answer: A
Rationale: Lurasidone should be taken with food to enhance absorption, ensuring therapeutic effectiveness.
Question 4 of 5
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?
Correct Answer: A
Rationale: The cognitive-behavioral model focuses on substituting rational beliefs for self-defeating thoughts and behaviors, addressing cognitive distortions directly. Insight into unconscious conflicts is psychoanalytic, analyzing fears is less specific, and reducing bodily tensions is a secondary focus compared to cognitive change.
Question 5 of 5
A client with Alzheimer's disease forgets to eat meals. Which strategy should the nurse implement?
Correct Answer: C
Rationale: Finger foods in small, frequent portions are easier for the client to manage, encouraging nutrition without overwhelming them.