NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
The client with an Axis I diagnosis of bipolar disorder, manic phase, states to the nurse, 'I'm the Queen of England. Bow before me.' The nurse interprets this statement as important to document as which of the following areas of the mental status examination?
Correct Answer: D
Rationale: Grandiose delusions, like claiming to be royalty, are documented under thought content.
Question 2 of 5
A client diagnosed with paranoid personality disorder is hospitalized for physically threatening his wife because he suspects her of having an affair with a coworker. Which of the following approaches should the nurse employ with this client?
Correct Answer: C
Rationale: A matter-of-fact approach is best for a client with paranoid personality disorder, as it is neutral, non-confrontational, and avoids escalating suspicion or defensiveness, fostering trust and communication.
Question 3 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 4 of 5
A client diagnosed with schizophrenia is brought to the hospital from a group home where he became agitated, threw a chair at another client, and has been refusing medication for 8 weeks. The client exhibits a flat affect, is not caring for his hygiene, and has become increasingly withdrawn and asocial. The physician orders treatment with risperidone (Risperdal) to improve the client's negative and positive symptoms of schizophrenia. When evaluating the drug's effectiveness on the client's negative symptoms, the nurse should expect improvement in which of the following?
Correct Answer: A
Rationale: Risperidone, an atypical antipsychotic, is effective for negative symptoms like apathy, lack of motivation, and asocial behavior, which are evident in the client's presentation.
Question 5 of 5
After teaching a group of students who are volunteering for a local crisis hotline, the nurse judges that further education about crisis and intervention is needed when a student states which of the following?
Correct Answer: C
Rationale: The statement that most people call daily for a year is incorrect, as crises are typically acute and short-term, and hotline use is not usually long-term. The other statements accurately reflect the purpose and benefits of crisis hotlines.