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NCLEX RN Questions on Psychiatric Nursing Questions

Extract:


Question 1 of 5

The client with histrionic personality disorder is melodramatic and responds to others and situations in an exaggerated manner. The nurse should recommend which of the following activities for this client?

Correct Answer: C

Rationale: A cooking class is appropriate, as it provides a structured, non-dramatic activity that encourages focus and skill-building, helping to reduce exaggerated responses.

Question 2 of 5

The client with acute mania is prescribed 600 mg of lithium (lithium carbonate) P.O. three times per day. The physician also orders 5 mg of haloperidol (Haldol) P.O. at bedtime. Which action should the nurse take?

Correct Answer: A

Rationale: The combination of lithium and haloperidol is appropriate for acute mania to stabilize mood and reduce agitation.

Question 3 of 5

A client with schizophrenia states, 'The government is spying on me through my TV.' Which of the following responses by the nurse is most therapeutic?

Correct Answer: B

Rationale: Acknowledging the client's belief without agreeing and focusing on reality is therapeutic and non-confrontational.

Question 4 of 5

A client diagnosed with bulimia tells the nurse she only eats excessively when upset with her best friend, and then she vomits to avoid gaining a lot of weight. The nurse should next:

Correct Answer: C

Rationale: Working to limit purging addresses the harmful behavior directly while therapy can explore the emotional trigger.

Question 5 of 5

When caring for a client who was a victim of a crime, the nurse is aware that recovery from any crime can be a long and difficult process depending on the meaning it has for the client. Which of the following should the nurse do?

Correct Answer: A

Rationale: Assessing the client's emotional response helps tailor interventions to their specific needs, supporting psychological recovery from trauma.

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The nurse identifies a nursing diagnosis of Dressing or grooming self-care deficit related to apathy, as evidenced by an inability to shower and dress herself for a female client diagnosed with schizophrenia. When planning care for this client, which of the following outcomes should the nurse expect the client to meet in a specified number of days?
A client with a long history of paranoid schizophrenia is readmitted voluntarily after missing his last two injections of haloperidol decanoate (Haldol Decanoate). He reports, 'I'm not sleeping much and my friend says I smell from not showering. God is telling me to protect myself from others. My parents are sick and tired of me and my illness. They wish I were dead.' Which of the following admission notes by the nurse contains assumptions and potentially false accusations? Select all that apply.

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