NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
The mother of a school-aged child tells the nurse that, 'For most of the past year my husband was unemployed and I worked a second job. Twice during the ... he was the school ... he refused to obey. It has not happened again. Our family is back to normal.' After assessing the family, the nurse decides that the child is still at risk for abuse. Which of the following observations best supports this conclusion?
Correct Answer: D
Rationale: Wearing long sleeves and pants in warm weather may indicate the child is hiding bruises or marks, a common sign of abuse.
Question 2 of 5
Which of the following observations by the nurse should suggest that a 15-month-old toddler has been abused?
Correct Answer: C
Rationale: Underdevelopment for age can indicate neglect or abuse, as it may reflect inadequate care or chronic stress.
Question 3 of 5
A client is complaining about blurred vision after 4 days of taking haloperidol (Haldol), benztropine (Cogentin), quetiapine (Seroquel), and buspirone (Buspar). Which of the following medications should the nurse suspect as the most likely cause of this adverse effect?
Correct Answer: D
Rationale: Benztropine, an anticholinergic, is most likely to cause blurred vision due to its effects on the eyes (e.g., mydriasis and cycloplegia), a common side effect of this medication class.
Question 4 of 5
The nursing assistant tells the nurse that the client is sick and is not coming to the dining room for lunch. The nurse should direct the nursing assistant to do which of the following?
Correct Answer: C
Rationale: Inviting and accompanying the client to lunch encourages socialization and participation, addressing potential avoidance behaviors in somatoform disorders.
Question 5 of 5
A client is being discharged after 3 days of hospitalization for a suicide attempt that followed the... [incomplete]. Which of the following should be included in the discharge plan?
Correct Answer: A
Rationale: Referral to outpatient mental health services is essential for ongoing support and monitoring post-suicide attempt, addressing the client's mental health needs. A higher dose of antidepressants requires careful consideration, avoiding stressors is unrealistic, and daily home visits may be excessive unless specifically indicated.