NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse discusses the possibility of a client's attending day treatment for clients with Alzheimer's disease. Which of the following is the best rationale for encouraging day treatment?
Correct Answer: C
Rationale: Increased social interaction in day treatment helps reduce isolation and may slow cognitive decline in Alzheimer's, making it the primary therapeutic benefit.
Question 2 of 5
The nurse judges that a client is ready to be released from seclusion and restraints when the client demonstrates which of the following behaviors?
Correct Answer: D
Rationale: Showing signs of self-control indicates the client is no longer a danger, justifying release from seclusion/restraints. Sedation, reduced struggling, or stopping verbal outbursts do not necessarily confirm restored self-control.
Question 3 of 5
Which of the following statements by the nurse participating in a group confrontation of a coworker's most helpful in reducing the coworker's denial about alcohol being a problem?
Correct Answer: D
Rationale: Saying 'You have alcohol on your breath' is most helpful, as it provides concrete evidence of the problem, directly challenging denial in a factual manner.
Question 4 of 5
A pregnant client in her third trimester is started on chlorpromazine (Thorazine) 25 mg four times daily. Which of the following instructions is most important for the nurse to include in the client's teaching plan?
Correct Answer: B
Rationale: Chlorpromazine can cause photosensitivity, a significant risk during pregnancy, making sun protection critical to prevent skin damage, which is more immediate than the other options.
Question 5 of 5
A 12-year-old girl has been diagnosed with oppositional defiant disorder. She is observed by the nurse on the unit kissing two of the male clients. Given the client's developmental level and diagnosis, the nurse should respond in which of the following ways? Select all that apply.
Correct Answer: A,B
Rationale: These responses address the inappropriate behavior while providing education on appropriate boundaries, suitable for her diagnosis and age.