NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
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?
Correct Answer: D
Rationale: The outcome of performing showering and dressing addresses the self-care deficit directly, focusing on functional improvement, which is the goal of the nursing diagnosis.
Question 2 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 3 of 5
A nurse is reviewing incident reports on a psychiatric unit and notes an increase in client falls. Which of the following should be the nurse's first action to address this issue?
Correct Answer: B
Rationale: Implementing a fall risk assessment protocol is the first step to identify at-risk clients and prevent falls, addressing the root cause. Increasing staff, training on restraints, or adding lighting are secondary and less directly tied to fall prevention without initial assessment.
Question 4 of 5
Arrangements are made for a member of the colostomy club to meet with a client before bowel surgery. Which of the following is accomplished by having a representative from the club visit the client?
Correct Answer: C
Rationale: The colostomy club representative provides support and realistic information, helping the client understand and adjust to the colostomy based on lived experience. Community resources are a secondary benefit, supporting the physician's plan is not the primary goal, and convincing about disfigurement may be unrealistic and less focused on practical coping.
Question 5 of 5
A client on clozapine (Clozaril) reports fever and sore throat. What should the nurse do first?
Correct Answer: B
Rationale: Fever and sore throat may indicate agranulocytosis, a serious side effect of clozapine, requiring immediate physician notification to assess and manage the risk.