NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
The physician refers a client diagnosed with somatization disorder to the outpatient clinic because of problems with nausea. The client's past symptoms involved back pain, chest pain, and problems with urination. The client tells the nurse that the nausea began when his wife asked him for a divorce. Which of the following is most appropriate?
Correct Answer: B
Rationale: Directing the client to describe feelings about the divorce is most appropriate, as somatization disorder often reflects emotional distress, and addressing underlying stressors is key.
Question 2 of 5
As a client's level of anxiety increases to a debilitating degree, the nurse should expect which of the following as a psychomotor behavior indicating a panic level of anxiety?
Correct Answer: A
Rationale: At a panic level of anxiety, psychomotor behaviors may include extreme actions such as suicide attempts or violence due to the client's inability to cope. Desperation and rage are emotional responses, disorganized reasoning is cognitive, and loss of contact with reality is a perceptual issue, none of which are primarily psychomotor behaviors.
Question 3 of 5
When working with a group of adult survivors of childhood sexual abuse, dealing with anger and rage is a major focus. Which strategy should the nurse expect to be successful? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Symbolic confrontation, journaling, and writing unsent letters are therapeutic strategies that help process anger safely. Direct confrontation is generally not recommended due to potential for re-traumatization.
Question 4 of 5
The client diagnosed with severe major depression has been taking Lexapro 10 mg daily for 2 weeks. Using nursing process methodology, which of the following parameters should the nurse monitor most closely at this time?
Correct Answer: A
Rationale: Suicidal ideation must be closely monitored, especially early in antidepressant therapy, due to increased risk.
Question 5 of 5
A client experiencing a manic episode has been talking loudly, pacing the unit and trying to draw other clients into debates about the value of self-determination. Arrange in order the steps a nurse should take to help calm this client.
Order the Items
Source Container
Correct Answer: C, B, A, D
Rationale: First reduce stimuli, then discuss feelings, administer medication if needed, and teach coping strategies.