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Psychiatric NCLEX RN Questions Questions

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Question 1 of 5

When administering antipsychotics to a client with paranoid schizophrenia, the nurse understands that the newer atypical antipsychotics, such as olanzapine (Zyprexa) and risperidone (Risperdal), are more effective than the older medications in treating the negative symptoms of schizophrenia because of which of the following?

Correct Answer: B

Rationale: Atypical antipsychotics like olanzapine and risperidone block both dopamine and serotonin receptors, which contributes to their effectiveness in treating negative symptoms, unlike older antipsychotics that primarily target dopamine.

Question 2 of 5

The nurse is developing a long term care plan for an outpatient client diagnosed with Dissociative Identity Disorder. Which of the following should be included in this plan? Select all that apply.

Correct Answer: A,C,D,E

Rationale: Include managing emotions, identifying crisis resources, facilitating alter communication, and integrating memories. No medication eliminates dissociation, and process-oriented groups may not suit all.

Question 3 of 5

A client is diagnosed with Generalized Anxiety Disorder (GAD) and given a prescription for venlafaxine (Effexor). Which of the following information should be included in the teaching plan for this client? Select all that apply.

Correct Answer: A, B, D, E

Rationale: Include: Anxiety reduction strategies (
A), benefits and mechanisms of Effexor (
B), side effect management (
D), and adaptive coping strategies (E). Effexor won't eliminate anxiety (
C), and effects take weeks, not days (F).

Question 4 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 5 of 5

When developing the plan of care for a client with suicidal ideation, developing goals to address which of the following is a priority?

Correct Answer: D

Rationale: Safety is the priority to prevent self-harm in a client with suicidal ideation.

Similar Questions

The nurse judges that a client is ready to be released from seclusion and restraints when the client demonstrates which of the following behaviors?
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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?
Which of the following is an accurate response when a client asks the nurse about requirements to become a member of Alcoholics Anonymous (AA)?
A client in the emergency department is diagnosed as having amphetamine psychosis. The nurse should take all of the following actions in which order of priority from first to last?

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