NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
Which of the following approaches is most appropriate to use with a client diagnosed with a narcissistic personality disorder when discrepancies exist between what the client states and what actually exists?
Correct Answer: B
Rationale: Supportive confrontation is most appropriate, as it gently addresses discrepancies in a non-threatening way, encouraging the client to reflect on reality while maintaining therapeutic rapport.
Question 2 of 5
A client with dementia repeatedly asks, 'Where's my wife?' What is the nurse's best response?
Correct Answer: C
Rationale: Reassuring the client of their safety while gently redirecting avoids distress caused by confronting the reality of the wife's death.
Question 3 of 5
A client is entering the alcohol treatment program for the fourth time in 5 years. Which of the following statements by the nurse will be most helpful to the client?
Correct Answer: D
Rationale: Saying 'The staff and I will help you through the program' is most helpful, as it offers support, fosters collaboration, and avoids judgment about past attempts.
Question 4 of 5
The physician orders valproic acid (Depakene) for a client with bipolar disorder who has achieved limited success with lithium carbonate (Lithane). Which of the following should the nurse include in the client's medication teaching plan?
Correct Answer: C
Rationale: Drowsiness and gastrointestinal upset are common side effects of valproic acid, requiring client education.
Question 5 of 5
When caring for the client diagnosed with delirium, which condition is the most important for the nurse to investigate?
Correct Answer: C
Rationale: Prescription drug intoxication is a common and reversible cause of delirium, making it critical to investigate to identify and correct the underlying issue.