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NCLEX RN Psychiatric Questions Questions

Extract:


Question 1 of 5

Which of the following is the top priority for the client who is placed in restraints?

Correct Answer: A

Rationale: Monitoring every 15 minutes is the top priority to ensure the client's safety, assess for distress, and prevent complications from restraints. Nutrition, elimination, range-of-motion, and position changes are important but secondary to frequent monitoring.

Question 2 of 5

A client reports having blurred vision after 4 days of taking haloperidol (Haldol) 1 mg BID, and benztropine (Cogentin) 2 mg BID. The nurse contacts the physician to explain the situation, background, and the patient's disease, which information reported to the physician is the assessment of the situation?

Correct Answer: C

Rationale: Reporting the client's symptom (blurred vision since this morning) provides the physician with the specific assessment data needed to evaluate the situation.

Question 3 of 5

A client who is suspicious of others including staff is brought to the hospital wearing a wrinkled dress with stains on the front. Assessment also reveals a flat affect, confusion and slow movements. Which goal should the nurse identify as the initial priority in the client's way?

Correct Answer: A

Rationale: Establishing safety and acceptance is the priority for a suspicious client, as it builds trust and reduces paranoia, which is essential before addressing other needs like hygiene or socialization.

Question 4 of 5

A client with a cocaine dependency is irritable, anxious, highly sensitive to stimuli, and overreactive to clients and staff on the unit. Which of the following actions is most therapeutic for this client?

Correct Answer: C

Rationale: Providing frequent time-outs is therapeutic, as it allows the client to de-escalate in a low-stimulus environment, managing irritability and sensitivity.

Question 5 of 5

The wife of a client with bipolar disorder, manic phase, states to the nurse, 'He's acting so crazy. What did he do to get this way?' The nurse bases the response on the understanding of which of the following about this disorder?

Correct Answer: C

Rationale: Bipolar disorder is primarily due to neurotransmitter imbalances, though genetics may contribute.

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