NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
Which of the following measures should the nurse include in the plan of care for a client with alcohol withdrawal delirium?
Correct Answer: C
Rationale: Remaining with the client when confused or disoriented is appropriate, as it ensures safety, provides reassurance, and reduces agitation during delirium.
Question 2 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 3 of 5
In addition to developing over a period of hours or days, the nurse should assess delirium as distinguishable by which of the following characteristics?
Correct Answer: A
Rationale: Fluctuating disturbances in cognition and consciousness are hallmark features of delirium, distinguishing it from other conditions like dementia or agnosia.
Question 4 of 5
A client with schizophrenia states, 'The government is spying on me through my TV.' Which of the following responses by the nurse is most therapeutic?
Correct Answer: B
Rationale: Acknowledging the client's belief without agreeing and focusing on reality is therapeutic and non-confrontational.
Question 5 of 5
The client in the early stage of Alzheimer's disease and his adult son attend an appointment at the community mental health center. While conversing with the nurse, the son states, 'I'm tired of hearing about how things were 30 years ago. Why does Dad always talk about the past?' The nurse should tell the son:
Correct Answer: A
Rationale: In early Alzheimer's, short-term memory is impaired, but long-term memory remains intact, explaining the client's focus on past events.