NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
Which of the following observations by the nurse should suggest that a 15-month-old toddler has been abused?
Correct Answer: C
Rationale: Underdevelopment for age can indicate neglect or abuse, as it may reflect inadequate care or chronic stress.
Question 2 of 5
A client is brought to the hospital by police and admitted involuntarily. She is diagnosed as having bipolar disorder, manic phase. The physician orders lithium carbonate. The client refuses her morning dose of lithium. The nurse should next:
Correct Answer: C
Rationale: Clients retain the right to refuse medication unless deemed incompetent or an immediate danger, requiring legal processes.
Question 3 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.
Question 4 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 5 of 5
The nursing assistant tells the nurse that the client is sick and is not coming to the dining room for lunch. The nurse should direct the nursing assistant to do which of the following?
Correct Answer: C
Rationale: Inviting and accompanying the client to lunch encourages socialization and participation, addressing potential avoidance behaviors in somatoform disorders.