NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
Which of the following reactions to learning about a diagnosis of being HIV positive would put the client at the greatest need of intervention by the nurse?
Correct Answer: D
Rationale: Vague statements like finding a 'solution' may indicate suicidal intent, requiring immediate intervention.
Question 2 of 5
A client with schizophrenia is prescribed olanzapine (Zyprexa). Which dietary advice should the nurse provide?
Correct Answer: A
Rationale: Olanzapine can cause weight gain and metabolic issues, so limiting sugar and fat helps mitigate these risks.
Question 3 of 5
Arrangements are made for a member of the colostomy club to meet with a client before bowel surgery. Which of the following is accomplished by having a representative from the club visit the client?
Correct Answer: C
Rationale: The colostomy club representative provides support and realistic information, helping the client understand and adjust to the colostomy based on lived experience. Community resources are a secondary benefit, supporting the physician's plan is not the primary goal, and convincing about disfigurement may be unrealistic and less focused on practical coping.
Question 4 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 5 of 5
The client diagnosed with major depression and dependent personality disorder has made the decision to live independently in an apartment. The nurse and the client meet with his parents to discuss his decision. Which statement by the nurse is most helpful to foster the client's independence?
Correct Answer: B
Rationale: Stating 'All of you will gain from his independent living; he needs our support' promotes the client's independence while framing it as a positive step for the family, encouraging support without fostering dependency.