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NCLEX RN Psychiatric Questions Questions

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Question 1 of 5

Which of the following should the nurse use as the best measure to determine a client's progress in rehabilitation?

Correct Answer: B

Rationale: The number of drug-free days is the best measure, as it directly reflects sustained abstinence, a primary goal of rehabilitation.

Question 2 of 5

A client taking mirtazapine (Remeron) is disheartened about a 20 lb weight gain over the past 3 months. The client tells the nurse, 'I stopped taking my Remeron 15 days ago. I don't want to get depressed again, but I feel awful about my weight.' Which response by the nurse is most appropriate?

Correct Answer: D

Rationale: Acknowledging the client's distress and facilitating a discussion with the doctor supports collaborative care.

Question 3 of 5

A 15-year-old client diagnosed with PTSD is admitted to the unit after slicing both arms with a razor blade. He says, 'Maybe my mother will listen to me now. She tells me I'm just crazy when I say I'm screwed up because my step dad had sex with me for years.' The nurse should do the following in which order of priority first to last?

Order the Items

Source Container

Ask the client about the step dad possibly abusing younger children in the family.
Ask the client to be specific about what he means by 'screwed up.'
Ask the client to sign a No Harm Contract related to suicide and self-mutilation.
Ask the client to talk about appropriate ways to express anger toward his mother.

Correct Answer: C,B,D,A

Rationale: First ensure safety with a no-harm contract, then clarify feelings, discuss anger expression, and finally address potential abuse of others.

Question 4 of 5

A client with schizophrenia is started on paliperidone (Invega). Which laboratory test should the nurse monitor?

Correct Answer: C

Rationale: Paliperidone can increase the risk of metabolic syndrome, including elevated blood glucose, making monitoring blood glucose levels essential.

Question 5 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.

Similar Questions

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?
A child with Asperger's disorder is being referred to the mental health clinic along with his parents. To provide the best care for this family, the nurse makes a care plan based on the fact that this disorder differs from autism in which of the following areas?
A 28-year-old client with an Axis I diagnosis of major depression and an Axis II diagnosis of dependent personality disorder has been living at home with very supportive parents. The client is thinking about independent living on the recommendation of the treatment team. The client states to the nurse, 'I don't know if I can make it in an apartment without my parents.' The nurse should respond by saying to the client:
A client with schizophrenia is prescribed clozapine (Clozaril) 200 mg daily. Which of the following laboratory tests should the nurse monitor regularly?
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?

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