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NCLEX RN· RN Mental Health · Psychiatric NCLEX RN Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client with paranoid schizophrenia accuses staff of stealing. Which response is most therapeutic?

A. Can you tell me what was taken?'
B. No one here would steal from you.'
C. Let's check your belongings together.'
D. I understand you're upset.'

Expert Explanatory Rationale

Correct Answer: Let's check your belongings together.'

Question 2 of 5

When administering antipsychotics to a client with paranoid schizophrenia, the nurse understands that the newer atypical antipsychotics, such as olanzapine (Zyprexa) and risperidone (Risperdal), are more effective than the older medications in treating the negative symptoms of schizophrenia because of which of the following?

A. Serotonin and gamma-aminobutyric acid (GABA) levels are not affected.
B. Dopamine and serotonin receptors are blocked.
C. GABA and norepinephrine levels are increased.
D. Norepinephrine and dopamine receptors are blocked.

Expert Explanatory Rationale

Correct Answer: Dopamine and serotonin receptors are blocked.

Question 3 of 5

The emergency department (ED) nurse triages a client experiencing a panic attack. The client reports nausea, chest discomfort, and a feeling of impending doom. The nurse should plan to take which priority action based on the client's symptoms?

A. Assess the client for suicide
B. Obtain a 12-lead electrocardiogram (ECG)
C. Develop a therapeutic rapport with the client
D. Inquire about the precipitating event

Expert Explanatory Rationale

Correct Answer: Obtain a 12-lead electrocardiogram (ECG)

Question 4 of 5

The client exhibits a flat affect, psychomotor retardation, and depressed mood. The nurse attempts to engage the client in an interaction but the client does not respond to the nurse. Which response by the nurse is most appropriate?

A. I'll sit here with you for 15 minutes.'
B. I'll come back a little bit later to talk.'
C. I'll find someone else for you to talk with.'
D. I'll get you something to read.'

Expert Explanatory Rationale

Correct Answer: I'll sit here with you for 15 minutes.'

Question 5 of 5

The nurse is caring for a client with a history of aggressive and violent behavior. When caring for this client, the nurse should initially take which action?

A. Restrain the client
B. Place the client in seclusion
C. Get an order for a sedating medication
D. Establish trust with the client

Expert Explanatory Rationale

Correct Answer: Establish trust with the client

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