NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 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?
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 2 of 5
The nurse leading a group session for parents of children diagnosed with oppositional defiant disorder. The nurse should give which of the following recommendations for discipline?
Correct Answer: B
Rationale: Consistent discipline with positive expression strategies is effective for managing oppositional defiant disorder.
Question 3 of 5
A client admitted for assaulting a neighbor says, 'I didn't mean to hurt him.' Which nursing intervention is the priority?
Correct Answer: A
Rationale: Teaching conflict resolution skills addresses the client's violent behavior by providing tools to manage disputes nonviolently. Medication, a no harm contract, or support groups are secondary without first building skills to prevent recurrence.
Question 4 of 5
When caring for the client diagnosed with delirium, which condition is the most important for the nurse to investigate?
Correct Answer: C
Rationale: Prescription drug intoxication is a common and reversible cause of delirium, making it critical to investigate to identify and correct the underlying issue.
Question 5 of 5
The nurse is developing a teaching plan for a group of middle school children about the drug 3,4-methylenedioxymethamphetamine (Ecstasy). What information should the nurse expect to include? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Ecstasy, similar to amphetamines, is used at raves, causes teeth grinding (hence pacifiers), and reduces self-consciousness.