NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
A 15-year-old girl is sent to the school nurse with complaints of dizziness and nausea. While assessing the girl, who denies any health problems, the nurse smells alcohol on her breath. Which of the following responses by the nurse is most appropriate?
Correct Answer: C
Rationale: This response gathers information non-judgmentally, allowing the nurse to assess the situation further.
Question 2 of 5
A client is entering the chemical dependency unit for treatment of alcohol dependency. Which of the client's possessions should the nurse place in a locked area?
Correct Answer: D
Rationale: Antiseptic mouthwash should be locked, as it often contains alcohol, which could be misused by a client with alcohol dependency, posing a risk to recovery.
Question 3 of 5
A client on a crisis hotline says, 'My partner left me, and I feel like giving up.' Which response by the nurse is most therapeutic?
Correct Answer: B
Rationale: Asking what 'giving up' means clarifies the client's intent, assessing for suicidal ideation or other risks while fostering communication. Reassurance, counseling suggestions, or normalizing feelings are less immediate without understanding the client's state.
Question 4 of 5
When developing the plan of care for a client diagnosed with a personality disorder, the nurse plans to assist the client primarily with which of the following?
Correct Answer: A
Rationale: Focusing on specific dysfunctional behaviors is primary because personality disorders are characterized by maladaptive patterns of behavior. Addressing these behaviors through targeted interventions helps improve functioning and relationships.
Question 5 of 5
The client in the early stage of Alzheimer's disease and his adult son attend an appointment at the community mental health center. While conversing with the nurse, the son states, 'I'm tired of hearing about how things were 30 years ago. Why does Dad always talk about the past?' The nurse should tell the son:
Correct Answer: A
Rationale: In early Alzheimer's, short-term memory is impaired, but long-term memory remains intact, explaining the client's focus on past events.