NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
A 17-year-old client who has been taking an antidepressant for 6 weeks has returned to the clinic for a medication check. When the nurse talks with the client and her mother, the mother reports that she has to remind the client to take her antidepressant every day. The client says, 'Yeah, I'm pretty bad about remembering to take my meds, but I never miss a dose because Mom always bugs me about taking it.' Which of the following responses would be effective for the nurse to make to the client?
Correct Answer: B
Rationale: Addressing the client's responsibility encourages independence and prepares her for future self-management.
Question 2 of 5
A client with Alzheimer's disease is hoarding objects. What should the nurse do?
Correct Answer: B
Rationale: Allowing a few safe items satisfies the client's need to hoard while ensuring safety, reducing distress.
Question 3 of 5
The nurse incorporates the underlying premise of crisis intervention, about providing 'the right kind of help at the right time,' to achieve which of the following goals initially?
Correct Answer: A
Rationale: The initial goal of crisis intervention is regaining emotional security and equilibrium to stabilize the client. Resolving underlying problems, developing insight, and building support systems are secondary goals addressed after stabilization.
Question 4 of 5
The client with Alzheimer's disease may have delusions about being harmed by staff and others. When the client expresses fear of being killed by staff, which of the following responses is most appropriate?
Correct Answer: C
Rationale: Reorienting the client to the hospital setting and the nurse's role as helpers gently counters the delusion without confrontation, promoting trust and safety.
Question 5 of 5
After being discharged from the hospital with acute stress disorder, a client is referred to the outpatient clinic for follow-up. Which of the following is most important for the client to use for continued alleviation of anxiety?
Correct Answer: C
Rationale: Using adaptive and palliative methods is most important, as they provide practical tools to manage anxiety, promoting long-term coping.