Questions 95

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NCLEX RN Psychiatric Questions Questions

Extract:


Question 1 of 5

A 21-year-old female was arrested on charges of solicitation. Jail staff asked for a mental health evaluation when the woman used a fork to stab herself. She also had an episode of rage after waking up from a nightmare and screamed repeatedly to 'let her out of the locked room.' After she was admitted to the psychiatric unit, she admitted to being kidnapped and held from ages 8 to 16 by a convicted child pornographer. She said she never contacted her family after her release from captivity. The nurse should do the following in what order of priority from first to last?

Order the Items

Source Container

Initiate suicide precautions and a no harm contract.
Ask the client if she wishes to contact her family while hospitalized.
Offer empathy and support and be non-judgmental and honest with her.
Encourage safe verbalizations of her emotions, especially anger.

Correct Answer: A,C,B,D

Rationale: The nurse should prioritize: 1) Suicide precautions and no harm contract (
A) due to self-harm; 2) Offer empathy and support (
C) to build trust; 3) Ask about contacting family (
B) to explore reconnection; 4) Encourage verbalizing emotions (
D) to process trauma.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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Similar Questions

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 is entering the alcohol treatment program for the fourth time in 5 years. Which of the following statements by the nurse will be most helpful to the client?
The nurse recognizes which psychotherapy is most effective for individuals with borderline personality disorder (BPD)?
A client with Alzheimer's disease is apathetic. Which intervention should the nurse prioritize?
The nurse is caring for a client who reports a sexual assault. Which actions should the nurse take? Select all that apply.

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