NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
A 3-year-old child with a history of being abused has blood drawn. The child lies very still and makes no sound during the procedure. Which of the following comments by the nurse would be most appropriate?
Correct Answer: A
Rationale: This comment validates the child's feelings and encourages emotional expression, which is important for a child with a history of abuse.
Question 2 of 5
A client is brought to the emergency department by his brother. The client is perspiring profusely, breathing rapidly, and complaining of dizziness and palpitations. Problems of a cardiovascular nature are ruled out and the diagnosis is tentatively listed as a panic attack. After the symptoms pass, the client states, 'I thought I was going to die.' Which of the following responses by the nurse is best?
Correct Answer: A
Rationale: Saying 'It was very frightening for you' is best, as it validates the client's experience, builds rapport, and encourages further discussion of the panic attack.
Question 3 of 5
A client with acute mania is to receive lithium carbonate 600 mg P.O. three times daily and 2 mg of haloperidol (Haldol) P.O. at bedtime. The nurse should:
Correct Answer: D
Rationale: The ordered doses of lithium and haloperidol are appropriate for managing acute mania.
Question 4 of 5
A 13-year-old junior high school student has come to the school nurse, stating that her father has physically abused her for 3 years. Initially, the client is a lot of the house, thinking it was because her father had been laid off, but the abuse continued after he got a job 4 months ago. She fears that her mother will not believe her and her father will reject her if they discover she has revealed the abuse. The nurse should first:
Correct Answer: D
Rationale: Reporting to Child Protective Services is the legal and ethical priority to ensure the child's safety.
Question 5 of 5
A client was admitted after making a suicidal gesture in a police car. He is diagnosed with Antisocial Personality Disorder and has been stealing equipment from his work. He states, 'It's not a big deal. My boss can afford a few missing pieces. He picks on me anyway.' Which of the following is the most appropriate response by the nurse?
Correct Answer: B
Rationale: Stating 'Stealing is a crime regardless of the reason' addresses the client's minimization of his actions directly and reinforces accountability, which is important for someone with antisocial personality disorder.