NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client awaiting a biopsy result appears anxious and restless. Which approach should the nurse use to support the client?
Correct Answer: B
Rationale: Asking the client to describe their fears promotes expression of emotions, reducing anxiety through therapeutic communication. Distraction, statistical reassurance, or spiritual referral may not address the client's specific concerns.
Question 2 of 5
A client in an anger management group says, 'I get mad, but I don't want to hurt anyone.' Which goal should the nurse prioritize for this client?
Correct Answer: B
Rationale: Identifying early signs of anger escalation helps the client intervene before losing control, preventing harm. Exercise is a coping strategy, suppression is unhealthy, and leaving situations is less proactive than early intervention.
Question 3 of 5
A nurse is reviewing a client's chart and notes incomplete documentation of a restraint episode. Which action should the nurse take first?
Correct Answer: B
Rationale: Reporting to the nurse manager ensures oversight and correction of documentation errors, maintaining safety and compliance. Completing documentation risks inaccuracy, protocol review is secondary, and client interviews are inappropriate for this issue.
Question 4 of 5
A third-grade child is referred to the mental health clinic by the school nurse because he is fearful, anxious, and socially isolated. After meeting with the client, the nurse talks with his mother, who says, 'It's that school nurse again. She's done nothing but try to make trouble for our family since my son started school. And now you're in on it.' The nurse should respond by saying:
Correct Answer: D
Rationale: This response de-escalates the situation by providing information and inviting the mother to share her concerns, fostering collaboration.
Question 5 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.