NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A client becomes increasingly morose and irritable after being told that she has cancer. She is rude to visitors and pushes nurses away when they attempt to give her medications and treatments. Which of the following should the nurse do when the client has a hostile outburst?
Correct Answer: B
Rationale: Encouraging the client to discuss her concerns and feelings helps address the underlying emotions driving her hostile outbursts, promoting coping. Positive reinforcement may not address the root cause, ignoring the outburst dismisses her feelings, and redirecting anger to staff is inappropriate.
Question 2 of 5
A client receiving dialysis directs profanities at the nurse and then abruptly hangs his head and pleads, 'Please forgive me. Something just came over me. Why do I say those things?' The nurse interprets this as which of the following?
Correct Answer: D
Rationale: The client's rapid shift from anger to remorse indicates emotional lability, characterized by unstable and unpredictable emotions. Neologism involves made-up words, confabulation is fabricating stories to fill memory gaps, and flight of ideas is rapid thought shifts, none of which fit this behavior.
Question 3 of 5
A client is being discharged after 3 days of hospitalization for a suicide attempt that followed the... [incomplete]. Which of the following should be included in the discharge plan?
Correct Answer: A
Rationale: Referral to outpatient mental health services is essential for ongoing support and monitoring post-suicide attempt, addressing the client's mental health needs. A higher dose of antidepressants requires careful consideration, avoiding stressors is unrealistic, and daily home visits may be excessive unless specifically indicated.
Question 4 of 5
Which of the following is the top priority for the client who is placed in restraints?
Correct Answer: A
Rationale: Monitoring every 15 minutes is the top priority to ensure the client's safety, assess for distress, and prevent complications from restraints. Nutrition, elimination, range-of-motion, and position changes are important but secondary to frequent monitoring.
Question 5 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
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.