NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client demonstrates moderate anxiety regarding a pending medical procedure. The nurse should do which of the following to minimize the client's anxiety about the procedure?
Correct Answer: B
Rationale: A short explanation followed by quick completion of the procedure minimizes anxiety. The client may be fearful of pain, and assuring him that there will be no pain offers false reassurance. A demonstration may cause increased anxiety. Informing the client that it is normal normalizes anxiety and puts the client more at ease, but it is not the most reassuring approach.
Question 2 of 5
Which client statement indicates that the client has coped effectively with a relationship problem?
Correct Answer: D
Rationale: The statement 'We are really listening to each other about our different view on issues' indicates effective coping through mutual communication and understanding, key components of resolving relationship problems. The other statements suggest partial progress but do not fully demonstrate effective coping through active listening and collaboration.
Question 3 of 5
Which of the following is a crucial goal of therapeutic communication when helping the client deal with the personal issues and painful feelings?
Correct Answer: B
Rationale: Conveying respect and acceptance, even if behaviors are not tolerated, fosters a therapeutic relationship that supports the client in addressing personal issues. Empathy through touch is situational, mutual sharing is inappropriate, and total confidentiality cannot be guaranteed due to legal exceptions.
Question 4 of 5
The client with kidney stones refuses to eat lunch and rudely tells the nurse to get out of his room. Which of the following responses by the nurse is appropriate?
Correct Answer: D
Rationale: Asking what is upsetting the client acknowledges his anger and invites him to express underlying concerns, promoting therapeutic communication. The other responses either dismiss his feelings, assume pain, or fail to engage with the emotional issue.
Question 5 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.