NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client is admitted to the psychiatric hospital for evaluation after numerous incidents of threatening others, angry outbursts, and two episodes of hitting a coworker at the grocery store where he works. The client is very anxious and tells the nurse who admits him, 'I didn't mean to hit him. He made me so mad I didn't know what to do.' Which of the following is the priority nursing intervention?
Correct Answer: A
Rationale: Teaching anger management techniques is the priority to address the client's inability to control violent outbursts, providing tools to manage anger proactively. Anxiolytics may help anxiety but not the root issue, group therapy is secondary, and a no harm contract addresses safety but not skill-building.
Question 2 of 5
A client with bipolar disorder, manic phase, is admitted to the unit. The nurse is developing a plan of care. Which of the following interventions is most appropriate to include in the plan?
Correct Answer: B
Rationale: A high-calorie diet with frequent snacks addresses increased energy expenditure in mania, supporting nutritional needs.
Question 3 of 5
A client lives in a group home and visits the community mental health center regularly. During one visit with the nurse, the client states, 'The voices are telling me to hurt myself again.' Which of the following questions by the nurse is most important to ask?
Correct Answer: B
Rationale: Directly asking about intent to self-harm assesses immediate risk and guides intervention.
Question 4 of 5
When planning the care for a client who is being abused, which of the following measures is most important to include?
Correct Answer: D
Rationale: Helping the client develop a safety plan is the most important measure, as it directly addresses the immediate need to protect the client and her children from further harm.
Question 5 of 5
When working with a group of adult survivors of childhood sexual abuse, dealing with anger and rage is a major focus. Which strategy should the nurse expect to be successful? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Symbolic confrontation, journaling, and writing unsent letters are therapeutic strategies that help process anger safely. Direct confrontation is generally not recommended due to potential for re-traumatization.