NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 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 2 of 5
A client with schizophrenia completes a self-care task independently. Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: Praising the achievement and encouraging further tasks reinforces independence and builds confidence.
Question 3 of 5
When conducting a mental status examination with a newly admitted client who has an Axis I diagnosis of paranoid schizophrenia, the client states, 'I'm being followed; it's not safe. They're monitoring my every move.' In which of the following areas of the mental status examination should be the mental status examined.
Correct Answer: A
Rationale: The client's statement reflects paranoid delusions, which are assessed under thought content in a mental status examination, as this area evaluates the presence of delusions or hallucinations.
Question 4 of 5
The client with Alzheimer's disease may have delusions about being harmed by staff and others. When the client expresses fear of being killed by staff, which of the following responses is most appropriate?
Correct Answer: C
Rationale: Reorienting the client to the hospital setting and the nurse's role as helpers gently counters the delusion without confrontation, promoting trust and safety.
Question 5 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.