NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A client newly diagnosed with bulimia is attending the nurse-led group at the mental health center. She tells the group that she came only because her husband said he would divorce her if she didn't get help. Which of the following responses by the nurse is most appropriate?
Correct Answer: C
Rationale: This response encourages the client to explore her feelings and motivations, fostering engagement in treatment.
Question 2 of 5
The nurse is teaching unlicensed staff about caring for the client with alcohol dependency. Which of the following statements by the staff indicates the need for additional teaching?
Correct Answer: B
Rationale: Saying the client is weak and could stop if desired indicates a need for teaching, as it reflects a misunderstanding of alcohol dependency as a disease, not a lack of willpower.
Question 3 of 5
A client with dementia repeatedly asks, 'Where's my wife?' What is the nurse's best response?
Correct Answer: C
Rationale: Reassuring the client of their safety while gently redirecting avoids distress caused by confronting the reality of the wife's death.
Question 4 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.
Question 5 of 5
A client who is suspicious of others including staff is brought to the hospital wearing a wrinkled dress with stains on the front. Assessment also reveals a flat affect, confusion and slow movements. Which goal should the nurse identify as the initial priority in the client's way?
Correct Answer: A
Rationale: Establishing safety and acceptance is the priority for a suspicious client, as it builds trust and reduces paranoia, which is essential before addressing other needs like hygiene or socialization.