NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
A client on a crisis hotline says, 'My partner left me, and I feel like giving up.' Which response by the nurse is most therapeutic?
Correct Answer: B
Rationale: Asking what 'giving up' means clarifies the client's intent, assessing for suicidal ideation or other risks while fostering communication. Reassurance, counseling suggestions, or normalizing feelings are less immediate without understanding the client's state.
Question 2 of 5
A client with dementia is at risk for falls. Which intervention should the nurse prioritize?
Correct Answer: B
Rationale: Bed alarms and clear pathways address fall risks directly, promoting safety without restricting mobility or overmedicating.
Question 3 of 5
The client with acute mania is prescribed 600 mg of lithium (lithium carbonate) P.O. three times per day. The physician also orders 5 mg of haloperidol (Haldol) P.O. at bedtime. Which action should the nurse take?
Correct Answer: A
Rationale: The combination of lithium and haloperidol is appropriate for acute mania to stabilize mood and reduce agitation.
Question 4 of 5
During a group session, a client who is depressed tells the group that he lost his job. Which of the following responses by the nurse is best?
Correct Answer: A
Rationale: Acknowledging the emotional impact validates the client's feelings and fosters therapeutic rapport.
Question 5 of 5
A client with suspected abuse describes her husband as a good man who works hard and provides well for his family. She does not work outside the home and states that she is proud to be a wife and mother will be taken to the client. The nurse interprets the family pattern described by the client as best illustrating which of the following as characteristic of abusive families?
Correct Answer: C
Rationale: Role stereotyping is characteristic, as the client's description suggests rigid gender roles (e.g., husband as provider, wife as homemaker), which are often present in abusive family dynamics.