NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client states that she hears God's voice telling her that she has sinned and needs to punish herself? Which response by the nurse is most important?
Correct Answer: B
Rationale: Instructing the client to inform staff when she feels the need to punish herself prioritizes safety, as it helps prevent self-harm, which is a critical concern with command hallucinations.
Question 2 of 5
While caring for a client who has a dual diagnosis of bipolar disorder and alcohol dependency, which of the following areas is the priority for daily assessment?
Correct Answer: B
Rationale: Mental status is the priority, as it encompasses mood, cognition, and behavior, critical for monitoring stability in bipolar disorder and alcohol dependency.
Question 3 of 5
A client with schizophrenia is socially withdrawn. Which intervention is most likely to improve social engagement?
Correct Answer: B
Rationale: One-on-one interactions are less overwhelming and help build trust, gradually improving the client's social engagement.
Question 4 of 5
A client with depression who is taking doxepin (Sinequan) 100 mg P.O. at bedtime has dizziness on arising. Which of the following suggestions is most appropriate?
Correct Answer: B
Rationale: Orthostatic hypotension is a side effect of doxepin; rising slowly minimizes dizziness and fall risk.
Question 5 of 5
A client who is newly diagnosed with paranoid schizophrenia tells the nurse, 'The aliens are telling me that I'm defective and need to be eliminated.' Which of the following responses by the nurse is most appropriate initially?
Correct Answer: A
Rationale: Acknowledging the reality of the voices for the client while gently stating the nurse's perspective builds trust without challenging the delusion, making it the most therapeutic initial response.