NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A client who experienced sleep disturbances, feelings of worthlessness, and an inability to concentrate for the past 3 months was fired from her job a month ago. The client tells the nurse, 'My boss was wonderful! He was understanding and a really nice man.' The nurse interprets the client's statement as representing the defense mechanism of reaction formation. Which of the following would be the best response by the nurse?
Correct Answer: B
Rationale: Encouraging the client to discuss difficulties at work may uncover underlying feelings masked by reaction formation.
Question 2 of 5
A client who has had three episodes of recurrent endogenous depression within the past 2 years states to the nurse, 'I want to know why I'm so depressed.' Which of the following statements by the nurse is most helpful?
Correct Answer: B
Rationale: Discussing possible reasons encourages exploration of triggers and fosters therapeutic engagement.
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 client is entering the alcohol treatment program for the fourth time in 5 years. Which of the following statements by the nurse will be most helpful to the client?
Correct Answer: D
Rationale: Saying 'The staff and I will help you through the program' is most helpful, as it offers support, fosters collaboration, and avoids judgment about past attempts.
Question 5 of 5
The nurse is developing a teaching plan for a group of middle school children about the drug 3,4-methylenedioxymethamphetamine (Ecstasy). What information should the nurse expect to include? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Ecstasy, similar to amphetamines, is used at raves, causes teeth grinding (hence pacifiers), and reduces self-consciousness.