NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A client who has been stabilized on medications for several months is at the clinic for a medication check. During a conversation with the nurse, the client suddenly jumps up, begins pacing, and wrings her hands. In what order should the nurse do the following interventions from first to last?
Correct Answer: C,D,A,B
Rationale: First, sharing observations helps the client recognize her anxiety behaviors. Asking about sources identifies triggers. Walking with the client reduces anxiety physically, and discussing solutions is most effective once anxiety is lowered.
Question 2 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 3 of 5
The client, a veteran of the Vietnam war who has posttraumatic stress disorder, tells the nurse about the horror and mass destruction of war. He states, 'I killed all of those people for nothing.' Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: Saying 'You did what you had to do at that time' is appropriate, as it validates the client's actions in the context of war, reducing guilt and supporting therapeutic dialogue.
Question 4 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 5 of 5
A client with Alzheimer's disease is apathetic. Which intervention should the nurse prioritize?
Correct Answer: A
Rationale: Encouraging simple activities stimulates engagement, addressing apathy without overwhelming the client.