NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 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.
Question 2 of 5
Which of the following amounts of medications is appropriate for a client who is being treated with imipramine (Tofranil) on an outpatient basis for recurring depression and suicidal ideation to have at one time?
Correct Answer: D
Rationale: A 7-day supply minimizes the risk of overdose in a suicidal client.
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A client with schizophrenia is socially withdrawn.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 awaiting a biopsy result appears anxious and restless. Which approach should the nurse use to support the client?
Correct Answer: B
Rationale: Asking the client to describe their fears promotes expression of emotions, reducing anxiety through therapeutic communication. Distraction, statistical reassurance, or spiritual referral may not address the client's specific concerns.
Question 5 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.