NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client who is suspicious of others including staff is brought to the hospital wearing a wrinkled dress with stains on the front. Assessment also reveals a flat affect, confusion and slow movements. Which goal should the nurse identify as the initial priority in the client's way?
Correct Answer: A
Rationale: Establishing safety and acceptance is the priority for a suspicious client, as it builds trust and reduces paranoia, which is essential before addressing other needs like hygiene or socialization.
Question 2 of 5
The nurse manager in the emergency department (ED) is conducting an in-service for the nursing staff about screening clients for suicide. One of the nurses states, 'Questioning adolescents about suicide will only increase their thinking about self-harm and they would not admit it to me anyhow.' How should the nurse manager respond?
Correct Answer: C
Rationale: Talking about suicide does not increase risk and can elicit honest responses from adolescents.
Question 3 of 5
When teaching a client who is to receive methadone therapy for opioid addiction, the nurse should instruct the client that methadone is useful primarily for which of the following reasons?
Correct Answer: D
Rationale: Methadone is useful because it allows the client to work and live normally, stabilizing opioid dependence and reducing cravings, supporting functional recovery.
Question 4 of 5
A client with paranoid schizophrenia is aggressive toward staff. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Offering a quiet space de-escalates aggression non-invasively, prioritizing safety and therapeutic intervention.
Question 5 of 5
A 17-year-old client who has been taking an antidepressant for 6 weeks has returned to the clinic for a medication check. When the nurse talks with the client and her mother, the mother reports that she has to remind the client to take her antidepressant every day. The client says, 'Yeah, I'm pretty bad about remembering to take my meds, but I never miss a dose because Mom always bugs me about taking it.' Which of the following responses would be effective for the nurse to make to the client?
Correct Answer: B
Rationale: Addressing the client's responsibility encourages independence and prepares her for future self-management.