NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client who was transferred to the medical unit from intensive care after suffering a myocardial infarction 3 days ago states, 'My secretary should be here by now. I don't have time to lie around here and do nothing. I've never had time to relax, and I don't plan on starting now.' Based on this initial information, which of the following nursing diagnoses should the nurse judge to be of least importance?
Correct Answer: C
Rationale: Hopelessness is least supported by the client's statement, which focuses on impatience and resistance to relaxation rather than despair. Ineffective coping, deficient knowledge, and anxiety are more directly evidenced by her statements about not relaxing and expecting her secretary.
Question 2 of 5
After teaching a group of students who are volunteering for a local crisis hotline, the nurse judges that further education about crisis and intervention is needed when a student states which of the following?
Correct Answer: C
Rationale: The statement that most people call daily for a year is incorrect, as crises are typically acute and short-term, and hotline use is not usually long-term. The other statements accurately reflect the purpose and benefits of crisis hotlines.
Question 3 of 5
The father of a U.S. Marine who was killed 2 days ago in Iraq is admitted after a serious suicide attempt. He is medically stable and has signed a no harm contract. Which of the following is the priority nursing intervention?
Correct Answer: C
Rationale: Monitoring for renewed suicidal ideation is the priority, given the recent suicide attempt and acute grief, to ensure immediate safety. Grief counseling, antidepressants, and stress management are important but secondary to ongoing safety assessment.
Question 4 of 5
A client is admitted to the psychiatric hospital for evaluation after numerous incidents of threatening others, angry outbursts, and two episodes of hitting a coworker at the grocery store where he works. The client is very anxious and tells the nurse who admits him, 'I didn't mean to hit him. He made me so mad I didn't know what to do.' Which of the following is the priority nursing intervention?
Correct Answer: A
Rationale: Teaching anger management techniques is the priority to address the client's inability to control violent outbursts, providing tools to manage anger proactively. Anxiolytics may help anxiety but not the root issue, group therapy is secondary, and a no harm contract addresses safety but not skill-building.
Question 5 of 5
The nurse judges that a client is ready to be released from seclusion and restraints when the client demonstrates which of the following behaviors?
Correct Answer: D
Rationale: Showing signs of self-control indicates the client is no longer a danger, justifying release from seclusion/restraints. Sedation, reduced struggling, or stopping verbal outbursts do not necessarily confirm restored self-control.