NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A client with a cocaine dependency is irritable, anxious, highly sensitive to stimuli, and overreactive to clients and staff on the unit. Which of the following actions is most therapeutic for this client?
Correct Answer: C
Rationale: Providing frequent time-outs is therapeutic, as it allows the client to de-escalate in a low-stimulus environment, managing irritability and sensitivity.
Question 2 of 5
A client newly diagnosed with bulimia is attending the nurse-led group at the mental health center. She tells the group that she came only because her husband said he would divorce her if she didn't get help. Which of the following responses by the nurse is most appropriate?
Correct Answer: C
Rationale: This response encourages the client to explore her feelings and motivations, fostering engagement in treatment.
Question 3 of 5
When caring for a client who was a victim of a crime, the nurse is aware that recovery from any crime can be a long and difficult process depending on the meaning it has for the client. Which of the following should the nurse assess as most important for this client?
Correct Answer: D
Rationale: The client's perception of the crime is most important, as it shapes their emotional response and recovery process.
Question 4 of 5
A 14-year-old girl with a history of sexual abuse reports nightmares and flashbacks. The nurse suspects post-traumatic stress disorder (PTSD). What is the nurse's first action?
Correct Answer: B
Rationale: Referring to a trauma-focused therapist is the first step to address PTSD symptoms effectively and safely.
Question 5 of 5
A client with a history of interpersonal violence is admitted after an altercation. The nurse observes the client pacing and muttering angrily. Which of the following is the most appropriate initial intervention?
Correct Answer: C
Rationale: Offering a quiet space allows the client to de-escalate without escalating to restrictive measures, aligning with least-restrictive intervention principles. Medication, seclusion, or restraints are premature without attempting de-escalation, and the client's behavior does not yet indicate immediate danger.