NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client with a history of angry outbursts is taught to use deep breathing exercises. Which client statement indicates successful learning?
Correct Answer: B
Rationale: The statement 'Deep breathing helps me calm down before I get too angry' shows the client understands and applies the technique proactively to manage anger, indicating successful learning. Other responses suggest misunderstanding or reluctance to use the technique effectively.
Question 2 of 5
When working with a group of adult survivors of childhood sexual abuse, dealing with anger and rage is a major focus. Which strategy should the nurse expect to be successful? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Symbolic confrontation, journaling, and writing unsent letters are therapeutic strategies that help process anger safely. Direct confrontation is generally not recommended due to potential for re-traumatization.
Question 3 of 5
A client with schizophrenia is admitted after stopping medication. He exhibits disorganized speech and bizarre behavior. Which nursing diagnosis is most appropriate?
Correct Answer: D
Rationale: Disorganized speech and bizarre behavior are hallmarks of disturbed thought processes, making this the priority nursing diagnosis.
Question 4 of 5
A client with bipolar disorder, manic phase, is admitted to the unit. The nurse is developing a plan of care. Which of the following interventions is most appropriate to include in the plan?
Correct Answer: B
Rationale: A high-calorie diet with frequent snacks addresses increased energy expenditure in mania, supporting nutritional needs.
Question 5 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.