NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 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.
Question 2 of 5
Which of the following points should the nurse include when teaching a client about panic disorder?
Correct Answer: C
Rationale: Teaching that panic attack symptoms are time-limited and will abate is key, as it reassures the client and reduces fear, aiding in managing panic disorder.
Question 3 of 5
The nurse is developing a teaching plan for a group of middle school children about the drug 3,4-methylenedioxymethamphetamine (Ecstasy). What information should the nurse expect to include? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Ecstasy, similar to amphetamines, is used at raves, causes teeth grinding (hence pacifiers), and reduces self-consciousness.
Question 4 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 5 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.