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Psychiatric Mental Health Nursing NCLEX RN Questions Questions

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Question 1 of 5

A client with Alzheimer's disease has difficulty swallowing. Which intervention should the nurse prioritize?

Correct Answer: B

Rationale: Consulting a speech therapist evaluates swallowing difficulties, ensuring safe nutrition and preventing aspiration.

Question 2 of 5

A client demonstrates moderate anxiety regarding a pending medical procedure. The nurse should do which of the following to minimize the client's anxiety about the procedure?

Correct Answer: B

Rationale: A short explanation followed by quick completion of the procedure minimizes anxiety. The client may be fearful of pain, and assuring him that there will be no pain offers false reassurance. A demonstration may cause increased anxiety. Informing the client that it is normal normalizes anxiety and puts the client more at ease, but it is not the most reassuring approach.

Question 3 of 5

A client awaiting a biopsy result appears anxious and restless. Which approach should the nurse use to support the client?

Correct Answer: B

Rationale: Asking the client to describe their fears promotes expression of emotions, reducing anxiety through therapeutic communication. Distraction, statistical reassurance, or spiritual referral may not address the client's specific concerns.

Question 4 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 5 of 5

The client with mania is irritable and insulting to a nursing assistant. The nursing assistant states, 'I can't believe Mark is so rude. Shouldn't he be overly happy?' Which of the following responses by the nurse should help the nursing assistant understand the client's behavior?

Correct Answer: D

Rationale: Explaining irritability as a symptom of mania helps the assistant understand and respond appropriately.

Similar Questions

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A client is brought to the emergency department by his brother. The client is perspiring profusely, breathing rapidly, and complaining of dizziness and palpitations. Problems of a cardiovascular nature are ruled out and the diagnosis is tentatively listed as a panic attack. After the symptoms pass, the client states, 'I thought I was going to die.' Which of the following responses by the nurse is best?
A client states that she hears God's voice telling her that she has sinned and needs to punish herself? Which response by the nurse is most important?
A nurse is reviewing a client's chart and notes incomplete documentation of a restraint episode. Which action should the nurse take first?
Which of the following amounts of medications is appropriate for a client who is being treated with imipramine (Tofranil) on an outpatient basis for recurring depression and suicidal ideation to have at one time?

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