NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client with dementia becomes combative during care. What should the nurse do first?
Correct Answer: B
Rationale: A calm, gentle approach de-escalates combativeness, prioritizing therapeutic intervention.
Question 2 of 5
A client was admitted after making a suicidal gesture in a police car. He is diagnosed with Antisocial Personality Disorder and has been stealing equipment from his work. He states, 'It's not a big deal. My boss can afford a few missing pieces. He picks on me anyway.' Which of the following is the most appropriate response by the nurse?
Correct Answer: B
Rationale: Stating 'Stealing is a crime regardless of the reason' addresses the client's minimization of his actions directly and reinforces accountability, which is important for someone with antisocial personality disorder.
Question 3 of 5
A 68-year-old client has improved with medication and treatment and no longer experiences suicidal ideation. She can manage her diabetic care and understands her diet requirements. She will be discharged to live alone in her apartment. Visits by which of the following caregivers is most important for the nurse to arrange before the client's discharge?
Correct Answer: A
Rationale: A psychiatric home care nurse ensures ongoing mental health monitoring post-discharge.
Question 4 of 5
While caring for a client who has a dual diagnosis of bipolar disorder and alcohol dependency, which of the following areas is the priority for daily assessment?
Correct Answer: B
Rationale: Mental status is the priority, as it encompasses mood, cognition, and behavior, critical for monitoring stability in bipolar disorder and alcohol dependency.
Question 5 of 5
A teacher is talking to the school nurse about a child in her classroom who has a tic disorder. The teacher mentions that the boy frequently trips other children should be a good, about the teacher then further states that she ignores him when that happens because it is part of his disorder. The nurse should tell the teacher?
Correct Answer: A
Rationale: Tripping others is not a tic and should be addressed as a behavioral issue, not ignored.