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NCLEX RN Psychiatric Questions Questions

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Question 1 of 5

A client with dementia repeatedly asks, 'Where's my wife?' What is the nurse's best response?

Correct Answer: C

Rationale: Reassuring the client of their safety while gently redirecting avoids distress caused by confronting the reality of the wife's death.

Question 2 of 5

The mother of a school-aged child tells the nurse that, 'For most of the past year my husband was unemployed and I worked a second job. Twice during the ... he was the school ... he refused to obey. It has not happened again. Our family is back to normal.' After assessing the family, the nurse decides that the child is still at risk for abuse. Which of the following observations best supports this conclusion?

Correct Answer: D

Rationale: Wearing long sleeves and pants in warm weather may indicate the child is hiding bruises or marks, a common sign of abuse.

Question 3 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 4 of 5

A client diagnosed with borderline personality disorder has self-inflicted cuts on her arms. The nurse is assessing the client for the risk of suicide. What should the nurse ask the client first?

Correct Answer: C

Rationale: Asking if the client has a suicide plan is the priority because it directly assesses the immediate risk of suicide, which is critical in ensuring safety. Understanding the plan helps determine the level of intent and urgency for intervention.

Question 5 of 5

The nurse leading a group session for parents of children diagnosed with oppositional defiant disorder. The nurse should give which of the following recommendations for discipline?

Correct Answer: B

Rationale: Consistent discipline with positive expression strategies is effective for managing oppositional defiant disorder.

Similar Questions

A 15-year-old client diagnosed with PTSD is admitted to the unit after slicing both arms with a razor blade. He says, 'Maybe my mother will listen to me now. She tells me I'm just crazy when I say I'm screwed up because my step dad had sex with me for years.' The nurse should do the following in which order of priority first to last?
A client taking mirtazapine (Remeron) is disheartened about a 20 lb weight gain over the past 3 months. The client tells the nurse, 'I stopped taking my Remeron 15 days ago. I don't want to get depressed again, but I feel awful about my weight.' Which response by the nurse is most appropriate?
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?
A client was admitted to the inpatient unit 3 days ago with a flat affect, psychomotor retardation, anorexia, hopelessness, and suicidal ideation. The physician prescribed 75 mg of venlafaxine extended release (Effexor XR) to be given every morning. The client interacted minimally with the staff and spent most of the day in his room. As the nurse enters the unit at the beginning of the evening shift, the client is smiling and cheerfully greets the nurse. He appears to be relaxed and joins the group for community meeting before supper. What should the nurse interpret as the most likely cause of the client's behavior?
A client who has had three episodes of recurrent endogenous depression within the past 2 years states to the nurse, 'I want to know why I'm so depressed.' Which of the following statements by the nurse is most helpful?

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