NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A client with dementia who prefers to stay in his room has been brought to the dayroom. After 10 minutes, the client becomes agitated and retreats to his room again. The nurse decides to assess the conditions in the dayroom. Which is the most likely occurrence that is disturbing to this client?
Correct Answer: C
Rationale: Conflicting stimuli, such as a relaxation tape and a crime show on TV, can overwhelm a client with dementia, causing agitation due to difficulty processing multiple inputs.
Question 2 of 5
A client becomes increasingly morose and irritable after being told that she has cancer. She is rude to visitors and pushes nurses away when they attempt to give her medications and treatments. Which of the following should the nurse do when the client has a hostile outburst?
Correct Answer: B
Rationale: Encouraging the client to discuss her concerns and feelings helps address the underlying emotions driving her hostile outbursts, promoting coping. Positive reinforcement may not address the root cause, ignoring the outburst dismisses her feelings, and redirecting anger to staff is inappropriate.
Question 3 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 4 of 5
A child with Asperger's disorder is being referred to the mental health clinic along with his parents. To provide the best care for this family, the nurse makes a care plan based on the fact that this disorder differs from autism in which of the following areas?
Correct Answer: C
Rationale: Asperger's is often diagnosed later, with social interaction issues becoming evident in school settings.
Question 5 of 5
A client admitted for assaulting a neighbor says, 'I didn't mean to hurt him.' Which nursing intervention is the priority?
Correct Answer: A
Rationale: Teaching conflict resolution skills addresses the client's violent behavior by providing tools to manage disputes nonviolently. Medication, a no harm contract, or support groups are secondary without first building skills to prevent recurrence.