NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
A client with major depression and psychotic features is admitted involuntarily to the hospital. He will not eat because his 'bowels have turned to jelly,' which the client states is punishment for his wickedness. The client requests to leave the hospital. The nurse denies the request because commitment papers have been initiated by the physician. Which of the following should the nurse identify as a criterion for the client to be legally committable?
Correct Answer: C
Rationale: Risk of harm to self or others is a primary criterion for involuntary commitment to ensure safety.
Question 2 of 5
A female client in an anger management group states, 'My doctor tells me I need to get mad more often and not let people tell me what to do. Maybe she thinks I should be more aggressive.' What information should the nurse incorporate in the response to this client?
Correct Answer: A
Rationale: The nurse should explain that denying anger and lacking assertiveness can be as problematic as aggressiveness, as it may lead to suppressed emotions and poor coping, aligning with the doctor's advice to express anger appropriately.
Question 3 of 5
When developing the plan of care for a client diagnosed with a personality disorder, the nurse plans to assist the client primarily with which of the following?
Correct Answer: A
Rationale: Focusing on specific dysfunctional behaviors is primary because personality disorders are characterized by maladaptive patterns of behavior. Addressing these behaviors through targeted interventions helps improve functioning and relationships.
Question 4 of 5
The wife of a client with alcohol dependency tells the nurse, 'I'm tired of making excuses for him to his boss and coworkers when he can't make it into work. I believe him every time he says he's going to quit.' The nurse recognizes the wife's statement as indicating which of the following behaviors?
Correct Answer: C
Rationale: The wife's behavior indicates enabling, as she covers for the client's actions, inadvertently supporting his alcohol dependency by reducing consequences.
Question 5 of 5
A client walks into the clinic and tells the nurse she has run out of money for crack, has crashed, and wants something to help her feel better. Which of the following is most important for the nurse to assess?
Correct Answer: D
Rationale: Assessing suicidal ideation is most important, as a crash after crack use can lead to severe depression and increased suicide risk, requiring immediate attention.