NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
A client with paranoid schizophrenia is hypervigilant. Which environment is most therapeutic?
Correct Answer: B
Rationale: A quiet, low-stimulus room reduces triggers for hypervigilance, promoting a sense of safety.
Question 2 of 5
A client with dementia is at risk for falls. Which intervention should the nurse prioritize?
Correct Answer: B
Rationale: Bed alarms and clear pathways address fall risks directly, promoting safety without restricting mobility or overmedicating.
Question 3 of 5
A client diagnosed with major depression spends most of the day lying in bed with the sheet pulled over his head. Which of the following approaches by the nurse is most therapeutic?
Correct Answer: B
Rationale: Frequent initiation of contact shows care and encourages engagement without overwhelming the client.
Question 4 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 5 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.