NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client with schizoaffective disorder is noncompliant with therapy. What should the nurse do first?
Correct Answer: B
Rationale: Exploring reasons for noncompliance identifies barriers, enabling tailored interventions to improve engagement.
Question 2 of 5
A client with a history of angry outbursts is taught to use deep breathing exercises. Which client statement indicates successful learning?
Correct Answer: B
Rationale: The statement 'Deep breathing helps me calm down before I get too angry' shows the client understands and applies the technique proactively to manage anger, indicating successful learning. Other responses suggest misunderstanding or reluctance to use the technique effectively.
Question 3 of 5
As a client's level of anxiety increases to a debilitating degree, the nurse should expect which of the following as a psychomotor behavior indicating a panic level of anxiety?
Correct Answer: A
Rationale: At a panic level of anxiety, psychomotor behaviors may include extreme actions such as suicide attempts or violence due to the client's inability to cope. Desperation and rage are emotional responses, disorganized reasoning is cognitive, and loss of contact with reality is a perceptual issue, none of which are primarily psychomotor behaviors.
Question 4 of 5
A client is entering rehabilitation for alcohol dependency as an alternative to going to jail for multiple DUI's (driving under the influence). While obtaining the client's history, the nurse asks about the amount of alcohol he consumes daily. He responds, 'I just have a few drinks with the guys after work.' Which of the following responses by the nurse is most therapeutic?
Correct Answer: D
Rationale: Saying 'You say you have a few drinks, but you have multiple arrests' is therapeutic, as it gently confronts the client's minimization, linking his behavior to consequences and encouraging reflection.
Question 5 of 5
A newly admitted client describes her mission in life as one of saving her son by eliminating the 'provedness to the world,' there are several attractive young women on the unit. What should the nurse do first?
Correct Answer: C
Rationale: The nurse should prioritize therapeutic communication and encourage the client to express her concerns in a structured setting like a group session, which promotes safety and understanding without escalating delusions or stigmatizing others.