NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A client with schizoaffective disorder reports insomnia. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Teaching relaxation techniques is a non-invasive first step to address insomnia, promoting self-management.
Question 2 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 3 of 5
The nursing assistant tells the nurse that the client is sick and is not coming to the dining room for lunch. The nurse should direct the nursing assistant to do which of the following?
Correct Answer: C
Rationale: Inviting and accompanying the client to lunch encourages socialization and participation, addressing potential avoidance behaviors in somatoform disorders.
Question 4 of 5
Which of the following client statements indicates to the nurse that the client needs further teaching about disulfiram (Antabuse)?
Correct Answer: A
Rationale: Saying 'I can drink one or two beers' indicates a need for further teaching, as disulfiram causes severe reactions with any alcohol consumption, requiring complete abstinence.
Question 5 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.