NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client with schizophrenia is attending a group therapy session and begins to laugh inappropriately. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Ignoring inappropriate laughter avoids reinforcing the behavior and maintains the group's focus.
Question 2 of 5
A client reports having thoughts of being followed by foreign agents who are after his secret papers. Which response by the nurse is most appropriate when responding to the client's disturbed thought process?
Correct Answer: B
Rationale: Acknowledging the emotional impact of the client's delusions validates their feelings without reinforcing the delusional content, promoting a therapeutic alliance.
Question 3 of 5
A client states that she hears God's voice telling her that she has sinned and needs to punish herself? Which response by the nurse is most important?
Correct Answer: B
Rationale: Instructing the client to inform staff when she feels the need to punish herself prioritizes safety, as it helps prevent self-harm, which is a critical concern with command hallucinations.
Question 4 of 5
A client who is newly diagnosed with paranoid schizophrenia tells the nurse, 'The aliens are telling me that I'm defective and need to be eliminated.' Which of the following responses by the nurse is most appropriate initially?
Correct Answer: A
Rationale: Acknowledging the reality of the voices for the client while gently stating the nurse's perspective builds trust without challenging the delusion, making it the most therapeutic initial response.
Question 5 of 5
Which of the following statements indicates increased insight by the client about her newly diagnosed paranoid schizophrenia being stabilized on medications?
Correct Answer: D
Rationale: Recognizing that voices diminish with coping strategies but may return under stress shows insight into the illness and its management, unlike the other options, which reflect denial, persistent delusions, or unrealistic expectations.