NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client with schizophrenia is socially withdrawn. Which intervention is most likely to improve social engagement?
Correct Answer: B
Rationale: One-on-one interactions are less overwhelming and help build trust, gradually improving the client's social engagement.
Question 2 of 5
Which of the following liquids should the nurse administer to a client who is intoxicated on phencyclidine (PCP) to hasten excretion of the chemical?
Correct Answer: C
Rationale: Cranberry juice is administered, as its acidity may enhance PCP excretion by acidifying urine, aiding in elimination of the drug.
Question 3 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 4 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 5 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.