NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
A client with schizophrenia states, 'The voices are telling me to jump out the window.' Which of the following responses by the nurse is most therapeutic?
Correct Answer: B
Rationale: Exploring the content of the voices helps assess the risk and builds trust without reinforcing the hallucination.
Question 2 of 5
The nurse is conducting an intake interview with an Asian American female who reports sadness, physical and mental fatigue, anxiety, and sleep disturbance. Prior to the client's time with the physician, it is important for the nurse to obtain information about the client's use of which of the following? Select all that apply.
Correct Answer: B, C, D, E
Rationale: Herbal medicine, breathing exercises, massage, and folk healers may impact treatment or interact with medications, requiring assessment.
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
The client in the early stage of Alzheimer's disease and his adult son attend an appointment at the community mental health center. While conversing with the nurse, the son states, 'I'm tired of hearing about how things were 30 years ago. Why does Dad always talk about the past?' The nurse should tell the son:
Correct Answer: A
Rationale: In early Alzheimer's, short-term memory is impaired, but long-term memory remains intact, explaining the client's focus on past events.
Question 5 of 5
Police bring a client to the emergency department after she threatens to kill her ex-husband. She states emphatically, 'The police should bring him in, not me. He's paranoid about my dating and has been stalking me for weeks. He's probably off his medicines. His case manager and the police won't do anything.' In which order should the following nursing actions be done from first to last?
Order the Items
Source Container
Correct Answer: B,D,C,A
Rationale: Safety is the priority, so assessing risk for harm comes first. Interviewing the client about her needs and situation provides context, followed by obtaining the case manager's name to coordinate care. Asking about marital problems is less urgent and comes last.