NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
A client with suspected abuse describes her husband as a good man who works hard and provides well for his family. She does not work outside the home and states that she is proud to be a wife and mother will be taken to the client. The nurse interprets the family pattern described by the client as best illustrating which of the following as characteristic of abusive families?
Correct Answer: C
Rationale: Role stereotyping is characteristic, as the client's description suggests rigid gender roles (e.g., husband as provider, wife as homemaker), which are often present in abusive family dynamics.
Question 2 of 5
The wife of a client with alcohol dependency tells the nurse, 'I'm tired of making excuses for him to his boss and coworkers when he can't make it into work. I believe him every time he says he's going to quit.' The nurse recognizes the wife's statement as indicating which of the following behaviors?
Correct Answer: C
Rationale: The wife's behavior indicates enabling, as she covers for the client's actions, inadvertently supporting his alcohol dependency by reducing consequences.
Question 3 of 5
A nurse in an Employee Assistance Program (EAP) is seeing a woman who wants to report her boss to the police for sexual harassment. She states he says that she will be a friend... [incomplete]. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Advising the client to document incidents provides evidence for reporting and empowers her to take action, which is appropriate in an EAP context. Confrontation may be unsafe, immediate legal referral is premature without documentation, and dismissing her concerns is invalidating.
Question 4 of 5
A client has been in the critical care unit for 3 days following a severe myocardial infarction. Although he is medically stable, he has begun to have fluctuating episodes of consciousness, illogical thinking, and anxiety. He is picking at the air to 'catch these baby angels flying around my head.' While waiting for medical and psychiatric results, the nurse must intervene with the client's needs. Which of the following needs have the highest priority? Select all that apply.
Correct Answer: A,B,D
Rationale: Reducing stimuli (
A) minimizes confusion, avoiding challenges to hallucinations (
B) prevents agitation, and gently presenting reality (
D) supports orientation without confrontation. Assuming dementia (E) is premature, and orienting to medical condition (
C) may overwhelm the client.
Question 5 of 5
The client is fidgeting and has trouble sitting still. He has difficulty concentrating and is tangential. Which of the following interventions should help manage this client's level of anxiety? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Managing anxiety involves refocusing attention, allowing ventilation, suggesting time-outs, and assisting with problem solving. IM medication is a last resort.