NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
A female client in an anger management group states, 'My doctor tells me I need to get mad more often and not let people tell me what to do. Maybe she thinks I should be more aggressive.' What information should the nurse incorporate in the response to this client?
Correct Answer: A
Rationale: The nurse should explain that denying anger and lacking assertiveness can be as problematic as aggressiveness, as it may lead to suppressed emotions and poor coping, aligning with the doctor's advice to express anger appropriately.
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
The nurse identifies a nursing diagnosis of Dressing or grooming self-care deficit related to apathy, as evidenced by an inability to shower and dress herself for a female client diagnosed with schizophrenia. When planning care for this client, which of the following outcomes should the nurse expect the client to meet in a specified number of days?
Correct Answer: D
Rationale: The outcome of performing showering and dressing addresses the self-care deficit directly, focusing on functional improvement, which is the goal of the nursing diagnosis.
Question 4 of 5
A client with acute stress disorder has avoided feelings of anger toward her rapist and cannot verbally express them. The nurse suggests which of the following activities to assist the client with expressing her feelings?
Correct Answer: B
Rationale: Writing in a journal is suggested, as it provides a safe, private way to express and process suppressed anger, aiding emotional release.
Question 5 of 5
The client diagnosed with conversion disorder has a paralyzed arm. A staff member states, 'I would just tell the client her arm is paralyzed because she had an affair and neglected her baby's care to the point where the baby had to be hospitalized for dehydration.' Which of the following responses by the nurse is best?
Correct Answer: B
Rationale: Saying 'Pushing insight will increase anxiety' is best, as it recognizes that confrontation may worsen symptoms in conversion disorder, advocating for a supportive approach.