NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 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 2 of 5
Arrangements are made for a member of the colostomy club to meet with a client before bowel surgery. Which of the following is accomplished by having a representative from the club visit the client?
Correct Answer: C
Rationale: The colostomy club representative provides support and realistic information, helping the client understand and adjust to the colostomy based on lived experience. Community resources are a secondary benefit, supporting the physician's plan is not the primary goal, and convincing about disfigurement may be unrealistic and less focused on practical coping.
Question 3 of 5
Based on a client's history of violence toward others and her inability to cope with anger, which of the following should the nurse use as the most important indicator of goal achievement before discharge?
Correct Answer: D
Rationale: Verbalizing feelings appropriately is the most important indicator, as it demonstrates the ability to express anger constructively, reducing the risk of violence. Acknowledging feelings, describing triggers, or listing past behaviors are steps but less definitive than appropriate expression.
Question 4 of 5
A client on clozapine (Clozaril) reports fever and sore throat. What should the nurse do first?
Correct Answer: B
Rationale: Fever and sore throat may indicate agranulocytosis, a serious side effect of clozapine, requiring immediate physician notification to assess and manage the risk.
Question 5 of 5
Which of the following reactions to learning about a diagnosis of being HIV positive would put the client at the greatest need of intervention by the nurse?
Correct Answer: D
Rationale: Vague statements like finding a 'solution' may indicate suicidal intent, requiring immediate intervention.