NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
A nurse is assessing a 12-year-old with suspected depression. Which of the following symptoms should the nurse prioritize? Select all that apply.
Correct Answer: B,C,D
Rationale: Depression in children often presents with persistent sadness, difficulty concentrating, and risky behaviors. Increased appetite and improved school performance are not typical.
Question 2 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 3 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.
Question 4 of 5
A 15-year-old girl is sent to the school nurse with complaints of dizziness and nausea. While assessing the girl, who denies any health problems, the nurse smells alcohol on her breath. Which of the following responses by the nurse is most appropriate?
Correct Answer: C
Rationale: This response gathers information non-judgmentally, allowing the nurse to assess the situation further.
Question 5 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.