NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
A nurse works with a client diagnosed with bulimia. What is an appropriate long-term client goal for this client?
Correct Answer: C
Rationale: Managing stress without bingeing or purging addresses the root cause of bulimia, promoting long-term recovery.
Question 2 of 5
At an outpatient visit 3 months after discharge from the hospital, a client says he has stopped his olanzapine (Zyprexa) even though it controls his symptoms of schizophrenia better than other medications. 'I have gained 20 lb already. I can't stand any more.' Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: Offering a diet and exercise plan addresses the client's concern about weight gain while encouraging continued treatment, promoting adherence and health management.
Question 3 of 5
A client with paranoid schizophrenia is aggressive toward staff. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Offering a quiet space de-escalates aggression non-invasively, prioritizing safety and therapeutic intervention.
Question 4 of 5
A client with Alzheimer's disease is hoarding objects. What should the nurse do?
Correct Answer: B
Rationale: Allowing a few safe items satisfies the client's need to hoard while ensuring safety, reducing distress.
Question 5 of 5
The client with kidney stones refuses to eat lunch and rudely tells the nurse to get out of his room. Which of the following responses by the nurse is appropriate?
Correct Answer: D
Rationale: Asking what is upsetting the client acknowledges his anger and invites him to express underlying concerns, promoting therapeutic communication. The other responses either dismiss his feelings, assume pain, or fail to engage with the emotional issue.