Questions 73

NCLEX-RN

NCLEX-RN Test Bank

Psychiatric Mental Health Nursing NCLEX RN Questions Questions

Extract:


Question 1 of 5

A third-grade child is referred to the mental health clinic by the school nurse because he is fearful, anxious, and socially isolated. After meeting with the client, the nurse talks with his mother, who says, 'It's that school nurse again. She's done nothing but try to make trouble for our family since my son started school. And now you're in on it.' The nurse should respond by saying:

Correct Answer: D

Rationale: This response de-escalates the situation by providing information and inviting the mother to share her concerns, fostering collaboration.

Question 2 of 5

While meeting with the nurse, a client's wife states, 'I don't know what else to do to make him stop drinking.' The nurse should refer the wife to which of the following organizations?

Correct Answer: B

Rationale: Referring the wife to Al-Anon is appropriate, as it provides support for family members of individuals with alcohol dependency, helping her cope and set boundaries.

Question 3 of 5

A 13-year-old junior high school student has come to the school nurse, stating that her father has physically abused her for 3 years. Initially, the client is a lot of the house, thinking it was because her father had been laid off, but the abuse continued after he got a job 4 months ago. She fears that her mother will not believe her and her father will reject her if they discover she has revealed the abuse. The nurse should first:

Correct Answer: D

Rationale: Reporting to Child Protective Services is the legal and ethical priority to ensure the child's safety.

Question 4 of 5

Which of the following comments indicates that a client understands the nurse's teaching about sertraline (Zoloft)?

Correct Answer: B

Rationale: Delayed ejaculation is a known side effect of sertraline, indicating correct understanding.

Question 5 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.

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