Questions 73

NCLEX-RN

NCLEX-RN Test Bank

Psychiatric Mental Health Nursing NCLEX RN Questions Questions

Extract:


Question 1 of 5

After months of counseling, a client abused by her husband tells the nurse that she has decided to stop treatment. There has been no abuse during this issue, and she feels better the nurse. In the needs of her husband and children. In discussing this decision with the client, the nurse should:

Correct Answer: B

Rationale: Exploring the client's rationale promotes therapeutic communication and helps the nurse understand her decision-making process, ensuring her safety and autonomy are considered.

Question 2 of 5

When developing a teaching plan for a group of middle school children about the drug 3,4-methylenedioxymethamphetamine (Ecstasy), what information should the nurse expect to include? Select all that apply.

Correct Answer: A, B, C, D

Rationale: Information includes: Ecstasy's similarity to speed (
A), use at raves (
B), pacifiers for teeth grinding (
C), and reducing self-consciousness (
D), all accurate characteristics.

Question 3 of 5

A 17-year-old client who has been taking an antidepressant for 6 weeks has returned to the clinic for a medication check. When the nurse talks with the client and her mother, the mother reports that she has to remind the client to take her antidepressant every day. The client says, 'Yeah, I'm pretty bad about remembering to take my meds, but I never miss a dose because Mom always bugs me about taking it.' Which of the following responses would be effective for the nurse to make to the client?

Correct Answer: B

Rationale: Addressing the client's responsibility encourages independence and prepares her for future self-management.

Question 4 of 5

A 33-year-old client named Becky, who is diagnosed with Dissociative Identity Disorder, is admitted to the unit after a suicide attempt. During a group therapy session the next morning, the topic of anger toward parents came up. Becky suddenly throws herself on the floor and starts screaming, 'Mommy, Mommy, help Annie girl, help Annie girl.' The nurse should take the following actions in which order of priority from first to last?

Order the Items

Source Container

Ask the other clients to leave the room and meet with another nurse.
Ask Becky to talk about what happened to her during the group therapy session.
Get close to Annie and protect her from injury until she calms down.
Ask Annie about what happened to her during the group.

Correct Answer: C, A, D, B

Rationale: The order is: 1) Protect Annie from injury (
C). 2) Ask other clients to leave (
A). 3) Ask Annie about the event (
D). 4) Ask Becky about the session (
B). Safety is first, followed by managing the environment and exploring the trigger.

Question 5 of 5

A client with dementia is incontinent. Which intervention should the nurse prioritize?

Correct Answer: B

Rationale: Absorbent pads and a toileting schedule manage incontinence while maintaining dignity and comfort.

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