NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
Anxiety occurs in degrees, from a level that stimulates productive problem solving to a level that is severely debilitating. At a mild, productive level of anxiety, the nurse should expect to see which of the following as a cognitive characteristic of mild anxiety?
Correct Answer: C
Rationale: At a mild, productive level of anxiety, cognitive characteristics include accurate perceptions, as the client can focus and process information effectively. Slight muscle tension and occasional irritability are more psychomotor or affective responses, not cognitive. Loss of contact with reality occurs at severe or panic levels of anxiety, not mild.
Question 2 of 5
A nurse is counseling a client with cancer who is experiencing anxiety. Which goal will provide the best long-term client outcome?
Correct Answer: C
Rationale: Taking medication as prescribed ensures ongoing management of anxiety, contributing to long-term stability. Keeping psychiatric appointments and understanding medication effects are important but less comprehensive, and solving problems independently is unrealistic and not necessarily beneficial for long-term outcomes.
Question 3 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 4 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 5 of 5
A female client in an anger management group states, 'My doctor tells me I need to get mad more often and not let people tell me what to do. Maybe she thinks I should be more aggressive.' What information should the nurse incorporate in the response to this client?
Correct Answer: A
Rationale: The nurse should explain that denying anger and lacking assertiveness can be as problematic as aggressiveness, as it may lead to suppressed emotions and poor coping, aligning with the doctor's advice to express anger appropriately.