NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 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 2 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 3 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.
Question 4 of 5
Based on a client's history of violence toward others and her inability to cope with anger, which of the following should the nurse use as the most important indicator of goal achievement before discharge?
Correct Answer: D
Rationale: Verbalizing feelings appropriately is the most important indicator, as it demonstrates the ability to express anger constructively, reducing the risk of violence. Acknowledging feelings, describing triggers, or listing past behaviors are steps but less definitive than appropriate expression.
Question 5 of 5
The nurse is planning care for a group of clients. Which client should the nurse identify as needing the most assistance in accepting being ill?
Correct Answer: D
Rationale: The 60-year-old woman needs the most assistance, as her refusal to use oxygen despite confusion indicates denial of her illness's severity, posing a significant risk. The boy's reactions are age-appropriate, the woman is engaging with treatment, and the man is planning recovery.