NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
The client, a veteran of the Vietnam war who has posttraumatic stress disorder, tells the nurse about the horror and mass destruction of war. He states, 'I killed all of those people for nothing.' Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: Saying 'You did what you had to do at that time' is appropriate, as it validates the client's actions in the context of war, reducing guilt and supporting therapeutic dialogue.
Question 2 of 5
A client is being discharged after 3 days of hospitalization for a suicide attempt that followed the... [incomplete]. Which of the following should be included in the discharge plan?
Correct Answer: A
Rationale: Referral to outpatient mental health services is essential for ongoing support and monitoring post-suicide attempt, addressing the client's mental health needs. A higher dose of antidepressants requires careful consideration, avoiding stressors is unrealistic, and daily home visits may be excessive unless specifically indicated.
Question 3 of 5
A client with Alzheimer's disease is unable to recognize family. What should the nurse suggest?
Correct Answer: B
Rationale: Using photos and names helps cue recognition, reducing frustration and supporting family interaction.
Question 4 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 and initiate investigation.
Question 5 of 5
A client with major depression is to be discharged home tomorrow. When preparing the client's discharge plan, which of the following areas is most important for the nurse to review with the client?
Correct Answer: D
Rationale: Medication adherence and outpatient follow-up are critical to prevent relapse in major depression.