NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
The client diagnosed with conversion disorder has a paralyzed arm. A staff member states, 'I would just tell the client her arm is paralyzed because she had an affair and neglected her baby's care to the point where the baby had to be hospitalized for dehydration.' Which of the following responses by the nurse is best?
Correct Answer: B
Rationale: Saying 'Pushing insight will increase anxiety' is best, as it recognizes that confrontation may worsen symptoms in conversion disorder, advocating for a supportive approach.
Question 2 of 5
A school nurse is planning a program for parents on 'Drugs Commonly Abused by Teenagers'. Which of the following information should be included about inhalants? Select all that apply.
Correct Answer: A,D,E,F
Rationale: Inhalants are dangerous due to risks like sudden death (cardiac arrhythmia, suffocation, aspiration) and CNS depression. Monitoring for paraphernalia (paper bags, rags) is key. Brain damage is possible, and teen use is not necessarily declining.
Question 3 of 5
The client is fidgeting and has trouble sitting still. He has difficulty concentrating and is tangential. Which of the following interventions should help manage this client's level of anxiety? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Managing anxiety involves refocusing attention, allowing ventilation, suggesting time-outs, and assisting with problem solving. IM medication is a last resort.
Question 4 of 5
A client diagnosed with Post Traumatic Stress Disorder is readmitted for suicidal thoughts and continued trouble sleeping. She states that when she closes her eyes, she has vivid memories about being awakened at night. 'My dad would be on top of me trying to have sex with me. I couldn't breathe.' Which of the following suggestions would be appropriate for the nurse to make for the insomnia? Select all that apply.
Correct Answer: A,B,D
Rationale: Relaxation techniques, quetiapine, and journaling can help manage insomnia. Radio noise may disrupt sleep.
Question 5 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.