NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
The client diagnosed with major depression and dependent personality disorder has made the decision to live independently in an apartment. The nurse and the client meet with his parents to discuss his decision. Which statement by the nurse is most helpful to foster the client's independence?
Correct Answer: B
Rationale: Stating 'All of you will gain from his independent living; he needs our support' promotes the client's independence while framing it as a positive step for the family, encouraging support without fostering dependency.
Question 2 of 5
The client tells the nurse at the outpatient clinic that she doesn't need to attend groups because she's 'not a regular like these other people here.' Which of the following responses by the nurse is most appropriate?
Correct Answer: D
Rationale: Saying 'You say you're not a regular here, but you're experiencing what others are experiencing' validates the client's feelings while gently challenging her denial, encouraging engagement in treatment.
Question 3 of 5
The client with histrionic personality disorder is melodramatic and responds to others and situations in an exaggerated manner. The nurse should recommend which of the following activities for this client?
Correct Answer: C
Rationale: A cooking class is appropriate, as it provides a structured, non-dramatic activity that encourages focus and skill-building, helping to reduce exaggerated responses.
Question 4 of 5
A client is entering the chemical dependency unit for treatment of alcohol dependency. Which of the client's possessions should the nurse place in a locked area?
Correct Answer: D
Rationale: Antiseptic mouthwash should be locked, as it often contains alcohol, which could be misused by a client with alcohol dependency, posing a risk to recovery.
Question 5 of 5
The wife of a client with alcohol dependency tells the nurse, 'I'm tired of making excuses for him to his boss and coworkers when he can't make it into work. I believe him every time he says he's going to quit.' The nurse recognizes the wife's statement as indicating which of the following behaviors?
Correct Answer: C
Rationale: The wife's behavior indicates enabling, as she covers for the client's actions, inadvertently supporting his alcohol dependency by reducing consequences.