NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
The client exhibits a flat affect, psychomotor retardation, and depressed mood. The nurse attempts to engage the client in an interaction but the client does not respond to the nurse. Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: Sitting quietly with the client provides presence and support, respecting their current inability to engage.
Question 2 of 5
When working with a group of adult survivors of childhood sexual abuse, dealing with anger and rage is a major focus. Which strategy should the nurse expect to be successful? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Symbolic confrontation, journaling, and writing unsent letters are therapeutic strategies that help process anger safely. Direct confrontation is generally not recommended due to potential for re-traumatization.
Question 3 of 5
A client who was transferred to the medical unit from intensive care after suffering a myocardial infarction 3 days ago states, 'My secretary should be here by now. I don't have time to lie around here and do nothing. I've never had time to relax, and I don't plan on starting now.' Based on this initial information, which of the following nursing diagnoses should the nurse judge to be of least importance?
Correct Answer: C
Rationale: Hopelessness is least supported by the client's statement, which focuses on impatience and resistance to relaxation rather than despair. Ineffective coping, deficient knowledge, and anxiety are more directly evidenced by her statements about not relaxing and expecting her secretary.
Question 4 of 5
The nurse meets with the mother of a child diagnosed with attention deficit hyperactivity disorder. The mother states, 'I feel so guilty that he has this disease, like I did something wrong. I feel like I need to be with him constantly in order for him to get better. But still sometimes I feel like I'm going to lose control and hurt him.' The nurse should suggest which of the following to the mother?
Correct Answer: A
Rationale: Respite care provides the mother with relief, reducing stress and the risk of harm to the child.
Question 5 of 5
When developing the plan of care for a client with suicidal ideation, developing goals to address which of the following is a priority?
Correct Answer: D
Rationale: Safety is the priority to prevent self-harm in a client with suicidal ideation.