NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 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 2 of 5
A nurse is counseling a client with cancer who is experiencing anxiety. Which goal will provide the best long-term client outcome?
Correct Answer: C
Rationale: Taking medication as prescribed ensures ongoing management of anxiety, contributing to long-term stability. Keeping psychiatric appointments and understanding medication effects are important but less comprehensive, and solving problems independently is unrealistic and not necessarily beneficial for long-term outcomes.
Question 3 of 5
A client on a crisis hotline says, 'My partner left me, and I feel like giving up.' Which response by the nurse is most therapeutic?
Correct Answer: B
Rationale: Asking what 'giving up' means clarifies the client's intent, assessing for suicidal ideation or other risks while fostering communication. Reassurance, counseling suggestions, or normalizing feelings are less immediate without understanding the client's state.
Question 4 of 5
The nurse identifies a nursing diagnosis of Dressing or grooming self-care deficit related to apathy, as evidenced by an inability to shower and dress herself for a female client diagnosed with schizophrenia. When planning care for this client, which of the following outcomes should the nurse expect the client to meet in a specified number of days?
Correct Answer: D
Rationale: The outcome of performing showering and dressing addresses the self-care deficit directly, focusing on functional improvement, which is the goal of the nursing diagnosis.
Question 5 of 5
A suicidal client is placed in the seclusion room and given lorazepam (Ativan) because she tried to harm herself by banging her head against the wall. After 10 minutes, the client starts to bang her head against the wall in the seclusion room. Which of the following should the nurse do next?
Correct Answer: B
Rationale: Restraints are necessary to prevent immediate self-harm when other interventions fail.