NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
The client with kidney stones refuses to eat lunch and rudely tells the nurse to get out of his room. Which of the following responses by the nurse is appropriate?
Correct Answer: D
Rationale: Asking what is upsetting the client acknowledges his anger and invites him to express underlying concerns, promoting therapeutic communication. The other responses either dismiss his feelings, assume pain, or fail to engage with the emotional issue.
Question 2 of 5
The client with Alzheimer's disease may have delusions about being harmed by staff and others. When the client expresses fear of being killed by staff, which of the following responses is most appropriate?
Correct Answer: C
Rationale: Reorienting the client to the hospital setting and the nurse's role as helpers gently counters the delusion without confrontation, promoting trust and safety.
Question 3 of 5
When preparing to use seclusion as an alternative to restraint for a client who has not yet lost control, the nurse expects to use a room with limited furniture and no access to dangerous articles. What should the nurse also consider as critical for the safety of the client?
Correct Answer: A
Rationale: A security window or camera is critical for monitoring the client's safety during seclusion without direct presence, which could escalate agitation. Dimming lights is less critical, a staff member in the room may increase agitation, and a doctor's order is procedural but not directly tied to immediate safety.
Question 4 of 5
A client with schizophrenia is attending a group therapy session and begins to laugh inappropriately. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Ignoring inappropriate laughter avoids reinforcing the behavior and maintains the group's focus.
Question 5 of 5
A client with dementia is incontinent. Which intervention should the nurse prioritize?
Correct Answer: B
Rationale: Absorbent pads and a toileting schedule manage incontinence while maintaining dignity and comfort.