NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
The husband of a client who is experiencing acute mania and is swearing and using profanity apologizes to the nurse for his wife's behavior. Which of the following replies by the nurse is most therapeutic?
Correct Answer: A
Rationale: Acknowledging the husband's difficulty validates his experience and fosters support.
Question 2 of 5
A client calls a crisis hotline stating, 'I lost my house in a fire, and I don't know what to do.' Which of the following is the nurse's most appropriate initial response?
Correct Answer: A
Rationale: Encouraging the client to share more about the situation and feelings helps assess their emotional state and immediate needs, aligning with crisis intervention principles. Insurance, housing, or shelter referrals are secondary to understanding the client's current crisis state.
Question 3 of 5
Which of the following liquids should the nurse administer to a client who is intoxicated on phencyclidine (PCP) to hasten excretion of the chemical?
Correct Answer: C
Rationale: Cranberry juice is administered, as its acidity may enhance PCP excretion by acidifying urine, aiding in elimination of the drug.
Question 4 of 5
A client is brought to the emergency department by his brother. The client is perspiring profusely, breathing rapidly, and complaining of dizziness and palpitations. Problems of a cardiovascular nature are ruled out and the diagnosis is tentatively listed as a panic attack. After the symptoms pass, the client states, 'I thought I was going to die.' Which of the following responses by the nurse is best?
Correct Answer: A
Rationale: Saying 'It was very frightening for you' is best, as it validates the client's experience, builds rapport, and encourages further discussion of the panic attack.
Question 5 of 5
The nurse hands the medication cup to a client who is psychotic and exhibiting concrete thinking, and tells the client to take his medicine. The client takes the cup, holds it in his hand, and stares at it. Which of the following should the nurse do next?
Correct Answer: A
Rationale: Clients with concrete thinking may need specific, step-by-step instructions. Telling the client to put the medicine in his mouth and swallow it with water provides clear guidance to ensure medication adherence.