NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
The mother of a 14-year-old girl who is diagnosed with oppositional defiant disorder tells the nurse that she has read extensively on this disorder and does not believe the diagnosis is correct for her daughter. Which of the following responses by the nurse is appropriate?
Correct Answer: B
Rationale: This response validates the mother's efforts and opens a dialogue to address her concerns collaboratively.
Question 2 of 5
The history of a female client who has just been admitted to the unit and is very depressed reveals a weight loss of 10 lb in 2 weeks, sleeping 3 hours a night, and poor hygiene. The client states, 'I'm no good to anyone. Everyone would be better off without me.' Which of the following questions should the nurse ask first?
Correct Answer: B
Rationale: Directly asking about suicidal thoughts is critical given the client's statement and symptoms.
Question 3 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.
Question 4 of 5
A client with suspected abuse describes her husband as a good man who works hard and provides well for his family. She does not work outside the home and states that she is proud to be a wife and mother will be taken to the client. The nurse interprets the family pattern described by the client as best illustrating which of the following as characteristic of abusive families?
Correct Answer: C
Rationale: Role stereotyping is characteristic, as the client's description suggests rigid gender roles (e.g., husband as provider, wife as homemaker), which are often present in abusive family dynamics.
Question 5 of 5
The friend of a client brought to the emergency department states, 'I guess she had some bad junk (heroin) today.' The client is drowsy and verbally nonresponsive. Which of the following assessment findings is of immediate concern to the nurse?
Correct Answer: A
Rationale: A respiratory rate of 9 breaths/minute is of immediate concern, as heroin overdose can cause respiratory depression, posing a life-threatening risk requiring urgent intervention.