NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 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.
Question 2 of 5
When developing a teaching plan for a group of middle school children about the drug 3,4-methylenedioxymethamphetamine (Ecstasy), what information should the nurse expect to include? Select all that apply.
Correct Answer: A, B, C, D
Rationale: Information includes: Ecstasy's similarity to speed (
A), use at raves (
B), pacifiers for teeth grinding (
C), and reducing self-consciousness (
D), all accurate characteristics.
Question 3 of 5
A 33-year-old client named Becky, who is diagnosed with Dissociative Identity Disorder, is admitted to the unit after a suicide attempt. During a group therapy session the next morning, the topic of anger toward parents came up. Becky suddenly throws herself on the floor and starts screaming, 'Mommy, Mommy, help Annie girl, help Annie girl.' The nurse should take the following actions in which order of priority from first to last?
Order the Items
Source Container
Correct Answer: C, A, D, B
Rationale: The order is: 1) Protect Annie from injury (
C). 2) Ask other clients to leave (
A). 3) Ask Annie about the event (
D). 4) Ask Becky about the session (
B). Safety is first, followed by managing the environment and exploring the trigger.
Question 4 of 5
Which client statement indicates that the client has coped effectively with a relationship problem?
Correct Answer: D
Rationale: The statement 'We are really listening to each other about our different view on issues' indicates effective coping through mutual communication and understanding, key components of resolving relationship problems. The other statements suggest partial progress but do not fully demonstrate effective coping through active listening and collaboration.
Question 5 of 5
The nurse manager on a psychiatric unit is reviewing the outcomes of staff participation in an aggression management program. Evaluation of such a program would be based primarily on which of the following indicators?
Correct Answer: D
Rationale: The primary indicator is a reduction in the total number of restraint procedures, as effective aggression management should decrease the need for restraints. Fewer injuries, reduced complaints, and training reviews are secondary outcomes.