NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse incorporates the underlying premise of crisis intervention, about providing 'the right kind of help at the right time,' to achieve which of the following goals initially?
Correct Answer: A
Rationale: The initial goal of crisis intervention is regaining emotional security and equilibrium to stabilize the client. Resolving underlying problems, developing insight, and building support systems are secondary goals addressed after stabilization.
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
A 10-year-old boy with conduct disorder is aggressive toward peers at school. The nurse is developing a care plan. Which intervention is most appropriate?
Correct Answer: C
Rationale: Teaching anger management techniques helps the child develop coping skills to manage aggression, which is appropriate for conduct disorder.
Question 4 of 5
A client awaiting a biopsy result appears anxious and restless. Which approach should the nurse use to support the client?
Correct Answer: B
Rationale: Asking the client to describe their fears promotes expression of emotions, reducing anxiety through therapeutic communication. Distraction, statistical reassurance, or spiritual referral may not address the client's specific concerns.
Question 5 of 5
A client states that she hears God's voice telling her that she has sinned and needs to punish herself? Which response by the nurse is most important?
Correct Answer: B
Rationale: Instructing the client to inform staff when she feels the need to punish herself prioritizes safety, as it helps prevent self-harm, which is a critical concern with command hallucinations.