NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse is developing a long term care plan for an outpatient client diagnosed with Dissociative Identity Disorder. Which of the following should be included in this plan? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Include managing emotions, identifying crisis resources, facilitating alter communication, and integrating memories. No medication eliminates dissociation, and process-oriented groups may not suit all.
Question 2 of 5
As a client's level of anxiety increases to a debilitating degree, the nurse should expect which of the following as a psychomotor behavior indicating a panic level of anxiety?
Correct Answer: A
Rationale: At a panic level of anxiety, psychomotor behaviors may include extreme actions such as suicide attempts or violence due to the client's inability to cope. Desperation and rage are emotional responses, disorganized reasoning is cognitive, and loss of contact with reality is a perceptual issue, none of which are primarily psychomotor behaviors.
Question 3 of 5
When integrating the concepts underlying the cognitive-behavioral model into a client's plan of care, the nurse should focus on which of the following areas?
Correct Answer: A
Rationale: The cognitive-behavioral model focuses on substituting rational beliefs for self-defeating thoughts and behaviors, addressing cognitive distortions directly. Insight into unconscious conflicts is psychoanalytic, analyzing fears is less specific, and reducing bodily tensions is a secondary focus compared to cognitive change.
Question 4 of 5
A client who was transferred to the medical unit from intensive care after suffering a myocardial infarction 3 days ago states, 'My secretary should be here by now. I don't have time to lie around here and do nothing. I've never had time to relax, and I don't plan on starting now.' Based on this initial information, which of the following nursing diagnoses should the nurse judge to be of least importance?
Correct Answer: C
Rationale: Hopelessness is least supported by the client's statement, which focuses on impatience and resistance to relaxation rather than despair. Ineffective coping, deficient knowledge, and anxiety are more directly evidenced by her statements about not relaxing and expecting her secretary.
Question 5 of 5
After teaching a group of students who are volunteering for a local crisis hotline, the nurse judges that further education about crisis and intervention is needed when a student states which of the following?
Correct Answer: C
Rationale: The statement that most people call daily for a year is incorrect, as crises are typically acute and short-term, and hotline use is not usually long-term. The other statements accurately reflect the purpose and benefits of crisis hotlines.