NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse manager in the emergency department (ED) is conducting an in-service for the nursing staff about screening clients for suicide. One of the nurses states, 'Questioning adolescents about suicide will only increase their thinking about self-harm and they would not admit it to me anyhow.' How should the nurse manager respond?
Correct Answer: C
Rationale: Talking about suicide does not increase risk and can elicit honest responses from adolescents.
Question 2 of 5
A 68-year-old client has improved with medication and treatment and no longer experiences suicidal ideation. She can manage her diabetic care and understands her diet requirements. She will be discharged to live alone in her apartment. Visits by which of the following caregivers is most important for the nurse to arrange before the client's discharge?
Correct Answer: A
Rationale: A psychiatric home care nurse ensures ongoing mental health monitoring post-discharge.
Question 3 of 5
Which of the following statements indicates increased insight by the client about her newly diagnosed paranoid schizophrenia being stabilized on medications?
Correct Answer: D
Rationale: Recognizing that voices diminish with coping strategies but may return under stress shows insight into the illness and its management, unlike the other options, which reflect denial, persistent delusions, or unrealistic expectations.
Question 4 of 5
A client was admitted after making a suicidal gesture in a police car. He is diagnosed with Antisocial Personality Disorder and has been stealing equipment from his work. He states, 'It's not a big deal. My boss can afford a few missing pieces. He picks on me anyway.' Which of the following is the most appropriate response by the nurse?
Correct Answer: B
Rationale: Stating 'Stealing is a crime regardless of the reason' addresses the client's minimization of his actions directly and reinforces accountability, which is important for someone with antisocial personality disorder.
Question 5 of 5
The client with kidney stones refuses to eat lunch and rudely tells the nurse to get out of his room. Which of the following responses by the nurse is appropriate?
Correct Answer: D
Rationale: Asking what is upsetting the client acknowledges his anger and invites him to express underlying concerns, promoting therapeutic communication. The other responses either dismiss his feelings, assume pain, or fail to engage with the emotional issue.