NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse manager of a psychiatric unit notices that one of the nurses commonly avoids a 75-year-old client's company. Which of the following factors should the nurse manager identify as being the most likely cause of this nurse's discomfort with older clients?
Correct Answer: A
Rationale: Fears and conflicts about aging are a common psychological reason for discomfort with elderly clients, as they may trigger personal anxieties about the nurse's own aging process.
Question 2 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 3 of 5
The nurse assesses a client to be at risk for self-mutilation and implements a safety contract with the client. Which of the following client behaviors indicate that the contract is working?
Correct Answer: B
Rationale: Notifying staff when anxiety is increasing indicates the safety contract is working, as it shows the client is actively engaging in the plan to manage risk and seek help proactively.
Question 4 of 5
The nurse is talking with a client who has been diagnosed with antisocial personality disorder about how to socialize during activities without being seductive. The nurse should focus the discussion on which of the following areas?
Correct Answer: A
Rationale: Focusing on the negative reactions of others helps the client understand the impact of his seductive behavior, promoting awareness and encouraging more appropriate social interactions.
Question 5 of 5
An intoxicated client is admitted to the hospital for alcohol withdrawal. Which of the following should the nurse do to help the client become sober?
Correct Answer: D
Rationale: Providing a quiet room to sleep in is most effective, as it minimizes stimulation, promotes rest, and supports the body's natural process of metabolizing alcohol.