NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse meets with the mother of a child diagnosed with attention deficit hyperactivity disorder. The mother states, 'I feel so guilty that he has this disease, like I did something wrong. I feel like I need to be with him constantly in order for him to get better. But still sometimes I feel like I'm going to lose control and hurt him.' The nurse should suggest which of the following to the mother?
Correct Answer: A
Rationale: Respite care provides the mother with relief, reducing stress and the risk of harm to the child.
Question 2 of 5
When developing the plan of care for a client with suicidal ideation, developing goals to address which of the following is a priority?
Correct Answer: D
Rationale: Safety is the priority to prevent self-harm in a client with suicidal ideation.
Question 3 of 5
When caring for a client who has overdosed on phencyclidine (PCP), the nurse should be especially cautious about which of the following client behaviors?
Correct Answer: B
Rationale: PCP overdose is associated with violent behavior, requiring caution to ensure safety.
Question 4 of 5
A client is entering rehabilitation for alcohol dependency as an alternative to going to jail for multiple DUI's (driving under the influence). While obtaining the client's history, the nurse asks about the amount of alcohol he consumes daily. He responds, 'I just have a few drinks with the guys after work.' Which of the following responses by the nurse is most therapeutic?
Correct Answer: D
Rationale: Saying 'You say you have a few drinks, but you have multiple arrests' is therapeutic, as it gently confronts the client's minimization, linking his behavior to consequences and encouraging reflection.
Question 5 of 5
Which of the following statements by the nurse participating in a group confrontation of a coworker's most helpful in reducing the coworker's denial about alcohol being a problem?
Correct Answer: D
Rationale: Saying 'You have alcohol on your breath' is most helpful, as it provides concrete evidence of the problem, directly challenging denial in a factual manner.