NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
The nursing assistant tells the nurse that the client is sick and is not coming to the dining room for lunch. The nurse should direct the nursing assistant to do which of the following?
Correct Answer: C
Rationale: Inviting and accompanying the client to lunch encourages socialization and participation, addressing potential avoidance behaviors in somatoform disorders.
Question 2 of 5
A client is being discharged after 3 days of hospitalization for a suicide attempt that followed the... [incomplete]. Which of the following should be included in the discharge plan?
Correct Answer: A
Rationale: Referral to outpatient mental health services is essential for ongoing support and monitoring post-suicide attempt, addressing the client's mental health needs. A higher dose of antidepressants requires careful consideration, avoiding stressors is unrealistic, and daily home visits may be excessive unless specifically indicated.
Question 3 of 5
A client in a general hospital is to undergo surgery in 2 days. He is experiencing moderate anxiety about the procedure and its outcome. To help the client reduce his anxiety, the nurse should:
Correct Answer: C
Rationale: An explanation of what to expect decreases anxiety about upcoming events that could be seen as traumatic by the client. Distraction, such as games or television, may not address the specific anxiety related to the surgery. Reassuring the client without providing information may seem dismissive and does not empower the client with knowledge. Referring to a psychiatrist is unnecessary for moderate anxiety and may delay immediate anxiety reduction.
Question 4 of 5
A client who has had three episodes of recurrent endogenous depression within the past 2 years states to the nurse, 'I want to know why I'm so depressed.' Which of the following statements by the nurse is most helpful?
Correct Answer: B
Rationale: Discussing possible reasons encourages exploration of triggers and fosters therapeutic engagement.
Question 5 of 5
A 28-year-old client with an Axis I diagnosis of major depression and an Axis II diagnosis of dependent personality disorder has been living at home with very supportive parents. The client is thinking about independent living on the recommendation of the treatment team. The client states to the nurse, 'I don't know if I can make it in an apartment without my parents.' The nurse should respond by saying to the client:
Correct Answer: D
Rationale: Saying 'Your parents have been supportive and will continue to be even if you live apart' reassures the client, addresses their dependency fears, and encourages independence while maintaining a sense of support.