NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
When asked about her stresses before admission, an anxious client stares blankly at the nurse and mutters unintelligibly. Which of the following descriptions of the client's behaviors should the nurse document in the client's chart?
Correct Answer: C
Rationale: Describing the client's behavior objectively as a blank look and incomprehensible mumble accurately reflects the observation without assuming uncooperativeness or disorientation.
Question 2 of 5
A client admitted for assaulting a neighbor says, 'I didn't mean to hurt him.' Which nursing intervention is the priority?
Correct Answer: A
Rationale: Teaching conflict resolution skills addresses the client's violent behavior by providing tools to manage disputes nonviolently. Medication, a no harm contract, or support groups are secondary without first building skills to prevent recurrence.
Question 3 of 5
A 14-year-old girl with a history of sexual abuse reports nightmares and flashbacks. The nurse suspects post-traumatic stress disorder (PTSD). What is the nurse's first action?
Correct Answer: B
Rationale: Referring to a trauma-focused therapist is the first step to address PTSD symptoms effectively and safely.
Question 4 of 5
A client is entering the alcohol treatment program for the fourth time in 5 years. Which of the following statements by the nurse will be most helpful to the client?
Correct Answer: D
Rationale: Saying 'The staff and I will help you through the program' is most helpful, as it offers support, fosters collaboration, and avoids judgment about past attempts.
Question 5 of 5
A client presents to the emergency department after a car accident, appearing dazed and trembling. Which is the nurse's priority action?
Correct Answer: B
Rationale: Assessing for physical injuries is the priority to rule out life-threatening conditions, especially given the client's dazed state. Sedation, recounting the event, or family contact are secondary until physical stability is confirmed.