NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
When assessing a hospitalized client diagnosed with Major Depression and Borderline Personality Disorder, the nurse should ask the client about which of the following first?
Correct Answer: B
Rationale: Asking about suicidal plans first is critical, as it directly assesses the immediate risk and specificity of intent, guiding safety interventions for a client with these diagnoses.
Question 2 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 3 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.
Question 4 of 5
The expected outcome for using thiamine for a client being treated for an alcohol addiction is to:
Correct Answer: A
Rationale: Thiamine is used to prevent Wernicke's encephalopathy, a serious neurological condition caused by thiamine deficiency common in chronic alcohol use.
Question 5 of 5
Which of the following is an accurate response when a client asks the nurse about requirements to become a member of Alcoholics Anonymous (AA)?
Correct Answer: B
Rationale: Saying 'AA is open to anyone who wants sobriety' is accurate, as AA's only requirement is a desire to stop drinking, making it accessible to all.