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NCLEX RN Psychiatric Questions Questions

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Question 1 of 5

When developing the plan of care for a client who is staying in his room because he perceives that staff want to harm him, which of the following outcomes of care planning is most realistic?

Correct Answer: D

Rationale: Given the client's paranoid perceptions, seeking out staff to discuss feelings within 5 days is a realistic initial step toward building trust, compared to more complex or socially demanding outcomes.

Question 2 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 3 of 5

A client is suicidal and not responding to the antidepressants prescribed to him over the last 2 months. This morning, after talking to his wife, the client verbally agrees to electroconvulsive therapy (ECT), but refuses to sign the consent form saying it is 'evil.' The nurse should:

Correct Answer: C

Rationale: Written consent is required for ECT unless a court orders it; verbal consent is insufficient.

Question 4 of 5

When developing appropriate short-term goals with clients who are inpatients, which of the following is most realistic?

Correct Answer: C

Rationale: Writing a list of strengths and needs is a realistic, achievable short-term goal for an inpatient, promoting self-awareness and planning. Demonstrating a positive self-image is too broad, planning for school is long-term, and practicing assertiveness in a specific confrontation may be too complex for short-term inpatient care.

Question 5 of 5

A 13-year-old junior high school student has come to the school nurse, stating that her father has physically abused her for 3 years. Initially, the client is a lot of the house, thinking it was because her father had been laid off, but the abuse continued after he got a job 4 months ago. She fears that her mother will not believe her and her father will reject her if they discover she has revealed the abuse. The nurse should first:

Correct Answer: D

Rationale: Reporting to Child Protective Services is the legal and ethical priority to ensure the child's safety and initiate investigation.

Similar Questions

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