NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
When integrating the concepts underlying the cognitive-behavioral model into a client's plan of care, the nurse should focus on which of the following areas?
Correct Answer: A
Rationale: The cognitive-behavioral model focuses on substituting rational beliefs for self-defeating thoughts and behaviors, addressing cognitive distortions directly. Insight into unconscious conflicts is psychoanalytic, analyzing fears is less specific, and reducing bodily tensions is a secondary focus compared to cognitive change.
Question 2 of 5
A client who assaulted a coworker is remorseful and asks for help. Which statement by the nurse is most therapeutic?
Correct Answer: B
Rationale: Exploring the incident encourages the client to reflect on triggers and behaviors, fostering insight and change. Criticism, suggesting an apology, or highlighting consequences may discourage open communication.
Question 3 of 5
Which of the following represents a breach of the nursing Code of Ethics regarding the rights of clients in psychiatric care situations?
Correct Answer: C
Rationale: Discussing a client's care with a friend violates confidentiality, breaching the Code of Ethics.
Question 4 of 5
The client with an Axis I diagnosis of bipolar disorder, manic phase, states to the nurse, 'I'm the Queen of England. Bow before me.' The nurse interprets this statement as important to document as which of the following areas of the mental status examination?
Correct Answer: D
Rationale: Grandiose delusions, like claiming to be royalty, are documented under thought content.
Question 5 of 5
A client diagnosed with paranoid personality disorder is hospitalized for physically threatening his wife because he suspects her of having an affair with a coworker. Which of the following approaches should the nurse employ with this client?
Correct Answer: C
Rationale: A matter-of-fact approach is best for a client with paranoid personality disorder, as it is neutral, non-confrontational, and avoids escalating suspicion or defensiveness, fostering trust and communication.