NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
When preparing to use seclusion as an alternative to restraint for a client who has not yet lost control, the nurse expects to use a room with limited furniture and no access to dangerous articles. What should the nurse also consider as critical for the safety of the client?
Correct Answer: A
Rationale: A security window or camera is critical for monitoring the client's safety during seclusion without direct presence, which could escalate agitation. Dimming lights is less critical, a staff member in the room may increase agitation, and a doctor's order is procedural but not directly tied to immediate safety.
Question 2 of 5
The nurse manager on a psychiatric unit is reviewing the outcomes of staff participation in an aggression management program. Evaluation of such a program would be based primarily on which of the following indicators?
Correct Answer: D
Rationale: The primary indicator is a reduction in the total number of restraint procedures, as effective aggression management should decrease the need for restraints. Fewer injuries, reduced complaints, and training reviews are secondary outcomes.
Question 3 of 5
A client calls a crisis hotline stating, 'I lost my house in a fire, and I don't know what to do.' Which of the following is the nurse's most appropriate initial response?
Correct Answer: A
Rationale: Encouraging the client to share more about the situation and feelings helps assess their emotional state and immediate needs, aligning with crisis intervention principles. Insurance, housing, or shelter referrals are secondary to understanding the client's current crisis state.
Question 4 of 5
A client awaiting a biopsy result appears anxious and restless. Which approach should the nurse use to support the client?
Correct Answer: B
Rationale: Asking the client to describe their fears promotes expression of emotions, reducing anxiety through therapeutic communication. Distraction, statistical reassurance, or spiritual referral may not address the client's specific concerns.
Question 5 of 5
A client in an anger management group says, 'I get mad, but I don't want to hurt anyone.' Which goal should the nurse prioritize for this client?
Correct Answer: B
Rationale: Identifying early signs of anger escalation helps the client intervene before losing control, preventing harm. Exercise is a coping strategy, suppression is unhealthy, and leaving situations is less proactive than early intervention.