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Psychiatric NCLEX RN Questions Questions

Extract:


Question 1 of 5

When working with a group of adult survivors of childhood sexual abuse, dealing with anger and rage is a major focus. Which strategy should the nurse expect to be successful? Select all that apply.

Correct Answer: B,C,D,E

Rationale: Symbolic confrontation, journaling, and writing unsent letters are therapeutic strategies that help process anger safely. Direct confrontation is generally not recommended due to potential for re-traumatization.

Question 2 of 5

During the initial interview, a client with a compulsive eating disorder remarks, 'I can't stand myself and the way I look.' Which of the following statements by the nurse is most therapeutic?

Correct Answer: D

Rationale: This response encourages the client to express emotions, which is therapeutic for addressing underlying issues.

Question 3 of 5

When developing the plan of care for a client with suicidal ideation, developing goals to address which of the following is a priority?

Correct Answer: D

Rationale: Safety is the priority to prevent self-harm in a client with suicidal ideation.

Question 4 of 5

A client who has been stabilized on medications for several months is at the clinic for a medication check. During a conversation with the nurse, the client suddenly jumps up, begins pacing, and wrings her hands. In what order should the nurse do the following interventions from first to last?

Order the Items

Source Container

Walk with the client to help decrease her anxiety.
Discuss productive ways to solve her problems causing anxiety.
Share observations about her anxiety-related behaviors.
Ask the client about the sources of her anxiety.

Correct Answer: C,D,A,B

Rationale: First, sharing observations helps the client recognize her anxiety behaviors. Asking about sources identifies triggers. Walking with the client reduces anxiety physically, and discussing solutions is most effective once anxiety is lowered.

Question 5 of 5

A client with a history of angry outbursts is taught to use deep breathing exercises. Which client statement indicates successful learning?

Correct Answer: B

Rationale: The statement 'Deep breathing helps me calm down before I get too angry' shows the client understands and applies the technique proactively to manage anger, indicating successful learning. Other responses suggest misunderstanding or reluctance to use the technique effectively.

Similar Questions

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The father of a U.S. Marine who was killed 2 days ago in Iraq is admitted after a serious suicide attempt. He is medically stable and has signed a no harm contract. Which of the following is the priority nursing intervention?
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When developing the plan of care for a client with acute stress disorder who lost her sister in a boating accident, which of the following should the nurse initiate?

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