NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
Which client statement indicates that the client has coped effectively with a relationship problem?
Correct Answer: D
Rationale: The statement 'We are really listening to each other about our different view on issues' indicates effective coping through mutual communication and understanding, key components of resolving relationship problems. The other statements suggest partial progress but do not fully demonstrate effective coping through active listening and collaboration.
Question 2 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 3 of 5
A client is diagnosed with Generalized Anxiety Disorder (GAD) and given a prescription for venlafaxine (Effexor). Which of the following information should be included in the teaching plan for this client? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Include anxiety reduction strategies, Effexor's benefits/mechanisms, side effect management, and adaptive coping. Effexor doesn't eliminate anxiety completely, and effects take weeks.
Question 4 of 5
A client was admitted after making a suicidal gesture in a police car. He is diagnosed with Antisocial Personality Disorder and has been stealing equipment from his work. He states, 'It's not a big deal. My boss can afford a few missing pieces. He picks on me anyway.' Which of the following is the most appropriate response by the nurse?
Correct Answer: B
Rationale: Stating 'Stealing is a crime regardless of the reason' addresses the client's minimization of his actions directly and reinforces accountability, which is important for someone with antisocial personality disorder.
Question 5 of 5
Which of the following statements by a client taking trazodone (Desyrel) indicates to the nurse that further teaching about the medication is needed?
Correct Answer: C
Rationale: Antidepressants like trazodone typically take 2–4 weeks to alleviate depression, not 5–7 days.