NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
Which of the following assessments provides the best information about the client's physiologic response and the effectiveness of the medication prescribed specifically for alcohol withdrawal?
Correct Answer: C
Rationale: Vital signs provide the best information, as they reflect physiologic stability and the effectiveness of medications in managing withdrawal symptoms like hypertension and tachycardia.
Question 2 of 5
A client with dementia becomes combative during care. What should the nurse do first?
Correct Answer: B
Rationale: A calm, gentle approach de-escalates combativeness, prioritizing therapeutic intervention.
Question 3 of 5
A client demonstrates moderate anxiety regarding a pending medical procedure. The nurse should do which of the following to minimize the client's anxiety about the procedure?
Correct Answer: B
Rationale: A short explanation followed by quick completion of the procedure minimizes anxiety. The client may be fearful of pain, and assuring him that there will be no pain offers false reassurance. A demonstration may cause increased anxiety. Informing the client that it is normal normalizes anxiety and puts the client more at ease, but it is not the most reassuring approach.
Question 4 of 5
A client who was recently discharged from the psychiatric unit telephones the unit to speak to the nurse. The client states that she took her children to the neighbors' house and has turned on the gas to kill herself. She is home alone and gives the nurse her address. Which of the following actions should the nurse do next?
Correct Answer: B
Rationale: Immediate police notification is critical to ensure the client's safety in an active suicide attempt.
Question 5 of 5
A client who is suspicious of others including staff is brought to the hospital wearing a wrinkled dress with stains on the front. Assessment also reveals a flat affect, confusion and slow movements. Which goal should the nurse identify as the initial priority in the client's way?
Correct Answer: A
Rationale: Establishing safety and acceptance is the priority for a suspicious client, as it builds trust and reduces paranoia, which is essential before addressing other needs like hygiene or socialization.