NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
Which of the following is a crucial goal of therapeutic communication when helping the client deal with the personal issues and painful feelings?
Correct Answer: B
Rationale: Conveying respect and acceptance, even if behaviors are not tolerated, fosters a therapeutic relationship that supports the client in addressing personal issues. Empathy through touch is situational, mutual sharing is inappropriate, and total confidentiality cannot be guaranteed due to legal exceptions.
Question 2 of 5
A client diagnosed with Post Traumatic Stress Disorder is readmitted for suicidal thoughts and continued trouble sleeping. She states that when she closes her eyes, she has vivid memories about being awakened at night. 'My dad would be on top of me trying to have sex with me. I couldn't breathe.' Which of the following suggestions would be appropriate for the nurse to make for the insomnia? Select all that apply.
Correct Answer: A, B, C, D
Rationale: Suggestions include: Relaxation techniques (
A), quetiapine as ordered (
B), journaling nightmares (
C), and listening to music (
D), all of which address insomnia and anxiety related to PTSD.
Question 3 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 4 of 5
A client with paranoid schizophrenia is aggressive toward staff. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Offering a quiet space de-escalates aggression non-invasively, prioritizing safety and therapeutic intervention.
Question 5 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.