Questions 73

NCLEX-RN

NCLEX-RN Test Bank

Psychiatric NCLEX RN Questions Questions

Extract:


Question 1 of 5

Which of the following represents a breach of the nursing Code of Ethics regarding the rights of clients in psychiatric care situations?

Correct Answer: C

Rationale: Discussing a client's care with a friend violates confidentiality, breaching the Code of Ethics.

Question 2 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 3 of 5

Which of the following is essential when caring for a client who is experiencing delirium?

Correct Answer: B

Rationale: Identifying and treating the underlying cause (e.g., infection, intoxication) is essential for resolving delirium, as it addresses the root of the condition.

Question 4 of 5

A hospitalized adolescent diagnosed with anorexia nervosa refuses to comply with her daily before-breakfast weigh-in. She states that she just drank a glass of water, which she feels will unfairly increase her weight. What is the nurse's best response to the client?

Correct Answer: C

Rationale: Consistency in the weigh-in protocol is essential to monitor progress and prevent manipulation of results.

Question 5 of 5

A client diagnosed with paranoid personality disorder is hospitalized for physically threatening his wife because he suspects her of having an affair with a coworker. Which of the following approaches should the nurse employ with this client?

Correct Answer: C

Rationale: A matter-of-fact approach is best for a client with paranoid personality disorder, as it is neutral, non-confrontational, and avoids escalating suspicion or defensiveness, fostering trust and communication.

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