NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
Which of the following statements indicates increased insight by the client about her newly diagnosed paranoid schizophrenia being stabilized on medications?
Correct Answer: D
Rationale: Recognizing that voices diminish with coping strategies but may return under stress shows insight into the illness and its management, unlike the other options, which reflect denial, persistent delusions, or unrealistic expectations.
Question 2 of 5
The nurse manager of a psychiatric unit notices that one of the nurses commonly avoids a 75-year-old client's company. Which of the following factors should the nurse manager identify as being the most likely cause of this nurse's discomfort with older clients?
Correct Answer: A
Rationale: Fears and conflicts about aging are a common psychological reason for discomfort with elderly clients, as they may trigger personal anxieties about the nurse's own aging process.
Question 3 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 4 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 5 of 5
A client with schizophrenia completes a self-care task independently. Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: Praising the achievement and encouraging further tasks reinforces independence and builds confidence.