NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
While meeting with the nurse, a client's wife states, 'I don't know what else to do to make him stop drinking.' The nurse should refer the wife to which of the following organizations?
Correct Answer: B
Rationale: Referring the wife to Al-Anon is appropriate, as it provides support for family members of individuals with alcohol dependency, helping her cope and set boundaries.
Question 2 of 5
A client who chronically snorts cocaine is brought to the emergency department due to a cocaine overdose. The client is experiencing delusions, hallucinations, mild respiratory distress and mild tachycardia initially. The nurse should do which of the following? Select all that apply.
Correct Answer: B,C,D,E,F
Rationale: Cocaine overdose management includes seizure precautions, administering haloperidol for psychosis, monitoring for respiratory/metabolic acidosis, and encouraging deep breathing. Vomiting is not induced.
Question 3 of 5
The nurse is talking with a client who has been diagnosed with antisocial personality disorder about how to socialize during activities without being seductive. The nurse should focus the discussion on which of the following areas?
Correct Answer: A
Rationale: Focusing on the negative reactions of others helps the client understand the impact of his seductive behavior, promoting awareness and encouraging more appropriate social interactions.
Question 4 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 5 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.