NCLEX Psychiatric Nursing Questions 1-5

NCLEX Psychiatric Nursing Questions are a mainstay in the NCLEX-RN. Appraise or increase your knowledge with this 5-item quiz covering related topics.

1. The home health nurse visits a client at home and determines that the client is dependent on drugs. During the assessment, which action should the nurse take to plan appropriate nursing care?

a) Ask the client why he started taking illegal drugs.
b) Ask the client about the amount of drug use and its effect.
c) Ask the client how long he thought that he could take drugs without someone finding out.
d) Not ask any questions for fear that the client is in denial and will throw the nurse out of the home.

2. NCLEX Psychiatric Nursing Questions about which interventions are most appropriate for caring for a client in alcohol withdrawal? Select all that apply.

a) Monitor vital signs.
b) Maintain NPO status.
c) Provide a safe environment.
d) Address hallucinations therapeutically.
e) Provide stimulation in the environment.
f) Provide reality orientation as appropriate.

3. The nurse determines that the wife of an alcoholic client is benefiting from attending an Al-Anon group if the nurse hears the wife make which statement?

a) “I no longer feel that I deserve the beatings my husband inflicts on me.”
b) “My attendance at the meetings has helped me to see that I provoke my husband’s violence.”
c) “I enjoy attending the meetings because they get me out of the house and away from my husband.” d) “I can tolerate my husband’s destructive behaviors now that I know they are common with alcoholics.”

4. NCLEX Psychiatric Nursing Questions about a hospitalized client with a history of alcohol abuse tells the nurse, “I am leaving now. I have to go. I don’t want any more treatment. I have things that I have to do right away.” The client has not been discharged and is scheduled for an important diagnostic test to be performed in 1 hour. After the nurse discusses the client’s concerns with the client, the client dresses and begins to walk out of the hospital room. What action should the nurse take?

a) Call the nursing supervisor.
b) Call security to block all exit areas.
c) Restrain the client until the health care provider (HCP) can be reached.
d) Tell the client that the client cannot return to this hospital again if the client leaves now.

5. The nurse is preparing to perform an admission assessment on a client with a diagnosis of bulimia nervosa. Which assessment findings does the nurse expect to note? Select all that apply.

a) Dental decay
b) Moist oily skin
c) Loss of tooth enamel
d) Electrolyte imbalances
e) Body weight well below ideal range

NCLEX Psychiatric Nursing Questions 1-5
Answers and Rationale

1) B
- Rationale: Whenever the nurse carries out an assessment for a client who is dependent on drugs, it is best for the nurse to attempt to elicit information by being nonjudgmental and direct. Option A is incorrect because it is judgmental and off-focus, and reflects the nurse’s bias. Option C is incorrect because it is judgmental, insensitive, and aggressive, which is nontherapeutic. Option D is incorrect because it indicates passivity on the nurse’s part and uses rationalization to avoid the therapeutic nursing intervention.

- Test-Taking Strategy: Focus on the subject, providing appropriate nursing care. Use of therapeutic communication techniques will assist in directing you to the correct option.

2) A, C, D, F
- NCLEX Psychiatric Nursing Questions Rationale: When the client is experiencing withdrawal from alcohol, the priority for care is to prevent the client from harming self or others. The nurse would provide a low-stimulation environment to maintain the client in as calm a state as possible. The nurse would monitor the vital signs closely and report abnormal findings. The nurse would reorient the client to reality frequently and would address hallucinations therapeutically. Adequate nutritional and fluid intake need to be maintained.

- Test-Taking Strategy: Note the strategic words most appropriate. Use therapeutic communication techniques to assist in selecting the correct interventions. Also, recalling the characteristics associated with alcohol withdrawal will assist in answering correctly.

3) A
- Rationale: Al-Anon support groups are a protected, supportive opportunity for spouses and significant others to learn what to expect and to obtain excellent pointers about successful behavioral changes. The correct option is the healthiest response because it exemplifies an understanding that the alcoholic partner is responsible for his behavior and cannot be allowed to blame family members for loss of control. Option B is incorrect because the nonalcoholic partner should not feel responsible when the spouse loses control. Option C indicates that the group is viewed as an escape, not as a place to work on issues. Option D indicates that the wife remains codependent.

- NCLEX Psychiatric Nursing Questions Test-Taking Strategy: Focus on the subject, the therapeutic effect of attending an Al-Anon group. Noting the words benefiting from attending an Al-Anon group will direct you to the correct option.

4) A
- Rationale: Most health care facilities have documents that the client is asked to sign relating to the client’s responsibilities when the client leaves against medical advice. The client should be asked to wait to speak to the HCP before leaving and to sign the “against medical advice” document before leaving. If the client refuses to do so, the nurse cannot hold the client against the client’s will. Therefore, in this situation, the nurse should call the nursing supervisor. The nurse can be charged with false imprisonment if a client is made to believe wrongfully that he or she cannot leave the hospital. Restraining the client and calling security to block exits constitutes false imprisonment. All clients have a right to health care and cannot be told otherwise.

- Test-Taking Strategy: Keeping the concept of false imprisonment in mind, eliminate options B and C because they are comparable or alike. Eliminate option D, knowing that all clients have a right to health care. From the options presented, the best action is presented in the correct option.

5) A, C, D
- NCLEX Psychiatric Nursing Questions Rationale: Clients with bulimia nervosa initially may not appear to be physically or emotionally ill. They are often at or slightly below ideal body weight. On further inspection, a client exhibits dental decay and loss of tooth enamel if the client has been inducing vomiting. Electrolyte imbalances are present. Dry, scaly skin (rather than moist, oily skin) is present.

- Test-Taking Strategy: Focus on the subject, assessment findings in bulimia nervosa. It is necessary to recall that in anorexia nervosa the body weight is normally well below ideal body weight and that clients with bulimia nervosa are often at or slightly below ideal body weight. Also, remember that skin texture will be dry and scaly.

Proceed to the next set of questions:

NCLEX Psychiatric Nursing Questions 6-10