The client tells the nurse at the outpatient clinic that she doesn't n

NCLEX RN Questions on Psychiatric Nursing

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Question 1 of 5.

The client tells the nurse at the outpatient clinic that she doesn't need to attend groups because she's 'not a regular like these other people here.' Which of the following responses by the nurse is most appropriate?

A. Because you're not a regular client, sit in the hall when the others are in group.'

B. Your family wants you to attend, and they will be very disappointed if you don't.'

C. I'll have to mark you absent from the clinic today and speak to the doctor about it.'

D. You say you're not a regular here, but you're experiencing what others are experiencing.'

Explanation: Saying 'You say you're not a regular here, but you're experiencing what others are experiencing' validates the client's feelings while gently challenging her denial, encouraging engagement in treatment.

Question 2 of 5.

The nurse is conducting an intake interview with an Asian American female who reports sadness, physical and mental fatigue, anxiety, and sleep disturbance. Prior to the client's time with the physician, it is important for the nurse to obtain information about the client's use of which of the following? Select all that apply.

A. Tea.

B. Herbal medicine.

C. Breathing exercise.

D. Massage.

E. Folk healer.

Explanation: Herbal medicine, breathing exercises, massage, and folk healers may impact treatment or interact with medications, requiring assessment.

Question 3 of 5.

A client diagnosed with major depression spends most of the day lying in bed with the sheet pulled over his head. Which of the following approaches by the nurse is most therapeutic?

A. Wait for the client to begin the conversation.

B. Initiate contact with the client frequently.

C. Sit outside the client's room.

D. Question the client until he responds.

Explanation: Frequent initiation of contact shows care and encourages engagement without overwhelming the client.

Question 4 of 5.

During a group session, a client who is depressed tells the group that he lost his job. Which of the following responses by the nurse is best?

A. It must have been very upsetting for you.'

B. Would you tell us about your job.'

C. You'll find another job when you're better.'

D. You were probably too depressed to work.'

Explanation: Acknowledging the emotional impact validates the client's feelings and fosters therapeutic rapport.

Question 5 of 5.

A client with major depression and psychotic features is admitted involuntarily to the hospital. He will not eat because his 'bowels have turned to jelly,' which the client states is punishment for his wickedness. The client requests to leave the hospital. The nurse denies the request because commitment papers have been initiated by the physician. Which of the following should the nurse identify as a criterion for the client to be legally committable?

A. Evidence of psychosis.

B. Being gravely disabled.

C. Risk of harm to self or others.

D. Diagnosis of mental illness.

Explanation: Risk of harm to self or others is a primary criterion for involuntary commitment to ensure safety.