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Overview of Psychiatric-Mental Health Nursing NCLEX EXAM SOLUTION
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Overview of Psychiatric-Mental Health Nursing
NCLEX EXAM SOLUTION
A 6-year-old child was recently admitted to the hospital with
a diagnosis of autism. The child picks up a toy and begins to
hit another child. What is the most appropriate response by
the nurse?
A. Isolate the child for 24 hours
B. Encourage the client to explain his angry thoughts
C. Assume a nonpunitive stance and stop the behavior
D. Call the client's parents for their input - answer ✅✅C
A 63-year-old male client expresses feelings of
hopelessness and helplessness about his spouse's illness
and anticipated death. On which of the following issues
should the nurse initially assist the client to focus?
,A. The nature of the spouse's present illness
B. The client's response to past losses
C. The dying spouse's feelings about impending loss and
death
D. The client's relationship with the spouse - answer ✅✅A
A client asks the nurse what to do about leaving the spouse.
The nurse replies "Why are you having trouble making a
decision? It's easy to see that you should file for divorce."
The nurse manager overhearing the conversation would
counsel this nurse because the nurse's response: (Select all
that apply)
A. Restricts the client's opportunity for self-exploration &
problem solving skills
B. Belittles the client & the client's indecisiveness
C. Challenges the client's belief system
D. Assumes that the client is incapable of reaching an
independent decision - answer ✅✅A,B,D
A client has purposefully attempted to embarrass a nurse by
making a sexually explicit comment. The best response by
the nurse is to:
A. Clarify the intention of the client
B. Leave the situation altogether
C. Refuse to talk with the client any further
, D. Continue to interact as if the comments did not cause
embarrassment - answer ✅✅A
A client presents at a crisis clinic with reports of having
crying spells and overwhelming feelings of loss. The client
further relates that this extreme distress began one week
ago when the client's parent developed an acute physical
illness & died. The client speaks clearly and descriptively
about the illness & death & verbalizes feelings readily. The
nurse interprets that the client's behaviors suggest the
client:
A. Has suffered irreversible psychological damage
B. Is a candidate for long-term psychotherapy
C. Is highly anxious and depressed
D. Is a good candidate for short-term, focused
psychotherapy - answer ✅✅D
A client says to the nurse, "Where did you come from?
Venus is in outer space. Are you with the FBI? I like the staff
on this unit. What are we going to do today?" The nurse
should document this as:
A. Loose association
B. Tangential speech
C. Circumstantial speech
D. Concrete thinking - answer ✅✅A
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